Introduction to Grand Multipara

What is/are Grand Multipara?

Grand Multipara - Older literature reported increased incidence of perinatal complications in grand multiparas, but, recent reports failed to support this finding. ^[1] The incidence was high in parity-3 (26%) annd grand multipara (49. ^[2] 25 %) and 16 were grand multipara (31. ^[3] Objective: To determine frequency of antenatal complications in grand multipara. ^[4] 6% were grand multipara. ^[5] In compared to fully vaccinated, being not vaccinated was positively associated with older maternal age, rural residence, maternal education, unemployment, and no antenatal care whereas negatively associated with semi-urban residence, poor wealth index, multipara, grand multipara, and facility delivery. ^[6] Submucosa Uterine Fibroid in Grand Multipara Woman: A Case Report. ^[7] Age >40 years, male gender, BMI >25, congenital anomalies, history of abdominal surgery, history of abdominal trauma, family history, grand multipara, chronic cough, chronic bronchitis, and smoking were potential predictive factors of AH. ^[8] In this study 80 grand multipara patient who had previous four or more pregnancy were recruited for study and found to be increased complication among them. ^[9] Grand multipara and trial of home delivery were the most common identifiable risk factors along with obstructed labour. ^[10] The rate of anemia being higher among grand multiparas, in third trimester of pregnancy and age more than 35 years and in mothers  who had chronic illnesses. ^[11] At the individual level, factors included: women's negative attitudes toward PPD, women's societal status, grand multipara, gender, and limited knowledge about PPD; at the family level: low awareness among husbands and other family members regarding PPD symptoms and treatment, and lack of social support; at the organisational level: lack of culturally appropriate (health care services) HCSs, lack of PPD screening, and lack of PPD detection by family physicians; at the community level: economic barriers and poverty, stigmatisation of mental health problems, polygamy, and multiple births; finally, at the public policy level: residence in unrecognised villages lacking basic infrastructure. ^[12] Aim: To examine the impact of grand multiparity on pregnancy outcome in young women aged 18–34 years (Young grand multiparas). ^[13] 5% were grand multiparas, and 12. ^[14] Modic changes and DDD were less common in grand multipara and multipara young women than in primipara women. ^[15] Majority of the respondents were grand multipara, 261(45. ^[16] Case Report: A 58-yearold diabetic patient, agrand multiparas with history of exclusive breastfeeding. ^[17] With the exception of severe perineal tear, grand multipara and their babies are as likely to develop adverse delivery outcomes as their counterparts with lesser parity. ^[18] 70%) were frequently occurred complications in grand multiparas compared to low multiparous women. ^[19]