Fetomaternal outcome in women with grandmultiparity and multiparity

ABSTRACT

To compare the maternal and neonatal outcome in multiparas and grand multiparas. Study. This prospective study was carried out in outpatient Department of Obstetrics and Gynaecology, Quaid-e-Azam Medical College, Bahawal Victoria Hospital, Bahawalpur from January 2009 to June 2009, A total of 380 deliveries were recorded in this study and divided into equal two groups A and B. The mean ages among the groups were not significantly different. Majority of the patients belong to the age groups of 31-35 years, With regards to gestational age, majority of the patients were found between 37-40 weeks of gestation in both groups [A and B]. We found 70.52% [n=134] with vaginal delivery in Group-B and 44.74% [n=85] in Group-A; abdominal delivery in 29.48% [n=56] in Group-B and 55.26% [n=105] in Group-A. Maternal morbidity regarding Anemia, APH, Stillbirth, PIH, Preterm delivery was analyzed and found a significant higher rate. Neonatal outcome with regards to Apgar score <6 at 1 minute, it was found present in 11.05% [n=21] in Group-A and 4.73% [n=9] in Group-B, while rest of patients i.e. 88.94% [n=169] in Group-A and 95.27% [n=181] in Group-B were found to have neonatal Apgar score of >6 at 1 minute. Grand multiparity is still a major obstetrics hazard in our set up with higher incidence of complications