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

  • Yves Jacquemyn , Leen Senten , Sanne Vellinga , Katrien Vermeulen und Guy Martens
Veröffentlicht/Copyright: 11. Januar 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.

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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) 135Suche 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) 669Suche 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) 201Suche in Google Scholar

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

5 Evaldson GR: The grand multipara in modern obtetrics. Gynecol Obstet Invest30 (1990) 21710.1159/000293273Suche 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) 321Suche in Google Scholar

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

9 Israel SL, AS Blazar: Obstetric behaviour of the grand multipara. Am J Obstet Gynecol91 (1965) 326Suche 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) 355Suche in Google Scholar

11 Roose PG: Obstetrical complications in the grand multipara. S A Med J1 (1960) 66Suche 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) 625Suche in Google Scholar

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

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

15 Tambo TG, Bungum: The grand multipara – maternal and neonatal complications. Acta Obstet Gynecol Scand66 (1987) 53Suche 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) 683Suche in Google Scholar

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

©2006 by Walter de Gruyter Berlin New York

Heruntergeladen am 31.12.2025 von https://www.degruyterbrill.com/document/doi/10.1515/JPM.2006.004/html?lang=de
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