Abstract
Pakistan is a low resource, developing country. (1) The incidence of grand multiparity is very high due to various reasons like lack of education, poor knowledge, and availability of family planning methods, various social and cultural reasons. Grand multiparity is mostly associated with increasing maternal age, which is an independent risk factor for various antepartum, intrapartum, and postpartum complications. (2)
Highlights
The concept of Grand multiparity is in discussion for the last century
Grand multiparity is associated with an increased risk of anemia, gestational diabetes, Pregnancy-induced hypertension, malpresentation, uterine atony, and postpartum hemorrhage. [3]
Some studies provided evidence that there are more fetal and maternal complications with grand multiparity. [3,5] In contrast to these studies, many studies have mentioned an increase in only a few complications. [6,7]
Summary
The concept of Grand multiparity is in discussion for the last century. Grand multiparity is defined as parity of 5 or more, while multipara is a woman who has delivered less than five but at least one baby. The concept of grand multiparity was introduced during the last century. The developed countries have taken hold of the situation and they have quite low incidence of grand multiparity, mainly in the range of 2-4%. A large number of studies have explored the impact of grand multiparity on perinatal outcome. Some studies provided evidence that there are more fetal and maternal complications with grand multiparity. Some studies provided evidence that there are more fetal and maternal complications with grand multiparity. [3,5] In contrast to these studies, many studies have mentioned an increase in only a few complications. [6,7]
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