Publication:

Pregnancy outcomes in grand multiparous patients: a hospital based study from Jammu and Kashmir, India

Background Grandmultiparity has been associated with adverse outcome for both fetus and mother such as antepartum hemorrhage, malpresentation, caesarean section rate, postpartum hemorrhage, iron deficiency anemia, and a high perinatal mortality rate. The aim of the study was to determine the prevalence of grandmultiparity (women who had delivered five or more times) and to compare the incidence of antenatal, intrapartum and perinatal complications with those of age-matched controls who had delivered two to four times (multiparous).

Methods A Prospective comparative study was conducted with 40,250 patients who delivered between 2013 and 2015 in Lalla Ded Hospital Srinagar, Jammu and Kashmir. 2,320 grand multiparous patients who delivered during this period were compared with 2,501 ages matched multiparous patients.

Results Significant association was found between grandmultiparity and adverse pregnancy outcomes such caesarean delivery, fetal macrosomia, pregnancy induced hypertension and post-partum hemorrhage. A higher incidence of antenatal anaemia was found in grandmultiparous patients than multiparous controls.

Conclusions Grandmultiparity is associated with increased incidence of medical and obstetric complications.