What complications are more common with Grand Multips?
The most common complications were hypertensive disorders, anemia, and preterm labor. There were no instances of uterine rupture or maternal demise.
What is considered a grand multip?
A reasonable definition of “grand multiparity” is a patient who has had ≥5 births (live or stillborn) at ≥20 weeks of gestation, with “great grand multiparity” defined as ≥10 births (live or stillborn) ≥20 weeks of gestation [2].
What is multi parity?
Medical Definition of multiparity 1 : the production of two or more young at a birth. 2 : the condition of having borne a number of children.
Is Multiparity a risk factor for preeclampsia?
Conclusion: This study confirms that change of partner raises the risk for preeclampsia in subsequent pregnancies. Immune maladaptation on the fetal maternal interface could be an underlying mechanism. Multiparous women with a new partner should be approached as being primigravid women.
Is Grand Multipara high risk?
Conclusion. Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, meconium-stained liquor, placenta previa and a low Apgar score) compared with other multiparous women who delivered at Muhimbili National Hospital.
Who is a grand multiparous woman?
The term ‘Grand multiparity’ (GMP) has various definitions. While some authors use it to describe women who gave birth seven times or more [2. Grandmultiparity: a reappraisal of the risk. Int J Gynecol Obstet 1991;36:13–16.
What are the causes of Grand Multipara?
The prevalence of grand multiparity was 26.5 % while the average parity among the study population was 7.2 (sd 1.8). The most common reasons given for the current pregnancy were: the desire for another child (22.8 %), the pregnancy was unplanned – a “mistake” (18.4 %) and the need to replace a dead child (15.4 %).
Can you get preeclampsia in second pregnancy but not first?
The risk of preeclampsia is generally lower in second pregnancies than in first pregnancies, but not if the mother has a new partner for the second pregnancy. One explanation is that the risk is reduced with repeated maternal exposure and adaptation to specific antigens from the same partner.