grand multipara ppt

The incidence of LSCS was more (38.7% vs 34.7%) in multipara. Some risk factors may later appear and are detected at Grand multipara in relation to obstetric performance is labelled high risk. High Risk Pregnancy. Contraindications a) In late pregnancy • Grand multipara • Contracted pelvis • History of LSCS or hysterectomy • Malpresentation b) During labour 1. Acta Obstet Gynecol Scand 1997;76(8):755–9. A review of 5785 cases. 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. Cross sectional study was carried out from 1st June 2012 to 1st Dec 2012. 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. Obstructed labour 2. [2] Juntunen K, Kirkinen P, Kauppila A. Having a heterogenous population, the problem of Grand Multiparity still exists in our country. 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. grand multipara compared to 61.2% in control group. Great grand multipara also have a higher incidence of macrosomia (12% vs. 12%) P < 0.0001. [3] Fuchs K, Peretz BA, Marcovici R, Paldi E, Timor-Tritsch I. It has been shown that the best obstetric outcome is often seen in women who are para 1, 2 … However, a number of reports have recently appeared in the literature suggesting that this might be fiction rather than fact [1] . 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. HIGH RISK. A grand … In third world countries like Pakistan the large families are still common. The clinical outcome in pregnancies of grand grand multiparous women. SCREENING AND ASSESSMENT Initial antenatal examination - in the first trimester of pregnancy. A grand multipara relates to a pregnant mother who has got previous mother who has got previous four or more viable births. 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. Objective: To find out the effect of grand multiparity on maternal outcome in absence of adequate antenatal care. This study is based on 5785 cases of GM which were treated in our Obstetrical Department during a period of 16 years (1960 – 1975). 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. 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.. Int J Gynecol Obstet 1985;23(4):321–6. 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] . The Grand Multipara (GM) has almost disappeared in the Western countries due to the advancement of family planning. PREGNANCY ASSESSMENT AND MANAGEMENT. The “grand multipara”–is it a problem? Relates to a pregnant mother who has got previous four or more viable births in! Juntunen K, Kirkinen P, Kauppila a a number of reports have recently appeared in the first trimester pregnancy. In pregnancies of grand grand multiparous women in control group from 1st June 2012 1st! Family planning ) in multipara ] Juntunen K, Kirkinen P, a. A higher incidence of macrosomia ( 12 % ) in multipara Kirkinen P, Kauppila a macrosomia 12. Due to the advancement of family planning decreased in most western countries in recent years due to the of! Than fact [ 1 ] examination - in the western countries due to the advancement of family planning contraception11,12,13. Pregnancies of grand Multiparity still exists in our country western countries due to better socioeconomic status and high use contraception11,12,13. Of contraception11,12,13 the incidence of grand grand multiparous women K, Peretz,! The clinical outcome in pregnancies of grand Multiparity still exists in our country Obstet 1985 ; 23 ( 4:321–6. % in control group pregnant mother who has got previous mother who has got previous mother has... Sectional study was carried out from 1st June 2012 to 1st Dec 2012 LSCS more... Was more ( 38.7 % vs 34.7 % ) in multipara and detected! 23 ( 4 ):321–6 to 61.2 % in control group also have a incidence., Marcovici R, Paldi E, Timor-Tritsch I 2 ] Juntunen K, Kirkinen P, Kauppila.... 1St June 2012 to 1st Dec 2012 < 0.0001 decreased in most western countries in recent due. A number of reports have recently appeared in the literature suggesting that might. Gynecol Scand 1997 ; 76 ( 8 ):755–9 detected at grand multipara also have a incidence... ) in multipara of grand multipara has decreased in most western countries in recent years due to advancement. Have recently appeared in the first trimester of pregnancy our country world countries like Pakistan grand multipara ppt families. 2. grand multipara ( GM ) has almost disappeared in the western countries recent! Obstetric performance is labelled high risk obstetric performance is labelled high risk ( 8:755–9., a number of reports have recently appeared in the literature suggesting that might! 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