Grandmultiparas; frequency of hypertension placental abruption and postpartum haemorrhage in

Intrapartum complications that are classically associated with grandmultiparas include fetal malpresentation, dysfunctional labour, chronic hypertension, abruptio placentae, postpartum haemorrhage and macrosomic babies. Excellent maternal and fetal outcome is possible in grandmultiparas with improvement in health care system and free provision of health facilities to all pregnant women. The objective of the study was: to find the frequency of hypertension, placental abruption and primary postpartum hemorrhage in grandmultiparas. It was a prospective study with descriptive pattern. Gynaecology and Obstetric unit-I of Allied Hospital, Punjab Medical College Faisalabad. January to June 2006. Eighty patients were included in the study. Eighty grandmultiparas were randomly selected for the study. Detailed evaluation of all patients was done by thorough history, examination and investigation. Patients were analyzed for complications during pregnancy, labour and delivery, especially hypertension, placental abruption and primary post partum haemorrhage. Hypertensive disorders found to be in 32 [33.8%], placental abruption in 7[8.8%] and postpartum hemorrhage in 19[23.8%] of grandmultiparas. It was concluded from the result of my study that grandmultiparity is still a major obstetric hazard in developing countries like Pakistan with higher incidence of complications. Safe maternal and perinatal outcome is possible in grandmultiparas with improvement in health care system and free provision of health care facilities to all pregnant women

Meconium stained liquor; neonatal outcome

The Presence of meconium in amniotic fluid is a risk factor for intrapartum hypoxia. It had been considered as an indicator of poor neonatal outcome. To determine neonatal outcome in meconium stained liquor. Descriptive Study. Setting Department of Gynae and Obstetrics, Fatima Memorial Hospital, Lahore. 06 months from 21-01-2009 to 20-07-2009. The patients with meconium stained liquor were assessed by per speculum examination and were followed till the time of delivery. Neonatal outcome was assessed by APGAR scores at 1 minute, vocal cord staining, admission to CU Nursery, perinatal death, need of resuscitation and total stay in ICU Nursery. During the study period, 140 patients were included in study. Among these, 97 babies had APGAR score < 5 at 1 minute, 102 babies had staining of vocal cord while 119 babies were admitted to ICU Nursery. Incidence of perinatal death was 8.6%. Meconium stained liquor is associated with poor neonatal outcome