Feto-Maternal Complications in Grand Multiparous Women Presenting in Gynaecology & Obstetrics Department, Sir Ganga Ram Hospital, Lahore, Pakistan: A Tertiary Care hospital

Abstract

Objective: To assess the frequency of maternal and fetal complications in grand multiparous women presenting in a tertiary care hospital.
Methods: A total of 300 grand multiparous women were included in this study. Any maternal and fetal complication like anemia, pre-eclampsia, placental abruption, post-partum hemorrhage, caesarean section rate, low birth weight and intra-uterine death were observed during delivery and within 24 hours.
Results: Mean age of patients was 34.1±4.8 years. More than one complication was encountered in most of the women and these suffered mainly from anemia (hemoglobin <10.5 g/dl) in 102 patients (34%), placental abruption in 35 patients (11.7%), pre-eclampsia in 71 patients (23.7%), post-partum hemorrhage in 60 patients (20%), and caesarean section was performed in 65 patients (21.7%). Regarding the fetal outcome, 39 (13%) babies were born with low birth weight and 37 (12.3%) babies were intrauterine death.
Conclusions: Grand multiparity is still a high risk pregnancy in our setup. Grand multiparity itself is not as hazardous, it is the lack of basic obstetric care during pregnancy and delivery, due to which grand multiparity is known as high risk pregnancy.