Risky grand multiparas

ABSTRACT

Grandmultiparity has long been classified as constituting a high risk factor in pregnancy. The complications associated with grandmultiparity have been divided into ante-partum, intra-partum and the postpartum. Intrapartum complications most commonly thought to be associated with grandmultiparity are malpresentations, placental disorders, postpartum hemorrhage and uterine rupture. Concerted effort should be instituted for effective family planning initiatives and specialized antepartum and intrapartum management