study to determine the risks associated with grand multiparity

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