Abstract

*Dr. Santosh Meena, Dr. Arti Kabra and Dr. Divyansh Sehra

ABSTRACT

Objective: To determine the frequency of grand multiparity and its effect on maternal and fetal outcome in our tertiary care facility. Design: A descriptive study done in Department of Obstetrics and Gynaecology, Goverment Medical College, Kota (RAJASTHAN). Subjects and Methods: All booked, unbooked and referred grandmultipara women were included in the study. Booked primipara women and women with preexisting medical disorders were excluded. All the information collected on a form by taking history, performing an examination and laboratory investigations was analyzed. Results: During the study period, a total of 4430 deliveries were conducted in our Hospital and among them 200 (4.5%) women were grand multipara. Most of these women belonged to age group 21-30 years (n=112). A high frequency of anaemia (100%), followed by antipartum haemorrhage (14%), hypertension (12.5%), obstructed labor (5.5%), postpartum haemorrhage (6%) found in these cases. Fetal loss was observed in 7.5% of grand multiparas. Conclusion: Grand multiparity is still a high risk pregnancy in our facility. The causes are complex, multiple and interrelated but mostly preventable. In our study, grand multiparity was also associated with adverse maternal and fetal outcomes. Hence, there is a need for proper pregnancy evaluation and regular antenatal checkup, intrapartum care and postnatal follow up to improve the maternal care in women.