Nadia Rashid Khan, Rukhsana Malik, Saima Ayub, Aisha Arif, Saima Perveen.
Effect of Grand Multiparity on Maternal Outcome in the Presenc of adequate Antenatal Care.
Ophthalmol Update Jan ;14(3):63-6.

Objective: To find out the effect of grand multiparity on maternal outcome in presence of adequate antenatal care. Study design: Cross Sectional Study. Place & duration of Study: Gynaecology 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, per abdominal and per vaginal examination and by obstetrical ultrasound. The fetus was assessed for antenatal complications, obstetrical complications, mode of delivery, post partum complications. Results: 50 patients were included in the study. Mean age was 34 years. n=10(20%) patients had hypertensive disorder, n=2(4%) patients had anaemia and n=38(76%) patients (antenatal) didn`t had any complication. n=4(8%) patients had PIH, n=6(12%) patients had pre-eclampsia. n=4(8%) patients had placenta previa, n=3(6%) patients had placental abruption, n=5(10%) patients had mal-presentation, n=3(6%) patients had obstructed labor, n=35(70%) patients (obstetrical) didn`t had any complications. n=35(70%) had vaginal delivery, n=10(20%) patients had caesarean section and only n=5(10%) patients had vacuum delivery. Maternal mortality was not found in any of the 50 patients. Conclusion: Grandmultiparity is still a major obstetrics hazard in our setup with its associated increased likelihood of maternal complications even in the presence of antenatal care.

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