study to determine the risks associated with grand multiparity

ABSTRACT

The aim of the study was to determine various risk factors associated with grand mutiparity. Department of Obstetrics and Gynaecology Unit-I, Bahawal Victoria Hospital, Bahawalpur. It was a case control [analytical] study. It included all pregnant women having more than five children attending antenatal clinic at Bahawal Victoria Hospital, Bahawalpur. This study was conducted on hundred subjects. A total five hundred controls were selected after matching. Purposive partum haemorrhage, pregnancy induced hypertension and mal presentation. Data was collected through predesigned pro-forma. Analysis revealed that 82% of the cases were anaemic as compared to controls where anemia was prevalent in 25% of the subjects. Post-partum haemorrhage, anti-partum haemorrhage, pregnancy induced hypertension and malpresentation were observed 15% vs 4%, 12% vs 3%, 14% vs 4%, 10% vs 2% in cases and controls. Grand multipara are the women with high rate of complications