Document Detail

Grand multiparity as an obstetric risk factor; a prospective case-control study.
MedLine Citation:
PMID:  1294406     Owner:  NLM     Status:  MEDLINE    
In a socio-economically stable community with free access to medical care, a prospective comparison was made of pregnancy, delivery and neonatal data concerning 480 grand multiparas (> or = 5 deliveries) and 325 controls. The mean diastolic blood pressure was slightly higher (79.8 vs. 77.8 mmHg) among the grand multiparas and the rates of episiotomy differed greatly (5.8% in the grand multiparas vs. 45.7% in the controls). The main clinical difference was a slightly higher incidence of placental complications-i.e., praevia, abruptio and retentio (3.4% vs. 0.9%; P < 0.05) in the grand multiparas. The differences had no effect on neonatal outcome. Grand multiparity should be regarded as an obstetrical risk factor, mainly because of the higher frequency of placental complications. With good obstetric care there should be no adverse effects on the mother or the newborn.
J Brunner; E Melander; M Krook-Brandt; P A Thomassen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  47     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-04-15     Completed Date:  1993-04-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  201-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Nyköping Hospital, Sweden.
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MeSH Terms
Case-Control Studies
Infant, Low Birth Weight
Infant, Newborn
Pregnancy Outcome*
Prospective Studies
Risk Factors
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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