The challenge of grandmultiparity in Nigerian obstetric practice
International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
B C Ozumba, A O Igwegbe
A retrospective analysis of 733 Nigerian grandmultiparae seen at the University of Nigeria Teaching Hospital (UNTH) over a 3 year period was carried out. A high incidence of grandmultiparity (11%) was noted, and most of them (62%) belonged to the lower socioeconomic class. Anemia, hypertensive diseases, abruptio placentae, breech presentation and abnormal lie were significant complications of grandmultiparity. The incidence of multiple pregnancy, low birthweight babies, cesarean deliveries and perinatal deaths were markedly increased in the grandmultipara. Improvement in socioeconomic conditions of the populace, health education and widespread practice of family planning are suggested to reduce the incidence of grandmultiparity.
Mar 27, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Zehra Sema OzkanEkrem Sapmaz
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