Nadia Rashid Khan, Aisha Arif, Saima Ayub, Saima Perveen, Rukhsana Malik.
Effect of Grand Multiparity on Fetal Outcome in the Presence of adequate Antenatal Care.
Ophthalmol Update Jan ;14(3):90-2.

Objective: To find out the effect of grand multiparity on fetal outcome in presence of adequate antenatal care. Study Design: Cross Sectional Study. Place & Duration of Study: Gynecology Department Lady Reading Hospital Peshawar from 1st June 2012 to 1st December 2012. Methodology: All booked grandmultipara with singleton pregnancy at term admitted to Gynae A Unit, Lady Reading Hospital Peshawar were included in the study. Evaluation was done by detailed history, general physical examination, perabdominal and pervaginal examination and by obstetrical ultrasound. The fetus was assessed for antenatal complications, obstetrical complications, mode of delivery and post-partum complications. Results: A total of 50 patients were included in the study. All 50(100%) of babies were alive. Birth weight of babies was analyzed as 38(76%) of babies had normal birth weight of 2.5-4 kg, 2(4%) of babies had birth weight of <2.5 kg, 5(10%) babies were macrosomic (overweight) and had birth weight more than 4 kg. 2(4%) new born had Apgar Score of <6 and 48(96%) new born had Apgar Score of >6. 5(10%) neonates were admitted in neonatal unit and n=45(90%) neonates were not admitted in neonatal unit. Conclusion: Grandmultiparity is still a major obstetrics hazard in our setup with its associated increased likelihood of perinatal complications even in the presence of adequate antenatal care.

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