Maternal Outcome in Grand multiparas

Abstract

Our aim was to asses the Obstetrical risk of Grand Multiparas (GMP) as compared to women of lower parity and to assess why the problem still persists despite the available methods of contraception. For this a prospective study was conducted over a period of one year in Lahore room of Sir Ganga Ram Hospital (SGRH), Lahore. The prevalence of various conditions in GMP was compared with less parous women. The t-test was applied and p value calculated to assess the degree of significance. The couple asked why they did not utilized the available methods of contraception. We noticed 6% prevalence of GMP. The mean age amongst GMP was 30.24 years. GMP’s who delivered normally comprised 72.8% and 28.2% had operative deliveries. There was no maternal death. Postpartum haemorrhage (PPH) occurred in 4.3% patients. Caesarean hysterectomy was performed in 1.3% GMP’s. The most common cause of not practicing family planning measures was that the couple had one male child and wanted another (26.7%). GMP is still a common problem in our society. Pregnancy and delivery are at greater risk in GMP as compared to women of low parity. There is a need for proper pre-pregnancy evaluation and regular antenatal and postnatal follow ups to improve the maternaI outcome.