Obstetric Outcome in Grand Multipara at Term with Singleton Pregnancy in a Tertiary Care Hospital

Obstetric Outcome of Singleton Grand Multipara

Abstract

Background: A woman with more than five children is considered grand multiparous. Grand multiparous women have increased pregnancy and delivery risks as a result of inadequate prenatal care and advanced maternal age. Objective: This study aimed was to find the obstetric outcomes for grand multipara individuals who presented with a term singleton pregnancy. Study Design: Descriptive cross-sectional study. Settings: Obstetrics & Gynecology Department of Hayatabad Medical Complex in Peshawar, Pakistan. Duration: From June 1, 2022, to January 1, 2023. Methods: A total of 50 women patients with >5 number of children between 37–40 weeks of gestational period diagnosed clinically and through ultrasound with singleton pregnancy irrespective of age groups were included. Collected data analyzed using SPSS version 21. Results: Of the fifty patients, eighty percent were in the age range of 30-40 years. Vaginal delivery was the most common method of birth, with a normal-birth-weight infants accounting for 80% of cases and an Apgar score of 92% with >6 at five minutes. Anemia and hypertension accounted for 16% and 14% of the common complications. These patients had obstructed labor (6%), previa (6%), placental abruption (6%), and malpresentation (14%) as obstetrical complications. Conclusion: Grand multiparas are more vulnerable to increased risks due to several factors including a shorter pregnancy interval, inadequate health care, and an increase in age-related risks. Improving the literacy rate, health care facilities, availability of safe and effective contraception, and reproductive health status are necessary for better obstetrical outcomes.