Document Detail


Parity and pregnancy outcomes.
MedLine Citation:
PMID:  11854649     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The issue of parity and risk of pregnancy outcomes has been controversial for many decades. We conducted a study to evaluate the association between parity and pregnancy outcomes and to clarify the basis of the classification of risk based on parity. STUDY DESIGN: The study is a cross-sectional analysis on a large routinely collected data set of singleton births from 1992 to 1997 in New South Wales, Australia. Pregnancy outcomes were compared among parity groups. RESULTS: There was a significant association between different parity levels and pregnancy outcomes in terms of obstetric complications, neonatal morbidity, and perinatal mortality, after adjustment for potential confounders, including age, maternal smoking status, and socioeconomic status. In terms of obstetric complications, neonatal morbidity, and perinatal mortality, subjects can be classified into 3 groups according to parity: nulliparity, low multiparity (parity 1, 2, and 3), and grand multipara (parity 4 to 8). Compared with low multiparity, mothers and babies of nulliparity and grand multipara are at higher risk. CONCLUSIONS: This study supported the definition of grand multiparity that should start from parity 4 or the 5th baby. Attention should be paid to subjects of nulliparity and grand multiparity for their different problems.
Authors:
Jun Bai; Felix W S Wong; Adrian Bauman; Mohammed Mohsin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  186     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-02-20     Completed Date:  2002-03-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  274-8     Citation Subset:  AIM; IM    
Affiliation:
Division of Women's & Child Health, Liverpool Health Service, South Western Sydney Area Health Service, New South Wales, Australia. jun.bai@swsahs.nsw.gov.au
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MeSH Terms
Descriptor/Qualifier:
Australia
Cross-Sectional Studies
Female
Humans
Infant Mortality
Infant, Newborn
Infant, Newborn, Diseases / epidemiology
Parity*
Pregnancy
Pregnancy Complications / epidemiology
Pregnancy Outcome*
Risk Assessment

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


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