nursing management of grand multiparanursing management of grand multipara

Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. Hailemichael HT, Debelew GT, Alema HB, Weldu MG, Misgina KH. STATA Version 14 was used for analysis.Results: The overall cumulative incidence of adverse perinatal outcomes was 33% (95% CI: 29.9%, 36.4%). PLoS One. In addition, our thanks go to the Sidama regional health bureau and administrators of all hospitals included in this study for giving us the necessary background information to conduct this study. 972-854-0009. Saudi J Health Sci. Adverse perinatal outcomes or complications were defined as the presence of either or more of the following: stillbirth, low birth weight, macrosomia, preterm, admission to neonatal intensive care unit (ICU), and first-minute birth asphyxia in women giving birth more than five or more and less than five births. Ethical principles for medical research involving human subjects. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. Clipping is a handy way to collect important slides you want to go back to later. In terms of immediate newborn complications, this study showed that there was no statistical difference in the two groups as regards the Apgar< 7 score at 1 minute, birth trauma, birth asphyxia, admission to neonatal intensive care unit, perinatal complication, and sex of newborn. 2015;65(1):135140. 42. Pulse rate 80 bpm and regular. Permission was obtained from the Sidama Regional Health Bureau. Qual Eng. Some of the included potential confounding variables were socio-demographic characteristics: maternal age, religion, ethnicity, household wealth status, education of respondents, education of husband and occupation; obstetrics and some medical factors: history of preterm birth, history of stillbirth, and unplanned pregnancy. 26. Maternal and fetal outcomes of labor in grand-multipara women. Hawassa remains the capital city of the region. Ethiopia J Reprod Health. The association of grand multiparity and poor pregnancy outcome has not been consistent for decades. 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. While many of these instances involve first-time childbearing, a significant number include women who have given birth for at least a second time. 2003;67(1):111. 2015;4(1):219224. B.) Qual Prim Care. Guidelines on Basic Newborn Resuscitation. Watterberg KL, Aucott S, Benitz WE. Slightly more than two-thirds (67.5%) of the multiparous women and (49.6%) of the grand multiparous women were urban dwellers. 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). 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%). 1. Migration of people from eastern countries to Europe in the last 20 years, for political and economic reasons, has had an influence on our community and we have observed an increased incidence of multiparous deliveries in our hospital. A woman considered to be a grand multipara has experienced five or more viable pregnancies lasting longer than 20 weeks. The International Statistical Classification of Diseases and Health Related Problems ICD-10: Tenth Revision. A grand multiparous (GMP) woman, according to the International Federation of Obstetrics and Gynecology, has had at least five to nine prior term deliveries, and this 51. Al-Shaikh GK, Ibrahim GH, Fayed AA, Al-Mandeel H. Grand multiparity and the possible risk of adverse maternal and neonatal outcomes: a dilemma to be deciphered. Statistical significance was declared when the P-value was less than 0.05. WebPhysicians of Grand Prairie 3121 S. Carrier Pkwy Grand Prairie, TX 75052. doi:10.1186/s12884-019-2377-5. 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. doi:10.1186/s12884-019-2370-z, 3. However, a multigravida woman may not be considered multipara if one or more pregnancies did not last beyond 20 weeks, or if one pregnancy resulted in the birth of more than one child. The current study examines the outcome of delivery in 1700 women in their fifth or more delivery, as compared with two control groups: 622 primiparas and 735 multiparas (two to three previous deliveries). Now customize the name of a clipboard to store your clips. 1997 Sep;76(8):755-9. doi: 10.3109/00016349709024342. The term multipara is used to describe the number of pregnancies and child births that a woman has experienced. 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. doi:10.14260/jemds/1318. doi:10.1371/journal.pone.0225060. I feel like its a lifeline. Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia. Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, There were no instances of uterine rupture or maternal demise. 214-294-6100. Solanke BL, Banjo OO, Oyinloye BO, Asa SS. The region has 123 health centers and 17 hospitals (one comprehensive referral hospital, four general hospitals, and 12 primary hospitals). The study participants were included in consecutive sampling techniques until the anticipated sample size was obtained. Stillbirth was defined as a newborn baby with no signs of life at or after 28 completed weeks of pregnancy.41,42 Low birth weight was defined by the world health organization as a newborn birth weight of fewer than 2500 grams regardless of gestational age.43 Preterm birth is a baby born alive before 37 completed weeks of gestation but after 28 weeks of gestation.44 Gestational age was determined based on the last menstrual period and ultrasound measures were taken when prediction by last menstrual period was not possible. 21. medterms medical dictionary a-z list / grand multipara definition. WebObjective: to find out the profile of caesarean section in dr. Zainoel Abidin Hospital since the BPJS era. 1. 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. Presentations and positions are to be checked Undue delay in progress should be viewed with concern. Med Arch. Macrosomia was markedly higher in the grandmultiparas and multiparas than in nulliparas. Several features of Maternal grand multiparity and intention to use modern contraceptives in Nigeria. Model-dependent variance inflation factor cutoff values. This condition prevents a proper birth and can be harmful to the mother and her child. 2009;14(1):233238. this site will not function whilst javascript is disabled. [1],[2],[3],[4],[5],[6]The problem of grand multiparae in developing countries is compounded by a high prevalence of low socioeconomic status, poor female literacy, and social deprivation, as well as inadequate performance of family planning initiatives. 1776 US-287, Birth asphyxia is defined as failure to initiate and sustain spontaneous breathing at birth.45,46 To grade, the severity of perinatal asphyxia in newborns, the Apgar score was used. Federal Ministry of Healthof Ethiopia. All rights reserved. 2018;5(5):104172. 8600 Rockville Pike WebPatients characteristics and obstetric data are presented in Table 1. 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. 5. Keller. Terms of Use. Int J Reprod Contracept Obstet Gynecol. Gravidity and parity (G P) is a basic 2-digit system that only gives information about the number of pregnancies and births. I would definitely recommend Study.com to my colleagues. Int J Reprod Contracept Obstet Gynecol. PMC This shows that the more the deliveries, the less money for education and training of the children and vicious circle continues. Indian J Public Health Res Dev. - Definition, Causes & Treatment, What Is Eclampsia? HYPOTHESIS: Obstetrical complication are more in grand multiparae than the low parity women. Also, compared to women of low parity, grand multiparous women are at higher risk of having stillbirths, preterm delivery, and big babies. There were also limited studies conducted to assess the adverse perinatal outcomes of grand multiparity in Ethiopia. Grand multiparous (GMP) defined as parity 5 with single post-caesarean lower segment uterine scar admitted at a gestational age of 37 completed weeks and above were compared to grand multiparous without scar uterus at term. Enrolling in a course lets you earn progress by passing quizzes and exams. If you agree to our use of cookies and the contents of our Privacy Policy please click 'accept'. Top, Copyright 2023 Dove Press Ltd A purposive sample of doi:10.18203/2320-1770.ijrcog20172562, 33. A higher number of pregnancies and births relate that the uterus becomes less efficient at expanding and contracting in size during and after a pregnancy in order to return to normal volume. Entered data was exported to STATA 14 version software for analysis. D.) Increase in prothrombin time. Each day, thousands of women around the globe give birth to children. J Bangladesh Coll Phys Surg. management was done by the on call team comprising of one specialist obstetrician, three grand multipara compared to 61.2% in control group. - Symptoms, Causes & Treatment, What Is Gynecomastia? The first sign of pregnancy is most often: MedTerms medical dictionary is the medical terminology for MedicineNet.com. 2014;14(1):90. doi:10.1186/1471-2393-14-90, 39. 2018;143:602603. doi:10.5455/medarh.2019.73.92-96, 19. MedicineNet does not provide medical advice, diagnosis or treatment. 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