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Abstract
Objective: To study the obstetric performance and neonatal outcome of patients of extreme multiparity, Para 10 and more, compared to control group of Para 2 to 4.
Study Design: It is a retrospective comparative study. Data were collected from Medical Records ofpatients during the period from January-December 2000. The total number of deliveries during that period was 10,999. 240 patients records were reviewed, 120 records in each group.
Result: The incidence of great-grand multiparity was 1.09%. The incidence of lack of perinatal care among great grand multipara was statistically significant. However; there are no differences in the perinatal morbidity and mortality; also there was no difference in the rate of instrumental delivery and mal-presentation in the two groups. The duration of pregnancy is similar in the two groups. There was no difference in incidence of antepartum hemorrhage, rate of caesarean section rate. However; the only statically significant difference in the two groups was the increased incidence of large babies (macrosomia).
Conclusion: This study showed that extreme grand multiparity carry the added risk of macrosomia (> 4000mg), this was not reflected on any adverse perinatal outcome. However, the number of patients in this study is limited and it is difficult to draw firm conclusion.
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Affiliation(s)
- B. I. Ahmed
- Department of Obsterics and Gynecology, Women's Hospital Hamad Medical Corporation, Doha, Qatar
| | - N. Kenyab
- Department of Obsterics and Gynecology, Women's Hospital Hamad Medical Corporation, Doha, Qatar
| | - N. Saleh
- Department of Obsterics and Gynecology, Women's Hospital Hamad Medical Corporation, Doha, Qatar
| | - A. Azzam
- Department of Obsterics and Gynecology, Women's Hospital Hamad Medical Corporation, Doha, Qatar
| | - H. Almohandi
- Department of Obsterics and Gynecology, Women's Hospital Hamad Medical Corporation, Doha, Qatar
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