Grand grand multiparity, Acta Universitatis Ouluensis D Medica 432

The present longitudinal study involved 96 grand grand multiparous women with 1200 deliveries and 127 spontaneous abortions. Their pregnancies were divided into four categories: first pregnancy (primiparas), 2nd-5th pregnancy (multiparas), 6th-9th pregnancy (grand multiparas) and 10th and more pregnancy (grand grand multiparas). We evaluated the natural inter-pregnancy interval (IPI) in relation to maternal age and clinical outcome of pregnancies, progress of labour, birth weight and gender of newborns in relation to birth order.The majority of infants were born in good condition based on Apgar scores. The perinatal mortality rate did not differ between the three groups of multiparas despite the accumulation of chromosomal anomalies in the group of GGMPs. The male majority at birth reversed gradually to a female majority with increasing maternal age and birth order. The shift took place around a maternal age of 35 years.In conclusion, we suggest that a healthy woman´s physiological capacity to repond to the requirements of repeated pregnancies is good. In spite of short IPIs, grand grand multiparity does not essentially increase the rate of obstetric problems, since such maternal complications as hypertensive and diabetic disorders predominantly depend on the increased age of mothers. It is also evident that grand grand multiparity itself is not a risk factor as regards neonatal outcome provided that the health care system is well-organized at every level.

50, [26] s.
Juntunen Kaisa
Tuotekoodi 012699
5,89 €