RESUMO
OBJECTIVE: To compare fetal outcomes among grand multiparous (para 5-9) and multiparous (para 2-4) delivering in Mulago hospital, Uganda. DESIGN: Prospective cohort study. SETTING: Mulago hospital, Uganda. SUBJECTS: One hundred and fifty six grand multiparous and multiparous women were recruited on admission in labourward and followedup through labour and immediate postpartum period. Fetal outcomes among the two groups were collected and analyzed. RESULTS: The admissions to SCU were similar in the two groups i.e. 11(7%) GMP vs. 11(7%) MP, the number of fresh still births was higher among the grandmultiparas 13(8.3%) GMP vs. 7(4.5%) MP though this was not statistically significant. The fetal weight did not significantly differ in the two groups. CONCLUSION: There was no difference in fetal outcomes among GMPs when compared to MPs.
Assuntos
Peso ao Nascer , Paridade , Adulto , Índice de Apgar , Estudos de Coortes , Feminino , Humanos , Recém-Nascido , Gravidez , Resultado da Gravidez/epidemiologia , Estudos Prospectivos , Uganda/epidemiologiaRESUMO
The paper discusses the aim of antenatal care and identifies the characteristics associated with increase in maternal and fetal morbidity and mortality. Risk assessment is useful in antenatal care to identify women who are likely to develop complications during pregnancy; labour; delivery and puerperium. A useful risk scoring system should be able to discriminate between high risk and low risk pregnancies. Risk assessment can be of greater benefit if it is backed by a good referral system and referral centers equipped to handle all mothers who are referred;cheap liable transport; manpower;facilities; blood and community participation
