SIX MONTHLY DESCRIPTIVE RESEARCH ABOUT GRAND MULTIPARITY FREQUENCY AND RELATED FETOMATERNAL OUTCOME AT MAYO HOSPITAL, LAHORE

Objective: To find out the occurrences of grand multiparity and to estimate the magnitude of its effect on the mother and the newly born baby in a local health care facility. Design: The design of the study was descriptive. Place and Duration: The study was carried out from February – July 2016 at Mayo Hospital, Lahore (Obstetrics and Gynecology Department), Pakistan. Subjects and Methods: The females having grand multiparity were selected for the study. The women having less frequency and with other medical conditions were excluded. The subjects were interviewed and examined physically. Laboratory results were gathered for the grand multipara women and data was analyzed by using software (SPSS Ver 10.0). Results: A total of 630 cases of deliveries were reported during the span of the study. One hundred grand multipara women were selected out of 630 (15.9%) according to inclusion criteria. The selected women were having the ages between 26-30 years. The subjects in the study were also facing conditions like anemia (90%), antepartum haemorrhage (28%), obstructed labor (21%), postpartum haemorrhage (19%) and hypertension (18%). Grand multipara women who suffered from fetal loss were 25%. Conclusion: The risk associated with grand multiparity and pregnancy is often very high. The reasons are complicated, interlinked and multifold but yet can be stopped or minimized. Such pregnancies have got all the potential to affect the maternal and fetal health with unwanted outcomes. To overcome the complications in such cases regular evaluation, antenatal care and post-natal follow up visits are recommended for the health of both. Keywords: Grand Multiparity, Pregnancy, Fetus, Outcome