Author, Subjects, Keywords

Cited Author

 
 
   » By Author or Editor
 » Browse Author by Alphabet
 » By Journal
 » By Subjects
 » By Affiliations
 » By Type
 » By Year
 » By Latest Additions
 
 
   » By Author
 » Top 20 Authors
 » Top 20 Article
 » Top 20 Journal Cited
 » Top 20 Cited
 » Top 20 Author Cited
 » Usage Since Sept 2007


 
 
 

Login | Create Account

Is Grandmultiparity a Significant Risk Factor in this New Millennium?

Noraihan Mohd. Nordin, and Choong, Khim Fen and Suhaimi Isa, and Symonds, Edwin Malcolm (2006) Is Grandmultiparity a Significant Risk Factor in this New Millennium? Malaysian Journal of Medical Sciences, 13 (2). pp. 52-60. ISSN 1394195X

Full text not available from this repository.

Official URL: http://www.medic.usm.my/publication/mjms/

Affiliations

Universiti Sains Malaysia, School of Medical Sciences, Dept. of Human Growth and Development
Universiti Sains Malaysia, School of Medical Sciences, Dept. of Human Growth and Development
Maternity Hospital, Kuala Lumpur, Dept. of Obstetrics and Gynecology

Abstract

The aim of the study was to assess the outcomes of grandmultiparous women receiving the current obstetric care in Maternity Hospital Kuala Lumpur. Recent data regarding some of the complications are conflicting and the significance of grandmultiparity is now in question. Therefore, a retrospective cohort study of 237 grandmultiparous and 254 multiparous women were undertaken. Chi-squared and t test were used (P<0.05) where appropriate. The results revealed that grandmultiparous women tend to be Malays, age above 35, have late antenatal booking and suffered from anemia and non-proteinuric hypertension. There was no significant difference in diabetes and glucose intolerance, ante artum and post partum hemorrhage. There was a significantly lower risk of first and second-degree perineal tear, and prolonged first stage of labor. There was a significant increased in induction of labor but there was no uterine rupture and no increased in Cesarean Section. There was an increased in meconium stain liquor but there was no increased risk of fetal distress. The fetal outcome was good and there was no tendency to macrosomic infants or shoulder dystocia. With adequate care, the maternal fetal outcome of grandmutiparous women is good and comparable to
the multiparous women. Anemia is still common and patient education is important to overcome this problem.

Item Type:Journal
Keywords:Grandmultiparity, maternal fetal outcome, Malaysia, Women; Malay women
Subjects:R Medicine
ID Code:846

1. Solomons B. The dangerous multipara. Lancet 1934;2:8-11.

2. Ijaiya M.A., Aboyeji A.P., Abubakar D. Analysis of 348 consecutive cases of primary postpartum hemorrhage at a tertiary hospital in Nigeria. J Obstet Gynaecol Jul 2003; 23(4): 374-7.

3. Ministry of Health Malaysia. Report of the Confidential Enquiries into Maternal Deaths in Malaysia 1995-1996. ISBN 983-9417-34-7 MOH/ K/ ASA/ 23.01 (AR) BPKK/ CEMD/ R/ 01.00.

4. Aziz-Karim S., Memon A.M., Qadri N. Grandmultiparity: A continuing problem in developing countries Asia Oceania J Obstet Gynaecol. 1989 Jun;15(2): 155-60.

5. Babinszki A., Thomas K., Torok O., Grazi. V, Lapinski R.H and Berkowitz R.L. Perinatal outcome in grand and great-grand Multiparity: Effects of parity on obstetrics risk factors. Am J Obstet Gynecol 1999; 181:669-74.

6. Chia P., Versi E. Grandmultiparity-A review of 2112 cases 1996-1998. Malaysia J. Obstet. Gynaecol 1997;5: 20-7.

7. Mesleh R. The grandmultiparity-Still an obstetrics problem. Journal of Obstetrics and Gynaecology 1986;7:84-7.

8. Mwambingu F.T., Al Meshari A.A., Akiel A. The problem of grandmultiparity in current obstetrics practice. Int. J. Gynecol. Obstet 1988; 26: 355-9.

9. Eidelman A.I, Kamar R., Schimmel M.S., Bar-On E. The grandmultiparity: Is she still a risk? Am J Obstet Gynecol 1988; 158: 389-92.

10. Goldman Gil A., Kaplan B., Neri A., Hecht-Resnick R.,

Harel L., Ovadia J. The grandmultipara. Eur J. Obstet Gynecol Repro Biol 1995; 172; 683-6.

11. Irvine L.M., Otigbah C. Grandmultiparity – An obstetrics problem in Great Britain in the 90s? Journal of Obstetrics and Gynaecology 1996; 16: 217-24.

12. Bugg G.J., Atwal G.S., Maresh M. Grandmultiparae in a Modern Setting. BJOG Mar 2002; 109(3); 249-53.

13. Ozumba B.C., Igwegbe A.O. The Challenge of Grandmultiparity in Nigerian Obstetric Practice. Int. J. Gynecol. Obstet 1992; 37: 259-64.

14. Tai C., Urquhart R. Grandmultiparity in Malaysian

women. Asia-Oceania J. Obstet. Gynaecol. 1991;17(4):327-34.

15. Seidman D.S., Armon Y., Roll D., Stevenson D.K., Rena

Gale: Grandmultiparity: An obstetrics or neonatal risk factor? Am J Obstet Gynecol. 1988; 158: 1034-9.

16. Abu-Heija A.T., Chalabi Hel. Great grand multiparity;

is it a risk? Int J Gynecol Obstet 1997; 59: 213-6.

17. Toohey Julianne S, Keegan Kirk A, Morgan Mark A, Francis Jennifer, Task Shari, deVeciana Margarita: The “dangerous multipara”: Fact or fiction? Am J. Obstet

Gynecol 1995; 172: 683-6.

18. Annual Report, Department of Obstetrics and Gynaecology, Maternity Hospital Kuala Lumpur, Hospital Kuala Lumpur 1999/2000: 5-22.

19. WHO Consultation. Definition, Diagnosis and Classification of Diabetes Mellitus and Its Complications: Report of a WHO Consultation. Part 1: Diagnosis and Classification of Diabetes Mellitus World Health Organization, Department of Noncommunicable Disease Surveillance, Geneva, 1999.

20. E Malcolm Symonds, Ian Symonds Eds: Essentials Obstetrics and Gynaecology. Fourth edition, London: Churchill Livingstone. 2003

21. Pritchard J.A., Scott D.E. Iron demands during pregnancy. In Hallberg L, Harworth HG, Vannotti A, Eds Iron Deficiency: Pathogenesis, Clinical Aspect, Therapy. New York: Academic Press. 1970.

22. Aboyeji A.P., Ijaiya M.D., Yahaya U.R. Ruptured uterus:

a study of 100 consecutive cases in Ilorin, Nigeria. J

Obstet Gynaecol Res. 2001 Dec; 27(6): 341-8.

23. Fuchs K., Peretz B., Marcovici R., Paldi E., Timor-Tritsh I. The grandmultipara-Is it a problem? A review of 5785 cases. Int J Gynecol Obstet, 1985; 23: 321-5.

24. Munim S., Rahbar M.H., Rizvi M., Mushtaq N. The effect of grandmultiparity on pregnancy related Complication: The Aga Khan University Experience. JMPA J Pak Med Assoc Feb 2000: 50(2): 54-8.

Repository Staff Only: item control page
 
 
 
 
 
   
© Copyright 2007 MyAIS Faculty of Computer Science and Information Technology, University of Malaya – All Rights Reserved. Malaysian Abstracting and Indexing System is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.