Grandmultiparity has been associated with adverse outcome for both fetus and mother such as antepartum hemorrhage, malpresentation, caesarean section rate, postpartum hemorrhage, iron deficiency anemia, and a high perinatal mortality rate.
Objectives: The purpose of this study was to evaluate the parity related complications during pregnancy and labour and fetal outcome in the grand multiparas and to compare them with that of second gravida patients.
Materials and Methods: It was a hospital-based prospective study conducted in the Department of O&G, VIMSAR, Burla from November-2017 to October-2019. Cases were defined based on WHO criteria. Relevant data was collected from case records of Grandmultiparae patients.
Results: Out of 16765 deliveries, total no.of grandmultiparae were 170. Grandmultiparae incidence was 1.01. Significant association was found between grandmultiparity and adverse pregnancy outcomes such caesarean delivery,pregnancy induced hypertension and post-partum hemorrhage. A higher incidence of antenatal anaemia and increased still birth rate was found in grandmultiparous patients than multiparous controls.
Conclusion: Grandmultiparity is associated with increased incidence of medical and obstetric complications.