The higher prevalence in the later studies could be explained by high prevalence of young marriage and poor acceptance of modern family planning methods. Multiparity definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. 2006;23:8–11 Available from: http://dx.doi.org/10.4314/tjog.v23i1.14555. In this study, multiparous women (parity of 2 or more) of 28 weeks of gestation or more, with singleton births from the year 2006 to 2014 were studied. The lower prevalence in this study can be attributed to standard literacy level of grand multiparas, as over 52% had at least primary level of education. Afolabi AF, Adeyemi AS. Am J Obstet Gynecol. California Privacy Statement, Among other factors, grand multiparity is hypothesized to play a significant role in adverse maternal outcomes especially in low-and-middle income countries like Tanzania. (noun) Advanced maternal age (AMA) has been reported as a major risk factor in developing other maternal conditions including hypertension, diabetes mellitus, renal diseases, and other chronic infections which in turn are associated with PROM [18, 19]. Meaning of MULTIPARITY. Available from: https://www.globalfinancingfacility.org/sites/gff_new/files/Tanzania_One_Plan_II.pdf. Due to increased maternal age and repeated deliveries, the uterine wall becomes weak resulting in inability to adequately contract leading to development of PPH [22]. GM abbreviation stands for Grand Multiparity. Arch Gynecol Obstet. Following consent, the mother could still choose not to reply to single question. Although the GMP proportion has decreased over years, our result reveals a rather gradual decline of GMP overtime. BMC Pregnancy Childbirth 19, 222 (2019). A reasonable definition of "grand multiparity" is a woman who has had ≥5 births (live or stillborn) at ≥20 weeks of gestation, with "great grand multiparity" defined as ≥10 births (live or stillborn) ≥20 weeks of gestation . Adverse outcomes associated with GMP include diabetes, premature labor, maternal and perinatal mortality, placenta previa, genital sepsis, postpartum hemorrhage (PPH), utero-vaginal prolapse, hypertension and Intrauterine fetal death (IUFD) [6, 7, 10, 13]. The condition of being multiparous. Google Scholar. (See 'Variability in the definition of parity' below.) This study has demonstrated that GMP women had an increased odds of experiencing stillbirth and preterm births as compared to women with low parity as previously described in published data from Uganda and Nigeria [9, 21, 22]. What does GM stand for? However, the first five (5) years in the trend show no bigger differences while in the year 2011 the rise is seen and then followed by the decline. England Placental issues, including placenta previaand placental abruption 5. BMC Pregnancy Childbirth. However, the date of retrieval is often important. 1984;150(8):965–72. 2002;109(3):249–53. Asian Pacific J Reprod 2016;5(3):214–220. 01-629-7488 2016;33(3):327 Available from: http://www.tjogonline.com/text.asp?2016/33/3/327/199808. Definition of MULTIPARITY in the Definitions.net dictionary. a woman who has borne two or more children, or who is parturient for the second time. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. Risk factors for prematurity and premature rupture of membranes: a prospective study of the vaginal flora in pregnancy. Hoque M, Hoque E, Kader SB. J Med Trop. Low birth weight (LBW) was defined as a birth weight of less than 2500 g with gestational age of ≥28 weeks. Kuti O, Dare F, Ogunniyi S. Grand multiparity: mothers’ own reasons for the index pregnancy. Other patients’ information is entered and kept in various registers at each service delivery points such as theater rooms, labor ward, Intensive Care Unit (ICU) and in the antenatal and postnatal units. However, in contrast, several other studies elsewhere have clearly shown GMP to be a risk factor for PPH [17, 20, 23]. Most online reference entries and articles do not have page numbers. Grand Multiparity : obstetric outcome in comparison with multiparous women in a developing country. Google Scholar. Although there is variation in each year, the proportion in the year 2006 (9.72%) and 2007 (9.03%) are rather similar. Duthie and H.K. Part of Eze JN, Okaro JM, Okafor MH. Data analysis was performed using STATA 12.0 (StataCorp LP, College Station, Texas 77,845 USA). 1934;224(5784):8–11. This study found that grand multiparity was associated with maternal and perinatal complications such as prelabour rupture of membranes, stillbirth and preterm birth. The datasets during the current study are not publicly available to protect the participants’ anonymity. Odds ratio (OR) and 95% confidence interval (CI) for adverse maternal and fetal outcomes associated with GMP were estimated using multivariable logistic regression models. grand multiparity (grand multi-pa-riti) n.the condition of a woman who has had five or more previous pregnancies. 2013;(67):1–18. Available from: https://doi.org/10.1016/j.apjr.2016.04.012. There is some indication that grand multiparity increases the risk of the following obstetrical complications: 1. Demographic and obstetrics characteristics of the study participants are summarized in Table 1. KCMC is a referral consultants and teaching hospital located in Moshi, Kilimanjaro region in Northern-Tanzania. Am J Obstet Gynecol. Chandra A, Copen CE, Stephen EH. Drife J. Low-and-middle income countries including Tanzania’s fertility rate have still relatively high annual fertility rate as compared to high income countries [1]. However, other definitions are also used. As Sustainable Development Goal’s (SDG) efforts to address promotion of maternal health and reduction of child mortality becomes intensified, regional specific investigation to inform the public health on potential effect of factors that presents a significant risk to the pregnant mother and the birth outcome are imperative. The grand multiparous women had increased odds of prelabour rupture of membranes (Adjusted odds ratio [AOR] 1.78: 95% CI:1.28–2.49), stillbirth (AOR 1.66: 95% CI:1.31–2.11) and preterm birth delivery (AOR 1.28; 95% CI: 1.05–1.56) as compared to women in the lower parity group. — multiparous, adj. Its establishment was a result of a collaborative project between KCMC and the medical birth registry of Norway through University of Bergen. ZM: Designed the study, performed the statistical analysis and participated in writing the manuscript, CST: Data analysis, participated in manuscript writing and reviewed the final manuscript EM: contributed in drafting the manuscript, MJM: statistical consultation and reviewed the manuscript, BM: participated in designing the study, reviewing of manuscript. To maintain confidentiality, maternal unique identification number was used to all other elements of privacy as per the protocol of the birth registry. Ananth CV, Oyelese Y, Srinivas N, Yeo L, Vintzileos AM. Parityis defined as the number of times that she has given birth to a fetus with a gestational age of 24 weeks or more, regardless of whether the child was born alive or was stillborn. Apart from birth registry, each pregnant woman attending this facility has her history documented on patient file with unique file number. Correspondence to However, addition of other covariates in the model led to non-significant association. The social class and reasons for grand multiparity in Calabar, Nigeria. But it can be freely available from the corresponding author on reasonable request. This trend may pose substantial risk to the pregnant mother and result in adverse birth outcome. A p-value of < 0.05 was considered statistically significant. Classifying grand multiparous women as a high-risk group without clear evidence of a consistent association with adverse outcomes can lead to socioeconomic burdens to the mother, family and health systems. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. © 2020 BioMed Central Ltd unless otherwise stated. Grand multiparity and low contraceptive prevalence are dominant among Nigerian women. Trend in grand-multiparity was determined by calculating yearly proportions and displayed using a line graph. We also found that GMP was significantly associated with an increased risk of PPH when controlled by maternal age and educational level attainment. After adjusting for maternal age, maternal education, mothers’ residence, body mass index (BMI), number of antenatal care visits and gestational age, PROM (AOR 1.78; 95% CI: 1.28–2.49) remained significantly associated with grand multiparity. In the present study, we found that the trend of grand multiparity to be decreasing over nine years.. Eur J Obstet Gynecol Reprod Biol. Combs CA, Murphy EL, Laros RK. © 2003 by Saunders, an imprint of Elsevier, Inc. Privacy In multivariable regression analyses, our study did not find a significant association between PPH and GMP. Women with singleton deliveries from 2006 to 2014 were analyzed. What does multiparity mean? Huge disparity in the fertility rate exist between the developed and developing countries. Cookies policy. Trop J Obstet Gynaecol. Grand multiparity has been associated with increased risks of adverse pregnancy outcomes such as post-partum hemorrhage,gestational hypertension, gestationaldiabetes mellitus and high perinatal mortality.There is limited information about the impact of high parity on pregnancy outcomes in Tanzania. 2017;7(7):707–18. Alsammani M, Ahmed S. Grand multiparity: risk factors and outcome in a tertiary hospital: a comparative study. Studies have examined predictors of intention to use modern contraceptives among women of reproductive age. This is in consistent with study done by Selo-Ojemeet al among Nigerian women [21]. 1995;172(1):683–6. The National Road Map Strategic Plan to Improve Reproductive, Maternal, Newborn, Child and Adolescent Health in Tanzania (2016–2020) (One Plan II). statement and Solomons B. BMC Pregnancy and Childbirth 1991;77(1):69–76. A p-value of less than 0.05 (2-tailed) was considered statistically significant. grand multipara a woman who has had six or more pregnancies that resulted in viable offspring. 2010;6(2):39–43. According to the CDC report of 2004, the prevalence of grand multiparity was reported as low as 3–4% in developed countries as compared to 19.3% in developing countries, [9, 10]. Despite the strengths, there were some limitations that should be considered while interpreting findings from this study. This study aimed to determine prevalence, trend and associated adverse … Department of Obstetrics and Gynecology, Kilimanjaro Christian Medical Centre, Box 3010, Moshi, Tanzania, Zainab Muniro, Eusebious Maro & Bariki Mchome, Department of Epidemiology and Biostatistics, Institute of Public Health, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania, Dar es Salaam Institute of Technology, Department of Science and Laboratory Technology, Box 2958, Dar es Salaam, Tanzania, You can also search for this author in The chi-square test for linear trend showed that, there appears to be a statistically significant trend in prevalence of grand multiparity over years (p < 0.001). This can be explained by the fact that at this particular time, the country had adapted well to the strategic plan developed in 2008 known as One Plan which aimed to provide guidance and improve reproductive, maternal, newborn and child health [16]. King, S.J. 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