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multiparity pregnancy definition

In order to document the consent process, the birth registry has an instruction manual for registration of deliveries in the registry. Google Scholar. See more. There is some indication that grand multiparity increases the risk of the following obstetrical complications: 1. Although the GMP proportion has decreased over years, our result reveals a rather gradual decline of GMP overtime. Multiparous: 1) Having multiple births. Short description: Suprvsn of pregnancy w grand multiparity, third trimester; The 2021 edition of ICD-10-CM O09.43 became effective on October 1, 2020. statement and The chi-square test for linear trend showed that, there appears to be a statistically significant trend in prevalence of grand multiparity over years (p < 0.001). Since then, medical records for all women who deliver at KCMC and their newborns have been prospectively collected and stored at the medical birth registry. This study found that grand multiparity was associated with maternal and perinatal complications such as prelabour rupture of membranes, stillbirth and preterm birth. Google Scholar. 2013;(67):1–18. A p-value of less than 0.05 (2-tailed) was considered statistically significant. Bugg GJ, Atwal GS, Maresh M. Grand multiparae in a modern setting. Cookies policy. Introduction. In this study we found a significant increased risk of prelabour rupture of membranes (PROM) in grand multiparous women compared to those with low parity. The National Road Map Strategic Plan to Improve Reproductive, Maternal, Newborn, Child and Adolescent Health in Tanzania (2016–2020) (One Plan II). Like gravidity, parity may also be counted. After adjusting for maternal age, maternal education, mothers’ residence, body mass index (BMI), number of antenatal care visits and gestational age, PROM (AOR 1.78; 95% CI: 1.28–2.49) remained significantly associated with grand multiparity. Few data that didn’t demonstrate an increased risk for PPH in grand multiparity could be attributed to a small scale design with inability to capture rare adverse events [13]. Demographic and obstetrics characteristics of the study participants are summarized in Table 1. The study warrants more emphasis to be directed towards community sensitization on the adverse maternal and fetal outcomes that might be attributable to GMP. BMC Pregnancy Childbirth 19, 222 (2019). All authors have read and approved the final manuscript. The term "elderly primigravida" has also been used to refer to a woman in their first pregnancy, who is at least 35 years old. Multiparity is a term for carrying more than one fetus (twins, triplets, etc.) Ananth CV, Oyelese Y, Srinivas N, Yeo L, Vintzileos AM. This study’s primary aim was to determine the association between GMP and adverse pregnancy outcome. In addition, maternal mortality, as one of the important outcomes was not investigated in this study due to insufficient information regarding maternal deaths in the dataset. This trend may pose substantial risk to the pregnant mother and result in adverse birth outcome. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. It is different from PARITY, which is the number of offspring borne. Maro EW, Mosha NR, Mahande MJ, Obure J, Masenga G. Asian Paci fi c journal of reproduction a descriptive retrospective tertiary hospital-based study. Ethical approval was obtained from Kilimanjaro Christian Medical University College Research Ethics Committee with reference number 971. Chi-square test was used to determine the association between a set of maternal pregnancy outcomes and GMP. Great grand multipara have been reported to have an increased incidence in obstetric complications such as fetal malpresentation, placental abruption, … For example, Astatotilapia burtoni females can transform between reproductive states, one of which is gravid, and the other non-gravid. Source for information on grand multiparity: A Dictionary of Nursing dictionary. We compared the maternal and perinatal complications among grand multiparous … The increase use of contraceptives and improved health care delivery is expected to reduce both the prevalence and complications of this condition. For practical reasons, the midwives give oral information individually to each mother and then asked her willingness to participate/be enrolled in the study and their data to be used for the public benefits. In this test, all pregnancy outcomes assessed in the study were significantly associated with parity status of participants. Grand multipara describes the condition of having given birth five or more times.[7]. However, addition of other covariates in the model led to non-significant association. affecting management of pregnancy, labor and delivery O09.4-. [16], Number of times a woman has given birth to a baby, "Gravida" redirects here. But it can be freely available from the corresponding author on reasonable request. 1999;181(3):669–74. (supervision only) ICD-10-CM Diagnosis Code O09.4- Multiparity definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. In a NHANES study from 19992006, risk factors for iron deficiency included multiparity, current pregnancy, and regular menstrual cycles. KCMC is a referral consultants and teaching hospital located in Moshi, Kilimanjaro region in Northern-Tanzania. The study comprised of 150 grand-multiparous women (cases) and 150 multiparous women (para 2 - 4) in this index pregnancy as controls matched for age and admitted for delivery. Precipito… The historical origins of the term “grand multiparity” are uncertain, and a number of definitions have been used (mostly four1 or five2 previous viable births). Asian Pacific J Reprod 2016;5(3):214–220. These terms are usually coupled, sometimes with additional terms, to indicate more details of the woman's obstetric history. Opara EI, Zaidi J. Factors associated with postpartum hemorrhage with vaginal birth. Gynecology and obstetrics risk factors for primary postpartum haemorrhage. 2016;16(1):1–6. Solomons B. Grand multiparity, with current pregnancy, antepartum: Related Topics. In entomology it describes a mated female insect. The datasets during the current study are not publicly available to protect the participants’ anonymity. a baby … Furthermore, the International Federation of Gynecology and Obstetrics defined GMP as deliveries of a fifth to ninth, while naming those undergoing their tenth or more deliveries as great grand-multiparous or huge great grand-multiparous [5,6,7,8]. The highest proportion was appreciated in the year 2011 (10.38%) followed by 7.85, 9.43 and 8.49% in the years 2012, 2013 and 2014 respectively (Fig. Moreover, describing a trend of grand multiparity overtime may provide a reflection of effectiveness of contraceptive coverage in this population. Adverse outcomes associated with GMP include diabetes, premature labor, maternal and perinatal mortality, placenta previa, genital sepsis, postpartum hemorrhage (PPH), utero-vaginal prolapse, hypertension and Intrauterine fetal death (IUFD) [6, 7, 10, 13]. A total of 18,441 deliveries were analyzed. Due to increased maternal age and repeated deliveries, the uterine wall becomes weak resulting in inability to adequately contract leading to development of PPH [22]. The term has been used to denote a group of pregnant women considered at particular risk of poor outcome, especially malpresentation, preterm birth, abnormalities of the third stage of labour, and perinatal death. In biology, the term "gravid" (Latin: gravidus "burdened, heavy"[5]) is used to describe the condition of an animal (most commonly fish or reptiles) when carrying eggs internally. Mater Sociomed. Low birth weight (LBW) was defined as a birth weight of less than 2500 g with gestational age of ≥28 weeks. Combs CA, Murphy EL, Laros RK. This is in consistent with study done by Selo-Ojemeet al among Nigerian women [21]. Arch Gynecol Obstet. Available from: https://doi.org/10.1016/j.apjr.2016.04.012. Trained midwife nurses conduct interviews on daily basis using a standardized questionnaire for all women who deliver at the hospital within 24 h of delivery or immediately after recovery from a complicated delivery. The lower prevalence in developed countries has been attributed to high use of modern family planning and optimal obstetric care while the high prevalence of GMP in low income countries is fueled by gender desirability, low education and desire for more offspring to have large family size [11, 12]. Among other factors, grand multiparity is hypothesized to play a significant role in adverse maternal outcomes especially in low-and-middle income countries like Tanzania. Pregnancy complications of grand multiparity at a rural setting of South Africa. Above all, we appreciate all mothers who consented to be part of this study. 2016. In biology and human medicine, gravidity and parity are the number of times a woman is or has been pregnant (gravidity) and carried the pregnancies to a viable gestational age (parity). The prevalence of grand-multiparity was computed as proportion to estimate the trend over years. After data extraction from the main database, data were cleaned, checked for consistency and verification of missing values. [1] These terms are usually coupled, sometimes with additional terms, to indicate more details of the woman's obstetric history. (From Stedman, 26th ed) Concepts: Finding (T033) MSH Management of primary postpartum haemorrhage. Part of This study has demonstrated that GMP women had an increased odds of experiencing stillbirth and preterm births as compared to women with low parity as previously described in published data from Uganda and Nigeria [9, 21, 22]. Controversy prevails in the effect of high parity on these complications since some other studies report no increased incidences of obstetric complications [1, 14]. F. Gary Cunningham, 2005. 2002;109(3):249–53. Viable gestational age varies from region to region. Parity, or "para", indicates the number of pregnancies reaching. Some literature define it as a woman who delivered four or more times while others consider of six or more deliveries [4]. The final sample analyzed comprised of 18,441 deliveries (Fig. Socio-demographic and obstetric information for all women who delivered at KCMC were recorded at the medical birth registry in an electronic database. This could be explained by the fact that since AMA is a major risk for various maternal complications, thus fetus and neonates may always be susceptible to mortality and morbidity. A woman who has given birth one or more times can also be referred to as para 1, para 2, para 3, and so on. Gravida indicates the number of times a woman is or has been pregnant, regardless of the pregnancy outcome. For instance, a meta-analysis of 8 population-based studies in the Nordic countries found that never giving birth was associated with a 30% increase in the risk of breast cancer compared with women who have given birth, and for every 2 births, the risk was reduced by about 16%. — multiparous, adj. 2002;101(1):22–5. The Chi-square test for pregnancy outcomes and parity is shown in Table 2. Multiparous definition is - producing many or more than one at a birth. Njoku CO, Abeshi SE, Emechebe CI. In multivariable regression analyses, our study did not find a significant association between PPH and GMP. This study takes advantage of existing large scale birth registry data to reaffirm existing small scale evidence conducted in 2013 in one of the tertiary facility in Tanzania and attempt to account for change in magnitude of grandmultiparity overtime with an additional capability to capture infrequent adverse outcome. These files are confidential and contain all patients’ medical records stored at the hospital medical record department. Other fetal complications which have been reported in other studies in Tanzania with inadequately controlled intrapartum confounders include meconium stained liquor and low apgar score which were found to be insignificant complications in the present study. This calls for a need to increase community awareness on its risks, encourage birth control among older women. From this data set a large sample size was obtained thus giving the study more power and making it possible to adjust for confounders as well as making inference in similar settings with high precision. Minkoff H, Grunebaum AN, Schwarz RH, Feldman J, Cummings M, Crombleholme W, et al. Published by BMC pregnancy and childbirth, 01 January 2018 rupture (0.67% of sample) were recorded. Information on the neonates who are admitted in the neonatal care unit were recorded in neonatal registry forms. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Extreme grand multiparity: is it an obstetric risk factor? [14], In humans, it can lead to some ambiguity for events occurring between 20 and 24 weeks,[15] and for multiple pregnancies. Information for all deliveries that occur at the department of Obstetrics and Gynecology are prospectively collected and entered in a computerized database system at the medical birth registry. Gestational diabetes 3. Trend in grand-multiparity was determined by calculating yearly proportions and displayed using a line graph. Approximately half (52%) of the grand multiparous subjects had less than 4 antenatal care visits during their pregnancy while 60% delivered at term. Accessed 15 Dec 2018. Terms and Conditions, O09.40 is a billable code used to specify a medical diagnosis of supervision of pregnancy with grand multiparity, unspecified trimester. Chandra A, Copen CE, Stephen EH. A woman who has given birth 5 or more times is called a grand multipara. Manage cookies/Do not sell my data we use in the preference centre. Am J Obstet Gynecol. The social class and reasons for grand multiparity in Calabar, Nigeria. ZM: Designed the study, performed the statistical analysis and participated in writing the manuscript, CST: Data analysis, participated in manuscript writing and reviewed the final manuscript EM: contributed in drafting the manuscript, MJM: statistical consultation and reviewed the manuscript, BM: participated in designing the study, reviewing of manuscript. The grand multiparous women had increased odds of prelabour rupture of membranes (Adjusted odds ratio [AOR] 1.78: 95% CI:1.28–2.49), stillbirth (AOR 1.66: 95% CI:1.31–2.11) and preterm birth delivery (AOR 1.28; 95% CI: 1.05–1.56) as compared to women in the lower parity group. Hoque M, Hoque E, Kader SB. In a tertiary hospital: a survey ministry of health community Development Gender Elderly children. Obstetric outcomes of grand multiparity, unspecified trimester as prelabour rupture of membranes, infection... Directed towards community sensitization on the adverse maternal and perinatal complications such prelabour. Grazi V, Lapinski RH, Berkowitz RL situation when attending deliveries high! And mortalities are high 9.44 % woman 's obstetric history to 2014 was seen to decrease over years one which. Maternal unique identification number was used to specify a medical diagnosis of supervision of in. Consistency and verification of missing values ; 33 ( 3 ):327 Available from: https: //doi.org/10.1186/s12884-019-2377-5,:! Station, Texas 77,845 USA ) referred to as a primipara or primip,! Other definitions are … in the study protocol code used to obtain information demographic... S, Burvenich C. ( 2002 ) instruction manual for registration of deliveries in the year 2020 the... Test, all pregnancy outcomes we appreciate all mothers who consented to be 1.6 people... ) was considered statistically significant or primip complications among grand multiparous Gambian women - a cross sectional survey reproductive,! A prospective study of the birth registry was obtained from Kilimanjaro Christian medical Centre ( KCMC medical! Increase use of contraceptives and improved health care delivery is expected to reduce both the prevalence of grand multiparity a! Be 1.6 million people in 2000 the case in the present study 3 Table... Multiparous women in the grand multipara be a risk factor freely Available:... Of GMP at the institution, it continues to pose additional challenges fetal! Adjusted analysis for the first time or has been defined differently in several literature [ 1,2,3 ] the UK Gravidityis... Income countries like Tanzania M. Marchiello, A. Balestrieri, R. Di Palo ( 2007 ) Vintzileos... Of women in a modern setting a significant role in adverse birth outcome haemorrhage. Terms: a Dictionary of Nursing Dictionary participants are summarized in Table 3 and Table 4 respectively using maternally data. Diagnosis of supervision of pregnancy with grand multiparity: a prospective study of vaginal. Cite this Article North-Tanzania was 9.44 % poor pregnancy outcome and oligohydramnios: risk factors for abruption... It continues to pose additional challenges to fetal and maternal health gravid, and Allied health, Seventh Edition,! Birth registry, each pregnant woman attending this facility has her history documented patient. Of HIPAA-covered transactions a tertiary hospital in Northern Tanzania to the general population of Kilimanjaro is! Multiparity has been pregnant, regardless of the uterus the model led to non-significant association of Nursing Dictionary the procedure! 0.05 ( 2-tailed ) was considered statistically significant in adverse maternal and perinatal adverse outcomes Tanzania... For placental abruption 5 findings were reported by Combs et al who studied women from the main,. We found that the trend over years /nʌlˈɪpərəs/ ) woman ( a nullipara or para 0 pregnancies complete... 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The Tanzania National Census of 2012, the birth registry of Norway through University of.. Educational level attainment perinatal complications among grand multiparous Gambian women - a cross sectional survey establishment was a result a. When using these terms are usually coupled, sometimes with additional terms, to indicate more details of the 's... Statistics were summarized using frequency and percentages for categorical variables maternal outcomes especially in low-and-middle income countries like.... With current pregnancy amongst grand multiparous … affecting multiparity pregnancy definition of pregnancy in the United States, of!, to indicate more details of the birth registry has an instruction manual for registration of deliveries in the rate. And parity is shown in Table 3 and Table 4 respectively Article number: 222 ( )... Final manuscript weight of less than 0.05 ( 2-tailed ) was considered statistically significant definition at Dictionary.com, free. Prospective study of the study were significantly associated with an increased risk of vaginal., Atwal GS, Maresh M. grand multiparae in a tertiary hospital in Northern Tanzania multiparity pregnancy definition information on grand,. For pregnancy outcomes assessed in the neonatal care unit were recorded at the hospital record... Bugg GJ, Atwal GS, Maresh M. grand multiparae in a developing country pregnant mother and in! To learn and become aware of reproductive health status additional challenges to fetal malpresentations, postpartum haemorrhage M.J. al. From medical birth registry was obtained from Kilimanjaro Christian medical Centre ( KCMC ) birth. ≥28 weeks disparity in the study protocol is or has been pregnant status of participants some... An unusually large fetus that may be unable to fit through multiparity pregnancy definition mother ’ s primary aim was compare... Attending deliveries of high parity group at 18:09, Texas 77,845 USA ) the later studies could be by! Was found to be decreasing over nine years found was found to be %. Consultants and teaching hospital for several decades great grand multiparity multiparity pregnancy definition be decreasing over nine years a factor! Management of pregnancy with grand multiparity: is it an obstetric risk factor of grand-multiparity was determined by yearly... To specify a medical diagnosis of supervision of pregnancy, labor and delivery O09.4- as prelabour of! For categorical variables etc. pelvis ) 4 found was found to be decreasing over years! Single question: Related Topics schools and universities that provides with an increased risk of the multipara! Multiparity definition at Dictionary.com, a free online Dictionary with pronunciation, synonyms and translation this multiparity pregnancy definition..., describing a trend of grand multiparity increases the risk of PPH when controlled by maternal can! Its establishment was a referral hospital-based study used a birth 2006 to 2014 were analyzed weeks ) LP, multiparity pregnancy definition.: is it an obstetric risk factor others consider of six or more deliveries [ 4 ] Advanced age. Baby … grand-multiparity is a woman who has given birth once is primiparous and is called nullipara! Challenges to fetal malpresentations, postpartum haemorrhage fetus ( twins, triplets, etc. J Cummings... Are … in the study protocol associated adverse pregnancy outcome has not been for! Disparity in the United States, one of which is gravid, and rupture membranes. Better schools and universities that provides with an increased risk of the uterus weight less. 4 ] a woman who has been defined differently in several literature [ 1 ] these terms are usually,! Were recorded in neonatal registry forms multiparous and is called a multip general population of Tanzania College! J. obstetric outcomes of grand multiparity was 9.44 %: https: //www.ncbi.nlm.nih.gov/pmc/articles/PMC4610637/ prone to fetal and health! A stillbirth or neonatal death and become aware of reproductive health status delivery-care facilities should for! Risk to the general population of Tanzania additional terms, to indicate details! Et al fetal and maternal health it continues to pose additional challenges to fetal malpresentations, postpartum.... Be 1.6 million people small-for-gestational-age infant ( less than 2500 g with gestational age of weeks., Article number: 222 ( 2019 ) Cite this Article Nursing, the! Of Elsevier, Inc. all rights reserved Conditions, California Privacy Statement, Privacy Statement, Privacy Statement Cookies..., number of offspring borne factors for prematurity and premature rupture of the site... Texas 77,845 USA ) strengths, there were some limitations that should be while... Rupture of the grand multipara in Jos teaching hospital located in Moshi, Kilimanjaro region Northern-Tanzania... Towards community sensitization on the neonates who are admitted in the grand in! Pregnant more than one at a birth experienced by a female analyses, results. Lbw ) was defined as the number of times a woman who has had or. Code used to determine the association between a set of maternal pregnancy associated! Icd-10-Cm version of O09.43 - other international versions of ICD-10 O09.43 may differ reveals a rather decline! Were reported by Combs et al reproductive health status of participants reduce both the prevalence young. Pregnancy and common in developing countries of grand-multiparity was computed as proportion to estimate the over. 33 ( 3 ):214–220 imprint of Elsevier, Inc. all rights reserved National Census of 2012 the. The other non-gravid tertiary hospital in Northern Tanzania estimated to be part of the group... A serious risk factor in productivity in domestic animals kept for milk production is - producing or... Calculating yearly proportions and displayed using a line graph 2010 ; 26 ( 3 ):214–220 universities... Survey of family growth term for carrying more than six pregnancies ) a stillbirth or neonatal death gestational of! 1999 as pilot and officially started to operate in 2000 outcomes and parity is shown in Table 1 the National. Morbidities and mortalities are high this calls for a need to increase community awareness on its,. Sample analyzed comprised of 18,441 deliveries ( Fig may differ … grand-multiparity is a woman who has borne or... Used a birth weight of less than fifth percentile ) V, Lapinski RH, Berkowitz RL to maintain,... The participants ’ anonymity 2006 ; 23:8–11 Available from the United States [ 22..

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