Grandmultiparity: Evaluating obstetric and neonatal outcomes after eliminating confounders

Simple item page
dc.contributor.authorAdeniran, Abiodun
dc.contributor.authorFawole, Adegboyega
dc.contributor.authorFakeye, Olurotimi
dc.contributor.authorIjaiya, Munirdeen
dc.contributor.authorAdesina, Kikelomo
dc.date.accessioned2019-11-07T08:12:26Z
dc.date.available2019-11-07T08:12:26Z
dc.date.issued2014-03
dc.description.abstractAims and Objectives: The objective was to evaluate obstetric and neonatal outcomes in booked grandmultiparas (para e”5) and compare with outcome in age and social status matched booked multiparas (para 2-4) after eliminating confounders. Patients and Methods: A cohort study with grandmultiparas (subjects) and age and social status matched multiparas as controls. All participants were counseled and an informed consent obtained at the antenatal clinic. Maternal demography and history were taken; they were subsequently monitored during pregnancy, labour and immediate puerperium. The main outcome measures were obstetric and neonatal outcomes among subjects and controls. Results: The incidence of grandmultiparity was 4.1%. During antenatal period, grandmultiparas had statistically significantly higher occurrence of late antenatal booking (P=0.0202), anaemia (P=0.0024) and past history of poor perinatal outcome (P=0.0124). Grandmultiparas had statistically significant occurrence of preterm delivery (P=0.0389) and higher but not statistically significant mean duration of labour (P=0.3532), intrapartum complications (P=0.2014) and postpartum haemorrhage (P=0.2126). Neonates of grandmultiparas had statistically significant low first minute Apgar scores (P=0.0011) with higher but not statistically significant occurrence of low birth weight (P=0.1613) and neonatal intensive care admission (P=0.7202). The perinatal mortality rates were 136 and 75 per 1 000 deliveries for grandmultiparas and multiparas. There were no maternal deaths during the study period. Conclusion: After controlling for age and social class, booked grandmultiparas had poorer obstetric and neonatal outcome compared to booked multiparas but these were majorly statistically insignificant due to effect of modern antenatal care.en_US
dc.description.sponsorshipNilen_US
dc.identifier.urihttp://hdl.handle.net/123456789/3387
dc.language.isoenen_US
dc.publisherNational Postgraduate Medical College of Nigeriaen_US
dc.subjectGrandmultipatiryen_US
dc.subjectObstetricsen_US
dc.subjectNeonatalen_US
dc.subjectOutcomeen_US
dc.subjectConfoundersen_US
dc.titleGrandmultiparity: Evaluating obstetric and neonatal outcomes after eliminating confoundersen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Grandmultiparity_ Outcome.pdf
Size:
31.75 KB
Format:
Adobe Portable Document Format
Description:
Main article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.69 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections