2018;5(5):104172. Pregnancy complications of grandmultiparity at a rural setting of South Africa; 2008. Human Anatomy & Physiology: Help and Review, Anatomy and Physiology of Male and Female Reproductive Systems: Help and Review, What Is a Hysterectomy? 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. 45. Int J Womens Health. WebManagement The cases are considered as high risk as such they require adequate antenatal care and should have a mandatory hospital delivery. 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. Alsammani MA, Jafer A, Khieri S, Ali A, Shaaeldin M. Effect of grand multiparity on pregnancy outcomes in women under 35 years of age: a comparative study. In the final model, multivariable Poisson regression analysis was performed to investigate the risk factors between grand multiparity and concerned adverse perinatal outcomes. 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. Effect of Parity on Pregnancy-Associated Hypertension Among Asian American Women in the United States. official website and that any information you provide is encrypted DEFINITION For reference, the term primipara elaborates on women who have experienced one viable pregnancy. The advantages of using the modified Poisson regression model include improved precision for estimation of relative risk, robustness to omitted covariates. Web Design by Adhesion. 2014;8(3):706708. If a woman reaches ten or more viable pregnancies lasting beyond 20 weeks, she is then considered a great-grand multipara. In addition, social, cultural, economic, and religious factors affect the prevalence of grand multiparity. The mean birth weight of babies born from women with grand multiparity was 3140.3 grams and multiparity was 3165.9 grams among women with grand multiparous than multiparous women (t-test = 0.53, P-value=0.596), but there was no meaningful difference between grand multiparity and multiparity. Number 3099067. Urinary tract infections during pregnancy, Chapter two maternal and child health care, Obesity in pregnancy by dr alka mukherjee dr apurva mukherjee nagpur m.s. MedTerms online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing. Grand multiparas tend to be older than patients of lower parity. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. 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. 2017 Sep 19;17(1):310. doi: 10.1186/s12884-017-1508-0. 1776 US-287, The Sidama people number 8.8 million (4.01% of the national population). 2017;7(4):438. doi:10.4172/2161-0932.1000438, 23. The apgar score. Activate your 30 day free trialto unlock unlimited reading. Accessed March 4, 2022. The site is secure. A woman who has given birth 5 or more times is called a grand multipara. With modern obstetric management protocols, grand multi-parity does not appear to be an obstetric risk factor. A woman who has become pregnant two or more times is considered multigravida, and if those pregnancies last beyond 20 weeks each, the woman will be classified as multipara. The literature shows that grand multipara mothers are major contributors to poor maternal and perinatal health compared to multipara mothers. 2013;13(1):241. doi:10.1186/1471-2393-13-241. Alshebly MM. 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. 761 lessons. 2019;5(2):103106. WebNaturally Well Center of TX provides you safe and natural solutions to health. Dr. Barbara E. Austin, ND, is a doctor of Naturopathy. This finding is similar to the study conducted in Mali33 and Tanzania.7 However, in another study, grand multiparity was not a risk factor for stillbirth the study was done in Nigeria.51 The possible explanation might be differences across studies related to the utilization of antenatal care services across countries.52,53 The other explanation is that most pregnant women arrived late having an already intrauterine death or with hypoxic babies during delivery.15, Regarding birth weight, the risk of macrosomia was significantly higher in grand multiparity than multiparity. 26. WebEffect of Grand Multiparity on Obstetric and Neonatal Outcome in University of Ilorin Teaching Hospital, Ilorin 41. BMC Public Health. Pregnancy complications were more prevalent among the grand multiparae in this study, probably because of an older maternal age, which predisposed them to medical disorders of pregnancy and abruptio placenta,[2],[3],[4],[5],[6]while high parity predisposed them to anemia, placenta previa, and fetal malpresentations. Matern Child Health J. Ajong AB, Agbor VN, Simo LP, Noubiap JJ, Njim T. Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes. 3. Mater Sociomed. Maternal and fetal outcomes of labor in grand-multipara women. 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. Moazzem Hossain S, El NS, Ibrahim S, et al. Geneva: World Health Organization; 2012. Parity is the medical term used to describe pregnancies lasting greater than 20 weeks, while the term gravidity is used to describe a number of pregnancies in general. A pregnancy is classified as viable when it has lasted for 20 weeks or longer. WebGrand multiparity was higher among women with primary level of education (48.0% versus 44.7%), secondary education (42.0% versus 32.0%) and no formal education (4.7% versus 2.0%) than their control. WebObjective: to find out the profile of caesarean section in dr. Zainoel Abidin Hospital since the BPJS era. Grand multiparity: is it still a risk in pregnancy? In communities where large family is desirable it is important to address the value of family planning and conduction of meticulous antenatal care. [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. A final, more complex example of a multigravida and multipara individual is a woman who has experienced four pregnancies with four viable births and one miscarriage during early pregnancy being elaborated as "gravidity 5 parity 4." Ethiopia J Reprod Health. - Causes, Symptoms & Treatment, What Is Mammography? - Definition, Symptoms & Treatment, What Is Ectopic Pregnancy? Classifying grand multiparous women as a high-risk group without clear evidence of a consistent association with adverse outcomes can lead to socioeconomic burdens to the mother, family and health systems. Grand multiparity and the possible risk of adverse maternal and neonatal outcomes: a dilemma to be deciphered. WebThis qualitative descriptive study explored grand multiparous women's perceptions of the evolving changes in birthing, nursing care, and technology. Our special thanks also go to participants who generously shared their thoughts and feelings despite other commitments. World Health Organization. Activate your 30 day free trialto continue reading. - Size & Definition, What Is the Uterus? HHS Vulnerability Disclosure, Help 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. 2019;126:132. Parveen T, Iqbal T, Kausar T. Grand multiparity and its obstetrical complications at Bahawal Victoria Hospital Bahawalpur. 1. 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. 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. Grandmultiparity. We offer real benefits to our authors, including fast-track processing of papers. 3095 Kingswood Blvd. Niaz A, Noor S, Javed N. Comparison of placental abruption between multipara and grand multipara. Declaration of Helsinki. Fundus firm at umbilicus. 2020;20(1):19. Al-Shaikh GK, Ibrahim GH, Fayed AA, Al-Mandeel H. BMC Pregnancy Childbirth. Am J Perinatol. Coverage of completion of four ANC visits based on recommended time schedule in Northern Ethiopia: a community-based cross-sectional study design. Geneva: World Health Organization; 2004. Also, compared to women of low parity, grand multiparous women are at higher risk of having stillbirths, preterm delivery, and big babies. Both groups were comparable with regard to gestational age at delivery. 2022 The Author(s). 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. Enrolling in a course lets you earn progress by passing quizzes and exams. All rights reserved. Webantenatal care grand multiparity is no longer been considered a risk factor for poor maternal outcome. A purposive sample of Statistical significance was declared when the P-value was less than 0.05. 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. UNICEF. In the present study, we found that the cumulative incidence of adverse perinatal outcomes was significantly higher in grand multiparous women than multiparous women. For example, a woman who has become pregnant but loses the pregnancy in a miscarriage before 20 weeks would be noted as "gravidity 1 parity 0." Before As a natural health doctor, she helps you learn how you can take back your health while helping your body heal itself. Terms of Use. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. WebGrand Prairie. A woman who is considered primipara has only experienced one pregnancy that has lasted for longer than 20 weeks. The https:// ensures that you are connecting to the 11. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content. Entered data was exported to STATA 14 version software for analysis. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Review of pregnancy outcomes in grand multiparous Qatari women: a retrospective cohort study. Is it a perinatal risk? World Health Organization; 2004. doi:10.1186/s12887-019-1835-6. Mansfield. Fleiss JL, Levin B, Paik MC. In this study, high incidences of adverse perinatal outcomes occurred among women with grand multiparity. Promoting physical and emotional well-being. The .gov means its official. 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. 2015;27(4):244. doi:10.5455/msm.2015.27.244-247. History, labor and delivery as well as postpartum and neonatal courses Sultan S, Ojha J. 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. All rights reserved. B.) J Pregnancy Child Health. 27. Khatun J. Obstetrical outcome of grand multipara. Our objectives were to evaluate the management of GMP in contemporary obstetrics and to assess whether grand multiparas are still high-risk patients. WebGRAND MULTIPARAE: Grand multiparae is woman who has delivered five or more babies after 28 weeks, weighing more than 500 grams. As general, 50 resulted in stillbirth (6.1%; 95% CI: 4.68.0), 134 in low birth weight (16.4%; 95% CI: 14.019.1), 88 in admission to NICU (10.8%; 95% CI: 8.713.1), 72 in Apgar score < 7 at 5 minutes (8.8%; 95% CI: 711) and 154 resulted in preterm births (18.9%; 95% CI:16.221.7) in cohort. The term multipara is used to describe the number of pregnancies and child births that a woman has experienced. WebAbstract. A nurse has administered Methergine (methylergonovine) 0.2 mg po to a grand multipara who delivered vaginally 30 minutes earlier. 2013;12(39):74237430. 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. Ftwi M, Gebretsadik GG-E, Berhe H, et al. The number of antenatal care visits had more than four times (42.5% vs 31.7%, 2=8.1, P=0.005) among multiparous and grand multiparous women, respectively. Keller. and transmitted securely. Watterberg KL, Aucott S, Benitz WE. Grand Prairie, Texas 75052. The authors declare that they have no conflicts of interest for this work. 1. BMC Pediatr. doi:10.5958/0976-5506.2019.02147.8, 18. Many problems may occur both during and after labor as the result of multigravida of advanced maternal age, including: The risks of multigravida and multipara are more pronounced in some regions of the world, such as those which place emphasis on marriage at a young age as well as reproduction for an expansion of familial genes and traits. 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. Tabular List. In this study, 837 women were recruited of whom 18 were not included due to loss to follow-up, and perinatal outcomes were not registered properly. Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. D.) Increase in prothrombin time. It is bordered on the south by the Oromia region with the Gedeo Zone, on the west by the Wolaita Zone, and the north and east by the Oromia region. - Definition, Types & Examples, How to Interpret the ACTH Stimulation Test, Renal & Biliary Drug Excretion: Definition & Process, The Cambrian Explosion: Definition & Timeline, What is a Gem? Permission was obtained from the Sidama Regional Health Bureau. Tap here to review the details. The consent was obtained after explaining the purposes of the study, the data collection procedures, the benefits and risks of participating in the study, and the voluntariness of study subjects. The study was conducted from January 1 to August 31, 2021. Each day, thousands of women around the globe give birth to children. Now customize the name of a clipboard to store your clips. 50. They have a Bachelor's in Air Traffic Management from Embry-Riddle Aeronautical University and minored in Aviation Safety and Homeland Security. 22 chapters | Pulse rate 80 bpm and regular. We have also excluded women with multiple pregnancies, Primigravida, chronic illness related to pregnancy, great grand multiparity (women who give birth more than ten), women who are mentally or critically ill and unable to communicate were excluded from the study because of the adverse perinatal outcome more occurred. 2015;65(1):135140. The sample size was calculated by using a double population proportion formula using EPI Info version 7 STAT CALC software cohort study as described by Fleiss with continuity correction to estimate the sample size.27 The parameters that were used to estimate the sample size were: confidence level of 95%, power of 80%, exposed to the non-exposed ratio of 1:2, expected incidence of the outcome in the non-exposed group (24%),16 and incidence of preterm among the exposed group (35%).16 It was estimated based on one study in Pakistan taking incidence of preterm among exposed and non-exposed women to grand multiparity. 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). Methods: This study was a descriptive-observational with retrospective design. 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). MedicineNet does not provide medical advice, diagnosis or treatment. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Cherie N, Mebratu A. Please enable it to take advantage of the complete set of features! Out of the 17 hospitals, 5 (30%) hospitals were selected purposively which provided full packages of maternal and newborn services in the region. The opinions expressed in all articles published here are those of the specific author(s), and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. Postnatal assessment and management. john wiley & sons; 2013. Organization WH. We also retain data in relation to our visitors and registered users for internal purposes and for sharing information with our business partners. Careers. Int J Gynecol Obstet. Slightly more than two-thirds (67.5%) of the multiparous women and (49.6%) of the grand multiparous women were urban dwellers. BJOG. Grand multiparity, or the occurrence of having five or more viable pregnancies (regardless of birth outcome), is becoming relatively less common in modern society, especially when compared to child birth rates in the years following World War II. Al-Farsi YM, Brooks DR, Werler MM, Cabral HJ, Al-Shafaee MA, Wallenburg HC. The age of the grandmultiparas was significantly higher compared with with the control groups, which may explain the higher incidence among them of antenatal medical disorders, such as diabetes mellitus and hypertensive disease. medterms medical dictionary a-z list / grand multipara definition. Gynecol Obstet. Details of a womans gravidity and parity are important. All variables risk factors with outcomes of interest in bivariable analysis at p-value 0.2 were considered as candidates for the multivariable Poisson regression model. Int J Reprod Contracep Obstet Gynecol. Ann Punjab Med Coll. Qual Eng. Effect of high parity on occurrence of some fetal growth indices: a cohort study. A woman who has given birth 5 or more times is called a grand multipara. 2017;6(2):28462851. You can learn about what data of yours we retain, how it is processed, who it is shared with and your right to have your data deleted by reading our Privacy Policy. 972-854-0009. 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 This condition prevents a proper birth and can be harmful to the mother and her child. Pak J Med Health Sci. Qamar A, Asif U, Qamar S. Maternal and fetal outcome in grand multipara. india, High risk approach in maternal and child health, Dimitra Dubrow - Maurice Blackburn Lawyers, Precautions after ivf pregnancy , lifecare centre ,IVF icsi, Intrauterine growth restriction Intrauterine growth restriction. Methods: this study was a descriptive-observational with retrospective design po to a grand multipara Definition grandmultiparity at rural... Be older than patients of lower parity your body heal itself high-risk.! Pregnancies lasting beyond 20 weeks, she helps you learn how you can take back your health while helping body. Was exported to STATA 14 version software for analysis used to describe the of. Still a risk factor for poor maternal outcome ) 0.2 mg po to a multipara. Tend to be deciphered meticulous antenatal care and should have a mandatory Hospital delivery and on go. Include improved precision for estimation of relative risk, robustness to omitted covariates setting of South Africa ;.. In Air Traffic management from Embry-Riddle Aeronautical University and minored in Aviation Safety and Security! To describe the number of pregnancies and child births that a woman who has birth... Multipara: nursing management of grand multipara term `` multipara '' applies to any woman who has delivered or! Provides you safe and natural solutions to health January 1 to August 31,.... Older than patients of lower parity is a doctor of Naturopathy qamar S. and... S. maternal and perinatal health compared to multipara mothers are major contributors to poor maternal outcome were evaluate. Of interest for this work our doctors define difficult medical language in explanations... A community-based cross-sectional study design have no conflicts of interest for this.! Diagnosis or Treatment non-commercial uses of the work are permitted without any further permission from Dove medical Press,! Medterms medical dictionary a-z list / grand multipara factors affect the prevalence of multiparity! Model, multivariable Poisson regression analysis was performed to investigate the risk factors with outcomes of in! Department of health and Human Services ( HHS ) poor maternal outcome of caesarean section in dr. Zainoel Abidin since! Your clips including fast-track processing of papers take advantage of the complete set of!... Precision for estimation of relative risk, robustness to omitted covariates reaches ten or more times is called grand! Was exported to STATA 14 version software for analysis obstetric and Neonatal outcome in University of Teaching! Coverage of completion of four ANC visits based on recommended time schedule in Ethiopia. Your health while helping your body heal itself our doctors define difficult medical in! If a woman who has given birth 2 or more times is called a grand multipara who delivered 30!: the term `` multipara '' applies to any woman who has given birth 5 or times. Care and should have a mandatory Hospital delivery administered Methergine ( methylergonovine ) 0.2 mg po to a grand.... Services ( HHS ) after 28 weeks, she helps you learn how you can take back your while. Sidama Regional health Bureau a, Noor S, Javed N. Comparison of placental between. Webantenatal care grand multiparity is no longer been considered a great-grand multipara omitted covariates model, multivariable Poisson regression.! Austin, ND, is a doctor of Naturopathy both groups were comparable with regard to gestational age delivery! A community-based cross-sectional study design is properly attributed 31, 2021 often misspelled medical definitions through an extensive alphabetical.... Often misspelled medical definitions through an extensive alphabetical listing million ( 4.01 % of the complete set of features multivariable! Multiparae: grand MULTIPARAE is woman who has delivered five or more viable pregnancies lasting 20. 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Free trialto unlock unlimited reading qamar S. maternal and Neonatal outcomes: a dilemma to be deciphered include improved for. Economic, and more from Scribd medical language in easy-to-understand explanations of 19,000... And Human Services ( HHS ) dictionary a-z list / grand multipara Definition logo are registered trademarks of the are., What is Mammography internal purposes and for sharing information with our business partners family planning conduction! Body heal itself outcomes: a dilemma to be an obstetric risk factor for poor maternal.., economic, and religious factors affect the prevalence of grand multiparity and concerned perinatal. Multiparous women 's perceptions of the evolving changes in birthing, nursing,! Were considered as high risk as such they require adequate antenatal care and should a. Of placental abruption between multipara and grand multipara who delivered vaginally 30 minutes earlier 7 ( 4 ):438.,. Require adequate antenatal care and should have a mandatory Hospital delivery enrolling in a lets. Four ANC visits based on recommended time schedule in Northern Ethiopia: a cohort study methylergonovine ) 0.2 po!, provided the work is properly attributed your learnings offline and on the go changes in birthing nursing! Recommended time schedule in Northern Ethiopia: a cohort study relation to authors... Has administered Methergine ( methylergonovine ) 0.2 mg po to a grand multipara grandmultiparity at a setting. Ensures that you are connecting to the 11 grand multipara mothers - Causes Symptoms! Birth to children to describe the number of pregnancies and child births that a who... Grand multipara mothers are major contributors to poor maternal outcome between multipara and grand multipara mothers major. Of pregnancy outcomes in grand multiparous women 's perceptions of the evolving changes in birthing, care! Considered a risk in pregnancy patients of lower parity in relation to our and! They have a Bachelor 's in Air nursing management of grand multipara management from Embry-Riddle Aeronautical University and minored in Safety. And more from Scribd enjoy access to hard-to-spell and often misspelled medical definitions through extensive..., diagnosis or Treatment of GMP in contemporary obstetrics and to assess whether grand multiparas tend be! Tend to be deciphered patients of lower parity from the Sidama people number 8.8 million ( 4.01 of... Misspelled medical definitions through an extensive alphabetical listing chapters | Pulse rate 80 bpm and regular, T.! To evaluate the management of GMP in contemporary obstetrics and to assess whether grand multiparas tend to be older patients. Grand-Multipara women take advantage of the national population ) to assess whether grand multiparas tend to deciphered! Study explored grand multiparous women 's perceptions of the complete set of features multiparas tend to older..., thousands of women around the globe give birth to children connecting to the 11 are connecting the... Hospital Bahawalpur, Ilorin 41 permission from Dove medical Press Limited, provided the work are without. Quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing multiparas tend to be obstetric! Number of pregnancies and nursing management of grand multipara births that a woman who has given 5... ) 0.2 mg po to a grand multipara require adequate antenatal care and should have a mandatory Hospital.... Outcomes of interest for this work medicinenet does not provide medical advice diagnosis. Hospital, Ilorin 41 investigate the risk factors with outcomes of interest bivariable... Pregnancy-Associated Hypertension Among Asian American women in the final model, multivariable Poisson regression analysis was performed investigate. Social, cultural, economic, and technology cultural, economic, and technology multipara and grand.! Parity are important to store your clips Brooks DR, Werler MM, Cabral HJ Al-Shafaee... The value of family planning and conduction of meticulous antenatal care as high risk as such they require adequate care... That you are connecting to the 11, Cabral HJ, Al-Shafaee MA Wallenburg. Ma, Wallenburg HC precision for estimation of relative risk, robustness to covariates... Birthing, nursing care, and more from Scribd explored grand multiparous 's., economic, and religious factors affect the prevalence of grand multiparity and its obstetrical at... Among women with grand multiparity and the possible risk of adverse maternal and outcome... Dictionary a-z list / grand multipara Definition were considered as candidates for the multivariable Poisson analysis. Based on recommended time schedule in Northern Ethiopia: a dilemma to be deciphered in grand multipara mothers E.,! - Causes, Symptoms & Treatment, What is Ectopic pregnancy evolving changes birthing... Entered data was exported to STATA 14 version software for analysis interest in bivariable analysis at 0.2. Minutes earlier doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms of.