Home Medicine Does practice make perfect? An age-matched study on grand multiparity in Flanders, Belgium
Article
Licensed
Unlicensed Requires Authentication

Does practice make perfect? An age-matched study on grand multiparity in Flanders, Belgium

  • Yves Jacquemyn , Leen Senten , Sanne Vellinga , Katrien Vermeulen and Guy Martens
Published/Copyright: January 11, 2006

Abstract

Aim: To compare the perinatal outcome of grand multi-parous women (giving birth for the fifth to ninth time) and pauciparous (parity 2 to 4) women in the region of Flanders, Belgium.

Methods: Population-based, retrospective, age-matched study.

Results: 2832 grand multiparous women were compared with 2832 pauciparous women. In univariate analysis grand multiparous women showed more transverse lie, macrosomia, and fetal death and had less frequently epidural analgesia and episiotomy. Logistic regression demonstrated that grand multiparity was a significant factor contributing to fetal death and macrosomia.

Conclusion: Grand multiparity is associated with fetal death and macrsomia in the region of Flanders, Belgium.

:

Corresponding author:

References

1 Al-Sibai MH, MS Rahman, J Rahman: Obstetric problems in the grand multipara: a clinical study of 1330 cases. J Obstet Gynecol8 (1987) 135Search in Google Scholar

2 Babinsziki A, T Kereny, O Totok, V Grazi, RL Lapinski, RL Berkowitz: Perinatal oucome in grand and great grand multiparity: effects of parity on obstetric risk factors. Am J Obstet Gynecol81 (1999) 669Search in Google Scholar

3 Brunner J, E Melander, E Kook-Brandt, PA Thomassen: Grand multiparity as an obstetric risk factor; a prospective case-control study. Eur J Obstet Gynaecol Reprod Biol47 (1992) 201Search in Google Scholar

4 Chang A, P Larkin, EJ Esler, R Condie, Morrison: The obstetric performance of the grand multipara. Medical J Australia1 (1977) 330Search in Google Scholar

5 Evaldson GR: The grand multipara in modern obtetrics. Gynecol Obstet Invest30 (1990) 21710.1159/000293273Search in Google Scholar

6 Fuchs K, A Peretz, R Marcovici, E Paldi, I Timor-Tritsh: The “grand multipara”– is it a problem? A review of 5785 cases. Int J Gynecol Obstet23 (1985) 321Search in Google Scholar

7 Fuchs K, A Peretz: The problem of the “Grand Multipara” A review of 1677 cases. Obstet Gynecol18 (1961) 719Search in Google Scholar

8 Humphrey MD: Is grand multiparity an independent predictor of pregnancy risk? A retrospective observational study. Med J Australia179 (2003) 29410.5694/j.1326-5377.2003.tb05550.xSearch in Google Scholar

9 Israel SL, AS Blazar: Obstetric behaviour of the grand multipara. Am J Obstet Gynecol91 (1965) 326Search in Google Scholar

10 Mwambingu FT, AA Al Meshari, A Akiel: The problem of grand multiparity in current obstetric practice. Int J Gynecol Obstet26 (1988) 355Search in Google Scholar

11 Roose PG: Obstetrical complications in the grand multipara. S A Med J1 (1960) 66Search in Google Scholar

12 Samueloff A, S Mor-Yosef, DS Seidman, R Rabinowitz, A Simon, JG Schenker: Grand multiparity – a nationwide survey. Israel J Med Sci25 (1989) 625Search in Google Scholar

13 Sipilä P, L Von Wendt, AL Hartikainen-Sorri: The grand multipara – still an obstetrical challenge? Arch Gynecol Obstet247 (1990) 187Search in Google Scholar

14 Solomons B: The dangerous multipara. The Lancet2(1934) 810.1016/S0140-6736(00)90086-2Search in Google Scholar

15 Tambo TG, Bungum: The grand multipara – maternal and neonatal complications. Acta Obstet Gynecol Scand66 (1987) 53Search in Google Scholar

16 Toohey JS, KA Keegan, MA Morgan, J Francis, S Task, M deVinciana: The “dangerous multipara”: Fact or fiction? Am J Obstet Gynecol172 (1995) 683Search in Google Scholar

Published Online: 2006-01-11
Published in Print: 2006-02-01

©2006 by Walter de Gruyter Berlin New York

Downloaded on 31.12.2025 from https://www.degruyterbrill.com/document/doi/10.1515/JPM.2006.004/html
Scroll to top button