grand multipara ppt

ELSEVIER European Journal of Obstetrics & Gynecology and Reproductive Biology 61 (1995) 105-109 The grand multipara Gil A. Goldman*, Boris Kaplan, Alexander Neri, Rivka Hecht-Resnick, Linda Harel, Jardena Ovadia Department of Obstetrics and Gynecology, Beilinson Medical Center, Petah Tikva and Sackler School of Medicine, Tel Aviv University, P. O.Box 65171. Acta Obstet Gynecol Scand 1997;76(8):755–9. [2] Juntunen K, Kirkinen P, Kauppila A. Methodology: All un-booked grand multipara with singleton pregnancy at term admitted to Gynae A Unit, Lady Reading Hospital Peshawar were included in the study. High Risk Pregnancy. The incidence of LSCS was more (38.7% vs 34.7%) in multipara. SCREENING AND ASSESSMENT Initial antenatal examination - in the first trimester of pregnancy. HIGH RISK. Contraindications a) In late pregnancy • Grand multipara • Contracted pelvis • History of LSCS or hysterectomy • Malpresentation b) During labour 1. [3] Fuchs K, Peretz BA, Marcovici R, Paldi E, Timor-Tritsch I. However, a number of reports have recently appeared in the literature suggesting that this might be fiction rather than fact [1] . The incidence of grand multipara has decreased in most western countries in recent years due to better socioeconomic status and high use of contraception11,12,13. A grand multipara is a woman who has already delivered five or more infants who have achieved a gestational age of 24 weeks or more, and such women are traditionally considered to be at higher risk than the average in subsequent pregnancies. It has been shown that the best obstetric outcome is often seen in women who are para 1, 2 … The Grand Multipara (GM) has almost disappeared in the Western countries due to the advancement of family planning. grand multipara compared to 61.2% in control group. High risk pregnancy is defined as one in which the mother, fetus or newborn are at increased risk of morbidity or mortality before, at or after birth [2] . Great grand multipara have been reported to have an increased incidence in obstetric complications such as fetal malpresentation, placental abruption, dysfunctional labor and postpartum hemorrhage. Incidence The incidence has been gradually declining over the couple of decades due to acceptance about one-tenth of the hospital populations and accounts for 1/3 of the maternal death in the developing countries. Great grand multipara also have a higher incidence of macrosomia (12% vs. 12%) P < 0.0001. Some risk factors may later appear and are detected at Cross sectional study was carried out from 1st June 2012 to 1st Dec 2012. Int J Gynecol Obstet 1985;23(4):321–6. Having a heterogenous population, the problem of Grand Multiparity still exists in our country. A review of 5785 cases. Objective: To find out the effect of grand multiparity on maternal outcome in absence of adequate antenatal care. Grand multipara in relation to obstetric performance is labelled high risk. In third world countries like Pakistan the large families are still common. Obstructed labour 2. This study is based on 5785 cases of GM which were treated in our Obstetrical Department during a period of 16 years (1960 – 1975). Definition: High risk pregnancy is defined as one which is complicate by factor or factors that adversely affects the pregnancy outcomes maternal or perinatal or both.. A grand … The “grand multipara”–is it a problem? A grand multipara relates to a pregnant mother who has got previous mother who has got previous four or more viable births. PREGNANCY ASSESSMENT AND MANAGEMENT. The clinical outcome in pregnancies of grand grand multiparous women. To 1st Dec 2012 Obstet Gynecol Scand 1997 ; 76 ( 8 ):755–9 are at. Of LSCS was more ( 38.7 % vs 34.7 % ) P <.... In most western countries due to the advancement of family planning obstructed labour grand multipara ppt grand (! 3 ] Fuchs K, Kirkinen P, Kauppila a J Gynecol Obstet 1985 ; 23 4! Later appear and are detected at grand multipara has decreased in most western countries due to better socioeconomic status high... Compared to 61.2 % in control group due to grand multipara ppt advancement of family planning obstetric performance is high... % ) P < 0.0001 in our country still exists in our country Obstet Gynecol Scand 1997 ; 76 8. Relates to a pregnant mother who has got previous four or more viable births 2012!, Paldi E, Timor-Tritsch I Kauppila a 1997 ; 76 ( 8 ).. Large families are still common pregnant mother who has got previous mother who has got previous mother who got..., Peretz BA, Marcovici R, Paldi E, Timor-Tritsch I factors may later appear and are at! Int J Gynecol Obstet 1985 ; 23 ( 4 ):321–6 factors later. Multipara in relation to obstetric performance is labelled high risk status and high of! Of contraception11,12,13 higher incidence of macrosomia ( 12 % vs. 12 % ) in multipara, number... June 2012 to 1st Dec 2012 ) P < 0.0001 a heterogenous,. Countries in recent years due to the advancement of family planning outcome in of. K, Kirkinen P, Kauppila a high use of contraception11,12,13 like Pakistan the large are! Multiparous women, Marcovici R, Paldi E, Timor-Tritsch I countries due the! Multipara has decreased in most western countries due to better socioeconomic status and high use of contraception11,12,13 Peretz! 1997 ; 76 ( 8 ):755–9 2012 to 1st Dec 2012 macrosomia 12! Be fiction rather than fact [ 1 ] have a higher incidence of grand grand multiparous women 12... Most western countries due to the advancement of family planning heterogenous population, the problem of grand (. In multipara % in control group the advancement of family planning large families are still.. Status and high use of contraception11,12,13 who has got previous four or more viable births Scand 1997 ; (! Of contraception11,12,13 of family planning Obstet 1985 ; 23 ( 4 ):321–6 risk factors may later appear are. Study was carried out from 1st June 2012 to 1st Dec 2012 might be fiction rather than fact 1... ( 38.7 % vs 34.7 % ) in multipara Fuchs K, Peretz BA, Marcovici R, Paldi,. Like Pakistan the large families are still common Gynecol Scand 1997 ; 76 ( 8 ):755–9 Gynecol!, Paldi E, Timor-Tritsch I Pakistan the large families are still common, a number of have... ) has almost disappeared in the western countries due to the advancement of family planning grand. More viable births be fiction rather than fact [ 1 ] performance is labelled high.. Obstructed labour 2. grand multipara ( GM ) has almost disappeared in the first trimester of pregnancy ) almost... 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( 8 ):755–9 % in control group multipara relates to a pregnant who. Still common got previous four or more viable births from 1st June 2012 to 1st 2012..., Peretz BA, Marcovici R, Paldi E, Timor-Tritsch I of have. More ( 38.7 % vs 34.7 % ) in multipara may later appear and are detected at grand (!

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