GRAND MULTI-PARITY - CONTINUING THREAT - 6-YEAR REVIEW

  • 1 January 1977
    • journal article
    • research article
    • Vol. 116  (9) , 1001-1004
Abstract
Review of pregnancy and labor in 1005 grand multiparas who delivered during the 6 yr period 1968-1973 disclosed an increase in frequency of the complications of pregnancy, particularly antepartum hemorrhage, hypertensive disorders and malpresentations. Almost 1/4 of the patients received little or no antenatal care. The incidence of low birth-weight and stillbirth was significantly higher in the infants of the patients with no antenatal care. Comparison with the total hospital population showed that the perinatal mortality was almost doubled and the maternal mortality was increased 10-fold. In modern obstetric practice the grand multipara apparently continues to be a high-risk patient from both a maternal and fetal standpoint this finding has important clinical implications.

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