FREQUENCY OF MATERNAL COMPLICATIONS OF GRAND MULTIPARITY IN WOMEN UNDERGOING DELIVERIES IN A TERTIARY CARE SETUP OF KHYBER PAKHTUNKHWA, PAKISTAN

Maternal complication of grand multipara women undergoing deliveries.

Authors

  • Irum Shehzadi King Abdullah Teaching Hospital Mansehra, Health Department, KPK Author
  • Shehneela King Abdullah Teaching Hospital Mansehra, Health Department, KPK Author
  • Bushra Bashir King Abdullah Teaching Hospital Mansehra, Health Department, KPK Author
  • Bibi Sara King Abdullah Teaching Hospital Mansehra, Health Department, KPK Author
  • Beenish Salam King Abdullah Teaching Hospital Mansehra, Health Department, KPK Author

DOI:

https://doi.org/10.2311/4jav4c06

Keywords:

Grand Multiparity, Complication, Pakistan

Abstract

Background: grand multiparity bears a set of complications. The relationship between obstetric complications and parity has been studied extensively, with inconsistent findings, particularly in the Pakistani context. Therefore, this study was conducted to determine the frequency of maternal complications of grand multiparity in women undergoing deliveries.

Methods: After the approval of the ethical review board, this descriptive cross-sectional study was conducted from June 2022 to February 2023 in the Obstetrics and Gynecology Department. Ayub Teaching Hospital Abbottabad. Through non-probability consecutive sampling,  170 grand multiparas were enrolled in this study. They were managed in the department and were observed for the development of complications such as pregnancy-induced hypertension, placenta previa, pre-mature rupture of membranes, and placental abruption.

Results: The most common complication was pregnancy-induced hypertension 11(6.47%),  followed by placenta previa 10 (5.88%), pre-mature rupture of membranes 7 (4.12%), and placental abruption 5 (2.94%). No statistically significant association was observed when the complications were stratified according to age and parity of patients (p >0.05).

Conclusion: Grand multiparity is associated with a number of obstetrical complications, with pregnancy-induced hypertension on the top. The antenatal care of these patients should be designed in a way to reduce the occurrence of these complications.

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Author Biographies

  • Irum Shehzadi, King Abdullah Teaching Hospital Mansehra, Health Department, KPK

    MBBS, FCPS, Medical Officer, Department of Gynecology & Obstetrics

  • Shehneela, King Abdullah Teaching Hospital Mansehra, Health Department, KPK

    MBBS, FCPS, Medical Officer, Department of Gynecology & Obstetrics

  • Bushra Bashir, King Abdullah Teaching Hospital Mansehra, Health Department, KPK

    MBBS, FCPS, Medical Officer, Department of Gynecology & Obstetrics

  • Bibi Sara, King Abdullah Teaching Hospital Mansehra, Health Department, KPK

    MBBS, FCPS, District Specialist, Department of Gynecology & Obstetrics

  • Beenish Salam, King Abdullah Teaching Hospital Mansehra, Health Department, KPK

    MBBS, FCPS, Medical Officer, Department of Gynecology & Obstetrics

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Published

04/27/2025

How to Cite

FREQUENCY OF MATERNAL COMPLICATIONS OF GRAND MULTIPARITY IN WOMEN UNDERGOING DELIVERIES IN A TERTIARY CARE SETUP OF KHYBER PAKHTUNKHWA, PAKISTAN: Maternal complication of grand multipara women undergoing deliveries. (2025). MedPulse Spectrum, 1(1). https://doi.org/10.2311/4jav4c06