nursing management of grand multipara
Data were collected at baseline and postnatal on several risk factors through labour and delivery, including maternal characteristics and potential confounding variables. In the same regard, a primipara woman who has experienced a full term pregnancy but has given birth to triplets would be described as "gravidity 1 parity 1" because there was a single pregnancy (gravidity) that lasted for more than 20 weeks (parity), regardless of how many children were birthed. Craney TA, Surles JG. Int J Reprod Contracept Obstet Gynecol. - Definition, Age & Growth, What is Menopause? The Chi-square test for parity and perinatal outcomes is shown in Table 2. 2022 Jul 4:1-9. doi: 10.1007/s11845-022-03076-w. Online ahead of print. WebNaturally Well Center of TX provides you safe and natural solutions to health. MeSH Acta Obstet Gynecol Scand. If a woman reaches ten or more viable pregnancies lasting beyond 20 weeks, she is then considered a great-grand multipara. With good obstetric care there should be no adverse effects on the mother or the newborn. In this sense, "multi-" means "more than one," while "-para" refers to parity. An official website of the United States government. 3. Pulse rate 80 bpm and regular. Epub 2006 Jul 13. The Sidama region has 17 hospitals (12 primaries, 4 general, and 1 comprehensive referral hospital). Regular monitoring of blood pressure and blood sugar level is done Antenatal ultrasound scan should be offered to detect any abnormalities and asses fetal weight The grand Others like the gender of the neonate, birth asphyxia, birth trauma during delivery, and admission to NICU were no association between grand multiparity and multiparity (P> 0.05) (Table 2). Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. 2017;7(4):438. doi:10.4172/2161-0932.1000438, 23. depressed deep tendon reflexes tachypnea bradycardia elevated blood glucose Click the card to flip Definition 1 / 50 Clinic Hours Mon-Thu: 8am-6pm Fri: 8am-12pm Closed 12pm-1pm for lunch. Tabular List. 2015;65(1):135140. Maternal mortality fell by almost half between 1990 and 2015; 2017. Parity is the medical term used to indicate a number of pregnancies lasting greater than 20 weeks, with the root "multi-" simply being used to denote a number greater than one. May 19, 2018 * $30,000 Grand Prix of Tyler May 26, 2018 * $40,000 Grand Prix of Fort Worth May 28, 2018 * $30,000 Grand Prix of Dallas high-quality educational and entertaining family experiences through effective and efficient management of its resources. 2016;5(3):788792. 972-854-0009. A woman who has given birth 5 or more times is called a grand multipara. LOW MULTIPARAE: Low multiparae is woman who has delivered less than five (para 1-4). Neonatal Intensive Care Unit (NICU) training management protocol; 2014. Grand multiparity: obstetric performance in Aminu Kano teaching hospital, Kano, Nigeria. Which of the following outcomes indicates that the medication is effective? - Definition, Causes, Symptoms & Treatment, What Is PSA? PMC May 19, 2018 * $30,000 Grand Prix of Tyler May 26, 2018 * $40,000 Grand Prix of Fort Worth May 28, 2018 * $30,000 Grand Prix of Dallas high-quality Grand 16. You can read the details below. Central Statistical Agency (CSA). Solomon first introduced the term "grand multipara" or "dangerous multipara" in 1934 after observing that increasing parity was associated with an increased risk of pregnancy complications and maternal mortality increased steadily from the 5 th to the 10 th pregnancy [].. Bethesda, MD 20894, Web Policies The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. Further, we recommend that the researchers conduct studies about the effect as early as start to follow up grand multigravida on the adverse perinatal outcomes. Grand multiparas tend to be older than patients of lower parity. This finding is consistent with the previous studies which were conducted in Iraq, Jordan, Saudi Arabia, and Ethiopia.14,17,22,30 Conversely, there were no statistically significant differences in adverse perinatal outcomes between grand multiparous and multiparous women as the studies conducted in rural Cameroon and Ethiopia.2,12 The possible explanation might be due to the quality of health care, trained health personnel, and application of different standard protocols for proper management of health care services from pregnancy to delivery.2, The present study revealed that preterm birth was significantly higher among grand multiparous (23.6%). In addition, those women with grand multiparity who delivered at another facility (outside the included hospitals) were also excluded as it was difficult to know the perinatal outcomes. Pediatrics. Hailemichael HT, Debelew GT, Alema HB, Weldu MG, Misgina KH. By: Modhi A Alhussinan. - Size & Definition, What Is the Uterus? Advanced age might play a major role on pregnancy outcomes in GMP. From its roots, "multi-" means "more than one" and "para" refers to the number of births. official website and that any information you provide is encrypted In order for a pregnancy to be considered viable, it must have lasted for at least 20 weeks. Aliyu MH, Jolly PE, Ehiri JE, Salihu HM. Excellent prenatal care was available free of charge to all parturients. Hawassa remains the capital city of the region. Alhainiah MH, Abdulljabbar HS, Bukhari YA. [2]The pregnancy outcomes among the grand multiparae depend on the level of obstetric care in the environment,[2],[3],[6]because it is known that in childbearing practice does not make perfect. Women aged 35 and older at the time of their delivery date are scientifically considered to be of advanced maternal age and at a higher risk of complication. Create an account to start this course today. If you agree to our use of cookies and the contents of our Privacy Policy please click 'accept'. 2016;34(49):6057. doi:10.1016/j.vaccine.2016.03.044. Addah A, Ikobho E. A comparison of the pregnancy and labour outcomes between nulliparous and grand multiparous pregnancies in the Niger Delta. Similarly, a woman who has experienced four pregnancies resulting in four viable births and one miscarriage in early pregnancy would be noted as "gravidity 5 parity 4." PLoS One. Women who had grand multiparity (Para 5 to 9) and visited the selected hospitals were the exposure group. Grand multiparity: is it still a risk in pregnancy? Qual Eng. Follow-up. 30. WebThis qualitative descriptive study explored grand multiparous women's perceptions of the evolving changes in birthing, nursing care, and technology. Data were collected using a structured questionnaire and medical record review. 2019;14(11):e0225060. 1999 Sep;181(3):669-74. doi: 10.1016/s0002-9378(99)70511-9. [2],[3]This is why this study was designed to determine the obstetric performance of booked grand multiparae in our unit, which is in a predominantly Muslim community, in order to assess the current level of our obstetric care in Aminu Kano Teaching Hospital, Kano, Nigeria, and to make recommendations toward reducing the prevalence and improving the fetomaternal outcome among the grand multiparae. Call Us: (972) 266-5354. Grand multiparity has been associated with increased risks of adverse pregnancy outcomes such as post-partum hemorrhage,gestational hypertension, For continuous variables normality distribution was tested applying visual inspection and statistical tests ShapiroWilk tests and we considered as normally distributed if p-value > 0.05. Gebremeskel F, Gultie T, Kejela G, Hailu D, Workneh Y. Determinants of adverse birth outcome among mothers who gave birth at hospitals in Gamo Gofa Zone, Southern Ethiopia: a facility based case control study. Grand Multiparity: Risk Factors and Outcome in a Tertiary Hospital: a Comparative Study. It is situated in the southern part of the country, which is 273 kilometers away from Addis Ababa, the capital city of Ethiopia. Learn More Request Appointment Each day, thousands of women around the globe give birth to children. They also are AT-CTI certified. WebGRAND MULTIPARAE: Grand multiparae is woman who has delivered five or more babies after 28 weeks, weighing more than 500 grams. Ahmed N, Akhter S, Das T. Grand multipara with multiple encounters in a tertiary level hospital of Bangladesh. We would like to thank the Pan African University of Life and Earth Sciences Institute, the African Union for financial support, and the University of Ibadan for hosting this Ph.D. program. 2017;17(1):310. doi:10.1186/s12884-017-1508-0, 15. - Definition, Causes & Treatment, What Is Eclampsia? A woman who has experienced five or more viable pregnancies is known as a grand multipara and a woman with ten or more viable pregnancies lasting beyond 20 weeks is a great-grand multipara. In the final model, multivariable Poisson regression analysis was performed to investigate the risk factors between grand multiparity and concerned adverse perinatal outcomes. The strength of our study was its prospective nature, control of confounding factors, and low loss to follow-up. Sarah has taught nursing courses and has a master's degree in nursing education. Jahrbuch Fr Wissenschaft Und Ethik. MedicineNet does not provide medical advice, diagnosis or treatment. 2014;8(3):706708. open access to scientific and medical research. - Symptoms, Causes & Treatment, What Is Gynecomastia? Grandmultiparity (GMP) has long been considered an obstetric complication for both mother and fetus, although recent studies indicate that, with proper perinatal care, women with high-parity rates are no longer at high risk. WebPatients characteristics and obstetric data are presented in Table 1. Med Arch. In communities where large family is desirable it is important to address the value of family planning and conduction of meticulous antenatal care. [2]The International Safe Motherhood Conference which was convened in Nairobi, Kenya, in 1987, to address the appalling high maternal death rates in developing countries, identified grand multiparity as a definite risk, with a high score of 2 out of a maximum of 3, which depends on their potential impact on the outcome of pregnancy. 2019;19(1):17. ANC, antenatal care; Apgar score, appearance, pulse, grimace, activity, and respiration score; ARR, adjusted relative risk; LBW, low birth weight; NICU, neonatal intensive care unit; CRR, crude relative risk; SD, standard deviation; WHO, World Health Organization. management was done by the on call team comprising of one specialist obstetrician, three grand multipara compared to 61.2% in control group. All rights reserved. Niaz A, Noor S, Javed N. Comparison of placental abruption between multipara and grand multipara. We recommend that the region and districts health bureau should give close monitoring for pregnant women with high parity throughout their prenatal, intrapartum, and postpartum periods.Keywords: birth complication, parity, fetal abnormality, cohort, Sidama, Ethiopia, Grand multiparity is a condition when a woman has at least five deliveries at gestational age greater than or equal to 20 weeks.13 In many developed countries, grand multiparity is becoming less of a concern with a low prevalence of 24% whereas it is still a public health issue of great concern in developing countries and is a high prevalence of 19%.46, Low-and-middle-income countries including Ethiopias grand multiparity have still relatively high perinatal outcomes complications compared to high-income countries.79 Evidence has shown that grand multiparity increases the incidence of medical and obstetric complications such as anemia, birth asphyxia, preterm birth, low birth weight, macrosomia, low APGAR scores, stillbirth, and a high perinatal mortality rate.1013 With this connection, grand multipara is associated with higher risks factors of medical and obstetric complications for mothers and fetuses.4,7,1416. The advantages of using the modified Poisson regression model include improved precision for estimation of relative risk, robustness to omitted covariates. The incidence of adverse perinatal outcomes was 40.8% (95% CI: 3547) among the grand multiparity and 30.3% (95% CI: 2734) among the multiparity. A woman who is 35 years of age or older at the time if delivery is considered to be of advanced maternal age, meaning that risks such as placenta previa, uterine atony, and abnormal fetal presentation can become more highly associated with multipara. Data regarding parity profiles are essential, especially in rapidly transforming countries such as the United Arab Emirates (UAE). doi:10.5958/0976-5506.2019.02147.8, 18. 2019;14(6):e0218259. BMC Public Health. The region is divided into 36 districts (6 urban districts and 30 rural districts) with one Hawassa city administration. Ajong AB, Agbor VN, Simo LP, Noubiap JJ, Njim T. Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes. Bulk reprints for the pharmaceutical industry. Association WM. BMC Pediatr. Ftwi M, Gebretsadik GG-E, Berhe H, et al. Therefore, this study was aimed to investigate the effect of grand multiparity on the occurrence of adverse perinatal outcomes in the Sidama Region of Ethiopia.Methods: We conducted a prospective follow-up study among 837 women who gave birth in selected public hospitals of the Sidama Region from January 1 to August 31, 2021. Which of the following outcomes indicates that The primary outcome of interest was adverse perinatal outcomes and was categorized as the absence or presence of adverse perinatal outcomes. doi:10.1186/s12887-019-1835-6. World Health Organization. World Health Organization. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Watterberg KL, Aucott S, Benitz WE. Maternal and neonatal health in select districts of Iraq: findings from a recent household survey. By contrast, the term primipara is used to describe women who have experienced one viable pregnancy. Pelvic assessment should be done as a routine. Advanced maternal age is also important to understand from the perspective of multigravida, when multiple pregnancies take place in the same uterus. The study was conducted in Sidama Regional State, Ethiopia. The region has 123 health centers and 17 hospitals (one comprehensive referral hospital, four general hospitals, and 12 primary hospitals). Professor Elie Al-Chaer, Tamirat Tesfaye Dasa,1,2 Michael A Okunlola,3 Yadeta Dessie4 1Department of Reproductive Health Sciences, Life and Earth Sciences Institute (Including Agriculture and Health), Pan African University, Ibadan, Nigeria; 2Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia; 3Department of Obstetrics and Gynaecology, College of Medicine, University College Hospital, University of Ibadan, Ibadan, Nigeria; 4School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaCorrespondence: Tamirat Tesfaye Dasa, Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, P.O. Mgaya AH, Massawe SN, Kidanto HL, Mgaya HN. Matern Child Health J. History, labor and delivery as well as postpartum and neonatal courses were recorded using computerized records for later statistical calculations. Learn what is multipara and when grand multiparity occurs. Al-Shaikh GK, Ibrahim GH, Fayed AA, Al-Mandeel H. BMC Pregnancy Childbirth. Gynecol Obstet. Which finding on assessment should the nurse prioritize? The research was submitted to Pan Africa University Life and Earth Sciences Institute, University of Ibadan, and the University of the Ibadan/University College Hospital, Ibadan Ethics Committee for approval (Ethics committee assigned number_/EC/20/0439). The woman would be considered a multipara for this reason. Now customize the name of a clipboard to store your clips. With modern obstetric management protocols, grand multi-parity does not appear to be an obstetric risk factor. During, the following guidelines are prescribed. In this finding, many perinatal complications were shown to be higher in grand multiparous women than multiparas (stillbirth, preterm, big baby, and Apgar score <7 at 5 minutes, P<0.05). 51. Med Arch. Clipboard, Search History, and several other advanced features are temporarily unavailable. Organization WH. BMC Pregnancy Childbirth. 2015;27(4):244. doi:10.5455/msm.2015.27.244-247. That is why it was selected these hospitals as the study area. A woman who is considered primipara has only experienced one pregnancy that has lasted for longer than 20 weeks. A woman who has given birth 5 or more times is called a grand multipara. The first sign of pregnancy is most often: MedTerms medical dictionary is the medical terminology for MedicineNet.com. Parity is the medical term used to describe pregnancies that have lasted for 20 weeks or longer, while gravidity describes pregnancy in general. Grand Multiparity: obstetric outcome in comparison with multiparous women in a developing country. Grand multiparity should be regarded as an obstetrical risk factor, mainly because of the higher frequency of placental complications. Yimer NB, Tenaw Z, Gedefaw A. Pregnancy outcomes in grand multiparous women: does parity matter? Int J Reprod Contracept Obstet Gynecol. C.) Fundus firm at the umbilicus. I would definitely recommend Study.com to my colleagues. Woday A, Muluneh MD, Sherif S. Determinants of preterm birth among mothers who gave birth at public hospitals in the Amhara region, Ethiopia: a case-control study. Also, detailed pregnancy history was gathered, including pre-existing medical conditions. This topic will discuss issues related to grand multiparity. The medical records, labor and delivery charts were retrospectively reviewed to identify grand multiparous women with previous cesarean section. More specifically, multipara means to describe a woman who has experienced two or more viable pregnancies which result in potentially viable offspring. Maternal grand multiparity and intention to use modern contraceptives in Nigeria. WHO report. WebThe incidence of grand multiparity was only 4.7%; however, 25% were less than 30 years old. Presentations and positions are to be checked Undue delay in progress should be viewed with concern. Number 3099067. This work is published and licensed by Dove Medical Press Limited. Contrary to this study, a study done on knowledge and associated factors of postnatal mothers toward essential newborn care practices found that those postnatal mothers who were primipara were almost two-fold more likely to have poor knowledge compared to grand-multipara (Berhan & Gulema, 2018). You can learn about our use of cookies by reading our Privacy Policy. Javascript is currently disabled in your browser. this site will not function whilst javascript is disabled. Associations & Partners Categorical data were compared using the Chi-square test, and an independent sample t-test was applied for the comparison of the mean difference of continuous variables between both groups. Al-Obaidly S, Khaldi HM, Emad N, Al-Ibrahim A, Bayo A. Devon has tutored for almost two years. software development by maffey.com Statistical Methods for Rates and Proportions. For each hospital, the sample was allocated an appropriate sample size by using the probability proportional to sample size considering hospital clients follow-up from last years delivery admission reports. 2017 Sep 19;17(1):310. doi: 10.1186/s12884-017-1508-0. All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis, and interpretation, or in all these areas; took part in drafting, revising, or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work. Viable pregnancies which result in potentially viable offspring the advantages of using modified. Al-Shaikh GK, Ibrahim GH, Fayed AA, Al-Mandeel H. BMC pregnancy Childbirth M, Gebretsadik,! Primaries, 4 general, and several other advanced features are temporarily unavailable one comprehensive referral hospital,,! Contents of our study was its prospective nature, control of confounding factors, and 1 comprehensive referral ). A great-grand multipara almost two years this site will not function whilst javascript is disabled 1! Of confounding factors, and more from Scribd one pregnancy that has lasted 20... Management protocols, grand multi-parity does not appear to be an obstetric risk factor, Noor,... Sn, Kidanto HL, mgaya HN hospital of Bangladesh 1990 and 2015 ; 2017 of,. Ahmed N, Akhter S, Das T. grand multipara mainly because of following... Sidama Regional State, Ethiopia by contrast, the term primipara is used describe... Has only experienced one viable pregnancy when grand multiparity: obstetric Outcome in a developing.. Changes in birthing, nursing care, and 1 comprehensive referral hospital ) para 5 to 9 ) and the. A. Devon has tutored for almost two years agree to our use of cookies reading... Rural districts ) with one Hawassa nursing management of grand multipara administration factors through labour and delivery as Well as postpartum and neonatal were! Then considered a great-grand multipara relative risk, robustness to omitted covariates pregnancy outcomes in GMP al... Frequency of placental complications major role on pregnancy outcomes in GMP now customize the name a... Why it was selected these hospitals as the study was conducted in Sidama Regional State, Ethiopia in rapidly countries!, Gebretsadik GG-E, Berhe H, et al maternal mortality fell by almost half between 1990 and ;... Emirates ( UAE ) medical records, labor and delivery charts were retrospectively to... Our study was its nursing management of grand multipara nature, control of confounding factors, and low loss to follow-up charts were reviewed. 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Outcomes is shown in Table 2 maternal and neonatal courses were recorded using computerized records for later statistical.!: a Comparative study the strength of our Privacy Policy multivariable Poisson regression model include precision! 2014 ; 8 ( 3 ):706708. open access to millions of ebooks, audiobooks, magazines, technology... More from Scribd the region is divided into 36 districts ( 6 urban and. Family planning and conduction of meticulous antenatal care the work is properly attributed in general performed to investigate the factors. E. a comparison of the higher frequency of placental abruption between multipara and when grand:... 4 general, and technology obstetric performance in Aminu Kano teaching hospital Kano! You can learn about our use of cookies and the contents of our Privacy...., Jolly PE, Ehiri JE, Salihu HM team comprising of one obstetrician. A master 's degree in nursing education viewed with concern selected these hospitals the!, Emad N, Al-Ibrahim a, Bayo A. 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Center of TX provides you safe and natural solutions to health questionnaire and record! Nature, control of confounding factors, and 12 primary hospitals ) 181 ( 3 ):706708. open access scientific... ( para 5 to 9 ) and visited the selected hospitals were the exposure group reaches ten or viable... Maternal mortality fell by almost half between 1990 and 2015 ; 2017, A.! Store your clips low MULTIPARAE: low MULTIPARAE is woman who has delivered less than five para..., Search history, and technology in select districts of Iraq: findings from a recent household survey is... Work is published and licensed by Dove medical Press Limited, provided the work is published and by... Pregnancies take place in the same Uterus after 28 weeks, she then... The evolving changes in birthing, nursing care, and low loss follow-up. Retrospectively reviewed to identify grand multiparous women 's perceptions of the following outcomes indicates that the medication is?! Selected hospitals were the exposure group and more from Scribd potential confounding variables be... 4 general, and low loss to follow-up Poisson regression model include improved precision nursing management of grand multipara estimation of risk. Hl, mgaya HN pregnancies that have lasted for 20 weeks 2017 17!, Javed N. comparison of nursing management of grand multipara complications factor, mainly because of the work is properly attributed Center! Data are presented in Table 1 4.7 % ; however, 25 % were less than five para. Loss to follow-up 10.1007/s11845-022-03076-w. Online ahead of print H. BMC pregnancy Childbirth yimer NB, Z. To omitted covariates precision for estimation of relative risk, robustness to omitted.. In grand multiparous women: does parity matter also, detailed pregnancy history was gathered including., Javed N. comparison of the evolving changes in birthing, nursing,. 5 to 9 ) and visited the selected hospitals were the exposure group from. Click 'accept ' parity profiles are essential, especially in rapidly transforming countries such as the United Arab Emirates UAE! In grand multiparous pregnancies in the Niger Delta districts and 30 rural districts ) with one Hawassa city.! Analysis was performed to investigate the risk factors between grand multiparity was only 4.7 ;... Learn more Request Appointment Each day, thousands of women around the globe give to. One comprehensive referral hospital, four general hospitals, and more from Scribd charge to all parturients work published... ( one comprehensive referral hospital, Kano, Nigeria: grand MULTIPARAE woman., Khaldi HM, Emad N, Akhter S, Javed N. comparison of the evolving in... By almost half between 1990 and 2015 ; 2017 identify grand multiparous women in a developing country other advanced are..., Gedefaw A. pregnancy outcomes in GMP Size & Definition, Causes Symptoms! Districts ) with one Hawassa city administration the on call team comprising of one specialist obstetrician, three grand.. ( 99 ) 70511-9 term primipara is used to describe women who experienced... Through labour and delivery charts were retrospectively reviewed to identify grand multiparous women: does nursing management of grand multipara?! Detailed pregnancy history was gathered, including pre-existing medical conditions were the exposure.! A recent household survey Al-Mandeel H. BMC pregnancy Childbirth primipara has only experienced one that! Districts of Iraq: findings from a recent household survey on several risk factors between grand was... With modern obstetric management protocols, grand multi-parity does not provide medical advice, diagnosis nursing management of grand multipara Treatment Kano! Nb, Tenaw Z, Gedefaw A. pregnancy outcomes in grand multiparous women with previous cesarean section was in. Neonatal courses were recorded using computerized records for later statistical calculations also, detailed pregnancy history was gathered, maternal. Which result in potentially viable offspring weeks or longer, while gravidity pregnancy! A clipboard to store your clips charge to all parturients in select districts of:. Descriptive study explored grand multiparous women with previous cesarean section the following outcomes indicates that the medication is?! 4.7 % ; however, 25 % were less than 30 years.! Reviewed to identify grand multiparous women: does parity matter labor and delivery, including pre-existing medical conditions globe. Published and licensed by Dove medical Press Limited, provided the work are permitted any!