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Eur J Obstet Gynecol Reprod Biol. 2002 Feb 10;101(1):22-5.

Extreme grandmultiparity: is it an obstetric risk factor?

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1
Department of Obstetrics and Gynaecology, Al-Mafraq Hospital, P.O. Box 2951, Abu Dhabi, United Arab Emirates. srinathk@emirates.net.ae

Abstract

OBJECTIVE:

To examine the perinatal outcome in women of extreme grandmultiparity (EGMP) in a setting with good socio-economic conditions and modern perinatal care.

METHODS:

About 1015 pregnant women with a parity of 10 and above who delivered at Al-Mafraq hospital, Abu Dhabi between 1992 and 1998 were compared with 2044 women of parity <5 and 1662 with parity of 5-9.

RESULTS:

Pregnant women with parity of 10 and above had an increased incidence of gestational diabetes (P<0.001) and macrosomia (P<0.001) and a reduced incidence of preterm delivery (P<0.0001) and induction of labor (P<0.0001). There were no significant differences between the groups regarding, antepartum hemorrhage, cesarean section rate and neonatal outcomes.

CONCLUSION:

Extreme grandmultiparity does not appear to be an independent risk factor for adverse perinatal outcome in the setting of good perinatal care.

PMID:
11803095
[Indexed for MEDLINE]
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