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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (2): 250-257    DOI: 10.12891/ceog4530.2019
Original Research Previous articles | Next articles
Obstetrics and perinatal outcome of grand multiparity in Jordan: a case-control study
F. Thekrallah1, *(), A. Alnadi1, A. Almajalii1, N. Muhaidat1, A. Al-qatawneh1, E. F. Badran2
1Feto-Maternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Jordan, Amman, Jordan
2Neonatal Division, Department of Pediatrics, Faculty of Medicine, The University of Jordan, Amman, Jordan
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Abstract  

Purpose of investigation: The impact of grand multiparity on perinatal outcomes remains unknown. The authors aimed to assess perinatal outcomes in grand multiparous women in Jordan. Materials and Methods: In this retrospective case-control study of 161 grand multiparous and 163 multiparous women, maternal and neonatal outcomes were assessed. Statistical analysis included logistic regression with adjustment for age and booking status. Results: The prevalence of grand multiparity was 1.8%. Grand multiparous women had a significantly higher risk of gestational hypertension, diabetes, preterm delivery, and cesarian section, but significantly lower risk of requiring labor augmentation and perineal tears. Neonates of grand multiparous had a significantly higher risk of low birth-weight (LBW) and requiring NICU admission. However, after adjustment, none of these retained statistical significance. Conclusion: Risk of gestational diabetes, hypertension, preterm labor, cesarean section, LBW, and NICU admission were primarily related to advanced maternal age rather than grand multiparity in Jordanian women.

Key words:  Age-adjusted analysis      Grand multiparity      Jordan      Obstetric outcome      Perinatal outcomes     
Published:  10 April 2019     
*Corresponding Author(s):  F. THEKRALLAH     E-mail:  fidaaymen@hotmail.com

Cite this article: 

F. Thekrallah, A. Alnadi, A. Almajalii, N. Muhaidat, A. Al-qatawneh, E. F. Badran. Obstetrics and perinatal outcome of grand multiparity in Jordan: a case-control study. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 250-257.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4530.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I2/250

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