Grand multiparity and the possible risk of adverse maternal and neonatal outcomes: a dilemma to be deciphered

Al‐Shaikh, Ghadeer; Ibrahim, Gehan H.; Fayed, Amel; Al‐Mandeel, Hazem

doi:10.1186/s12884-017-1508-0

Cited by 70 publications

(88 citation statements)

References 24 publications

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“…Though few studies [ 21 ] have argued that grand multiparity may not be discouraged if women are provided with adequate perinatal care, the health risks of grand multiparity include but not limited to incidence of anaemia in pregnancy [ 22 ], type 2 Diabetes [ 23 ], severe mental disorders [ 24 ], perinatal death [ 25 ], and several prenatal risks [ 26 ]. Incidentally, grand multiparity is more prevalent in developing countries where health delivery systems are grossly inadequate to cope with rising demand for maternal and child health problems [ 27 – 30 ].…”

Section: Introductionmentioning

confidence: 99%

Maternal grand multiparity and intention to use modern contraceptives in Nigeria

et al. 2018

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BackgroundGrand multiparity and low contraceptive prevalence are dominant among Nigerian women. These elevate the risk of unintended pregnancies, high-risk fertility and adverse maternal and child health outcomes among women in the country, particularly grand multiparous women. Studies have examined predictors of intention to use modern contraceptives among women of reproductive age. However, these studies did not ascertain the extent to which grand multiparity is associated with intention to use modern contraceptives. This study examined association between grand multiparity and intention to use modern contraceptives in Nigeria.MethodsThe study pooled data from 2003 to 2013 Nigeria Demographic and Health Surveys. The weighted sample size analysed was 34,302 women. The outcome variable was intention to use contraceptive. The main explanatory variable was parity with specific attention to grand multiparity. Unadjusted multinomial logistic regression coefficients were used to examine association between specific explanatory or control variables and intention to use contraceptives while the adjusted multinomial logistic regression was applied to further examine associated factors of intention to use contraceptives relative to being uncertain about future contraceptive use. Four multinomial logistic regression models were fitted using Stata 14.ResultsMore than half of respondents do not intend to use contraceptives, while less than one-fifth of respondents intend to use contraceptives in the future. Across the four fitted models, the relative risks of intention to use compared with being uncertain about future contraceptive use were significantly lower among grand multiparous women. Results further revealed pregnancy termination, fertility planning status, exposure to mass media family planning messages, knowledge of modern contraceptives, ideal family size, remarriage, household power relations, and maternal education as other key factors influencing expected risk of intention to use contraceptives relative to being uncertain about future contraceptive use.ConclusionMaternal grand multiparity is significantly associated with intention to use contraceptives among women in Nigeria. The development of a specific population and health programme to target grand multiparous women is imperative in the country. Such programme could be integrated into existing national family planning programme through specific contraceptive education, counselling and information for high parous women.

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Section: Introductionmentioning

confidence: 99%

Maternal grand multiparity and intention to use modern contraceptives in Nigeria

et al. 2018

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“…This issue assumes a high level of significance in cultures that encourage women to have many children and establish large families. In the Arabic culture in general, and Saudi culture in particular, women are encouraged to give birth five times or more [1]. This fact makes women more prone to the adverse oral health outcomes associated with pregnancy, during which, there is a higher susceptibility to poor oral health [2], due to hormonal changes and increased susceptibility to gingivitis [3].…”

Section: Introductionmentioning

confidence: 99%

Assessing Expectant Mothers’ Knowledge and Beliefs about Oral Healthcare During Infancy and Pregnancy: A Cross Sectional Survey in Saudi Arabia

Abu‐Hammad¹,

Binsaad²,

Gasim

et al. 2018

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate expectant mothers' knowledge and beliefs on oral healthcare of infants. It also aimed at exploring their knowledge on oral health care during pregnancy and the possible relationship between oral health and adverse pregnancy outcomes. Material and Methods: A cross-sectional, questionnaire-based survey was conducted among expectant mothers attending antenatal clinics in Al Madinah, Saudi Arabia in summer, 2017. Questions collected data on sociodemographic characteristics of the study sample as well as basic knowledge on oral healthcare during pregnancy and infancy. There were also questions on knowledge about adverse pregnancy outcomes that may be associated with poor oral health. Results: A convenient sample of 360 pregnant women participated in the study. A percentage of 79.7% showed a good level of knowledge in oral healthcare of infants while a percentage of 8.9% only showed a good level of knowledge in oral healthcare during pregnancy and pregnancy outcomes. Education level and employment status were significantly associated the good level of knowledge in oral healthcare of infants (p=0.000, and 0.002 respectively). Conclusion: Most of expectant mothers, particularly educated and employed ones, have good knowledge on oral healthcare of infants, however, the majority lacked sufficient knowledge on pregnancy outcomes and oral healthcare during pregnancy.

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“…8 Nearly 49.7% of women were primigravid. 9 A significant number of women forming 2.1% of the total group had complicating hypothyroidism. [10][11][12] HBsAg test was positive in a significant number of 8% of the study group of women.…”

Section: Discussionmentioning

confidence: 99%

Vaginal deliveries in a tertiary centre: a current profile

Christe¹,

Tamilselvi²,

Surya

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: A normal delivery is what every woman wishes to have. The objective of this study was to find out the maternal and neonatal outcome and background characteristics of women delivering vaginally in a tertiary care center in Chennai, South India.Methods: For this one-year study, with power above 80%, Parturition records were selected by computerized random numbers, for a calculated sample size. Salient demographic features such as age, residential background and religion were noted. Details of obstetric history, past and current, delivery and baby details and admission to NICU were analyzed. Acceptance of postpartum contraception was noted.Results: A total of 338 women delivered vaginally. Majority of 63%, were from urban background. Late referrals were 19.2% of women,38.5% women had antenatal complications. Primigravida were 49.7%. Nearly 91.4% of women delivered naturally. Previous pregnancy loss was noted in 14.8%. Term deliveries were in 72% of women, and 2.7% of women delivered twins. Average birth weight among primi was 2.5kg and in multi it was 2.8 kg. There were no maternal deaths. Perinatal deaths of 2.96%, of which 90% were preterm births, and all among babies with birth weight below 1.5 kg.Conclusions: The larger majority of 91.4% of women had natural vaginal delivery. Primigravida were 49.7%, and 63% were from urban background. Antenatal complications, obstetric, medical or other complications were noted in 38.5 % of women. Most often observed complications were Gestational hypertension, Gestational diabetes, and Hypothyroidism. NICU care was required for 18% of babies. Preterm births were16.6%. Perinatal deaths were seen in 2.96% of babies. There were no maternal deaths.

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Grand multiparity and the possible risk of adverse maternal and neonatal outcomes: a dilemma to be deciphered

Cited by 70 publications

References 24 publications

Maternal grand multiparity and intention to use modern contraceptives in Nigeria

Maternal grand multiparity and intention to use modern contraceptives in Nigeria

Assessing Expectant Mothers’ Knowledge and Beliefs about Oral Healthcare During Infancy and Pregnancy: A Cross Sectional Survey in Saudi Arabia

Vaginal deliveries in a tertiary centre: a current profile

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