The Prevalence, the Fetal and Maternal Outcomes in Grand Multiparas Women

Alhainiah, Maha; Abdulljabbar, Hasan S O; Bukhari, Yasir Ahmad

doi:10.5455/msm.2018.30.118-120

Cited by 17 publications

(20 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thirty-four cohort studies (42.0%) were identified as a prospective design (19 in [81], and three in the UAE). Fiftytwo (64.2%) cohort studies enrolled pregnant mothers at varying stages of their pregnancy with different characteristics such as diabetic and non-diabetic mothers [26,67], obesity [42,47,54], singleton [41,48,99] or triplet pregnancies [91], teenage women [112], multipara women [82,86,98], and women with systemic lupus erythematosus (SLE) [27]. Eight studies (9.9%) enrolled pregnant mothers at varying stages after delivery [24,49,58,59,81,84,88,99].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Pre-GDM was also independently associated with CS delivery (adjusted odds ratio "aOR," 1.65), induction of labor (aOR, 1.67), macrosomia (aOR, 1.40), stillbirth (aOR, 3.66), and APGAR score < 7 at 5 min (aOR, 3.82) [67]. Various unfavorable health outcomes were more common in grand multipara compared to primigravida mothers [82,114] (see Additional file 3: Table S2). [26].…”

Section: Maternal or Reproductive Exposuresmentioning

confidence: 99%

“…[109], and mean umbilical cord blood lead level was also measured in one other cohort [92]. Maternal, fetal, or neonatal deaths were examined in 12 cohort studies [25,26,62,63,68,82,85,87,90,93,112]. Eczema in children at 2 years of age was assessed in only one cohort in Saudi Arabia that linked to the sub-optimal growth indexed by fetal abdominal circumference [69] (see Additional file 3: Table S2).…”

Section: Other Exposuresmentioning

confidence: 99%

See 2 more Smart Citations

Maternal and birth cohort studies in the Gulf Cooperation Council countries: a systematic review and meta-analysis

et al. 2020

View full text Add to dashboard Cite

Background: We systematically reviewed and chronicled exposures and outcomes measured in the maternal and birth cohort studies in the Gulf Cooperation Council (GCC) countries and quantitatively summarized the weighted effect estimates between maternal obesity and (1) cesarean section (CS) and (2) fetal macrosomia. Methods: We searched MEDLINE-PubMed, Embase, Cochrane Library, Scopus, and Web of Science electronic databases up to 30 June 2019. We considered all maternal and birth cohort studies conducted in the six GCC countries (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and United Arab Emirates (UAE)). We categorized cohort studies on the basis of the exposure(s) (anthropometric, environmental, medical, maternal/reproductive, perinatal, or socioeconomic) and outcome(s) (maternal or birth) being measured. Adjusted weighted effect estimates, in the form of relative risks, between maternal obesity and CS and fetal macrosomia were generated using a randomeffects model. Results: Of 3502 citations, 81 published cohort studies were included. One cohort study was in Bahrain, eight in Kuwait, seven in Qatar, six in Oman, 52 in Saudi Arabia, and seven in the UAE. Majority of the exposures studied were maternal/reproductive (65.2%) or medical (39.5%). Birth and maternal outcomes were reported in 82.7% and in 74.1% of the cohort studies, respectively. In Saudi Arabia, babies born to obese women were at a higher risk of macrosomia (adjusted relative risk (aRR), 1.15; 95% confidence interval (CI), 1.10-1.20; I 2 = 50%) or cesarean section (aRR, 1.21; 95% CI, 1.15-1.26; I 2 = 62.0%). Several cohort studies were only descriptive without reporting the magnitude of the effect estimate between the assessed exposures and outcomes. Conclusions: Cohort studies in the GCC have predominantly focused on reproductive and medical exposures. Obese pregnant women are at an increased risk of undergoing CS delivery or macrosomic births. Longer-term studies that explore a wider range of environmental and biological exposures and outcomes relevant to the GCC region are needed. Systematic review registration: PROSPERO CRD42017068910

show abstract

Section: Study Characteristicsmentioning

confidence: 99%

Section: Maternal or Reproductive Exposuresmentioning

confidence: 99%

Section: Other Exposuresmentioning

confidence: 99%

See 1 more Smart Citation

Maternal and birth cohort studies in the Gulf Cooperation Council countries: a systematic review and meta-analysis

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Results of these studies were mixed. Some studies concluded that grand multiparity is a great risk for many fetal and maternal complications including abnormal placentation, abruption placenta, malpresentation, and interventional delivery, and postpartum hemorrhage, prematurity, and neonatal and maternal admission to intensive care unit admission (6, 7).…”

Section: Introductionmentioning

confidence: 99%

Effect of Grand Multiparity on Pregnancy Outcomes in Women Under 35 Years of Age: a Comparative Study

et al. 2019

View full text Add to dashboard Cite

Introduction: It is known for many years, that grand multiparity is associated with poor pregnancy outcome with or without considering increasing maternal age. Aim: To examine the impact of grand multiparity on pregnancy outcome in young women aged 18–34 years (Young grand multiparas). Material and Methods: A prospective comparative cross-sectional study conducted at Omdurman Maternity Hospital, Sudan from January to September 2018. A standard questionnaire was used to gather data on pregnancy outcome in the low-risk group, grand multiparas age < 35 years and grand multiparas age ≥ 35 years. The association between variables was tested with Chi-square test. Results: Young grand multiparas have a significant risk of PPH and increased length of hospital stay => 3 days and babies born to young grand multiparas women were more likely of low birth weight and have a higher rate of admission to NICU. Young grand multiparas were similar in their maternal and fetal complication to low-risk pregnancies and significantly less in several complications when compared to older grand multiparas women. Conclusion: Young grand multiparas are less likely to develop several pregnancy complications compared to older grand multiparas women. The occurrences of intra-partum complications match that in low-risk pregnancy.

show abstract

“…Grand multiparity and a scarred uterus are known to increase fetal and neonatal morbidities [[24]]] [41],– [43]] but in this study, we didn’t find any statistically significant increased risk of fetal distress and neonatal morbidity between grand multiparous with or without scar (Table 4, Table 6). Fetal distress in the absence of uterine rupture might be related to grand multiparity rather than the scarred uterus status.…”

Section: Discussionmentioning

confidence: 55%

The Mode of delivery of grand multiparous with post-cesarean single uterine scar in low resources settings: A retrospective cohort study

Valère

Belinga

Adolphe

et al. 2019

European Journal of Obstetrics & Gynecology and Reproductiv

View full text Add to dashboard Cite

The prevalence of post-caesarean scar uterus, the most important risk factor of uterine rupture is increasing globally. Grand multiparity can also increase the risk of uterine rupture. The issue of grand multiparous with single post caesarean scar is poorly investigated. Objectives The purpose of this study was to assess the factors associated with the mode of delivery of grand multiparous with post caesarean single uterine scar in low resources settings. Patients and Method It was a retrospective cohort study conducted from the 1 st January to the 31 st of May 2016, in three university teaching hospitals of the university of Yaoundé I in Cameroon. Grand multiparous (GMP) defined as parity ≥5 with single post-caesarean lower segment uterine scar admitted at a gestational age of 37 completed weeks and above were compared to grand multiparous without scar uterus at term. GMP with unknown scar were excluded. The mode of delivery and materno-fetal and neonatal outcome were investigated. Results We included 33 GMP with single lower segment uterine scar and 120 GMP without uterine scar. Induction of labor and acute fetal distress were not related to having a scar or not in grand GMP, but augmentation of labor was less likely to be conducted in case of GMP with scar uterus(p = 0.08). The frequency of vaginal delivery was 75.8 and 87.5% in grand multiparous with and without uterine scar respectively (OR 0.17–1.16; P = 0.085), with one case of instrumental delivery in scarless group. However, single scar multiparity status increased by 2.42 folds the risk of delivery by caesarian section (P = 0.066). Cephalo-pelvic disproportion increased the indication of caesarian section by 12-fold in the GMP with scar group (p = 0.031), but mechanical dystocia related indications (CPD, macrosomia,) were present in only 4 cases out of 8 caesarian sections in the exposed group. The Apgar score at the fifth minute was better in the GMP with scar group. (p = 0.037). Conclusion Grand multiparous with single post-cesarean uterine scar should be given a chance of vaginal delivery in the absence added feto-maternal morbidity.

show abstract

The Prevalence, the Fetal and Maternal Outcomes in Grand Multiparas Women

Cited by 17 publications

References 18 publications

Maternal and birth cohort studies in the Gulf Cooperation Council countries: a systematic review and meta-analysis

Maternal and birth cohort studies in the Gulf Cooperation Council countries: a systematic review and meta-analysis

Effect of Grand Multiparity on Pregnancy Outcomes in Women Under 35 Years of Age: a Comparative Study

The Mode of delivery of grand multiparous with post-cesarean single uterine scar in low resources settings: A retrospective cohort study

Contact Info

Product

Resources

About