Grand multiparity and home birth. more babies would be considered as great grand multiparity.2 Pregnancy in grand multiparous women is viewed with anxiety, especially by obstetricians in developing countries working with inadequate facilities3, 4 . Grand multipara describes a woman who has had five or more viable pregnancies while a great-grand multipara describes a woman who has had 10 or more. Grand multiparity and the risk of breast cancer: population-based study in Finland ... first full-term delivery are associated with an increased risk [1]. Current incidence in these settings now ranges from 3 to 4 % . A review of 5785 cases. INTRODUCTION. Solomon first introduced the term "grand multipara" or "dangerous multipara" in 1934 after observing that increasing parity was associated with an increased risk of pregnancy complications and maternal mortality increased steadily from the 5 th to the 10 th pregnancy [].. multiparity. The risks associated with grand multiparity have been significantly reduced in developed countries since Bethel Solomons first described the phenomenon as the “dangerous multipara” in 1934 [1, 6]. The grand Several studies have investigated the risks associated multipara-is it still a problem? Int J with high parity using an arbitrary definition of grand Gynecol Obstet 1985;23:321–5. Multivariate relative risks (RRs) were estimated by Poisson regression analysis. This page provides some possible factors that could create a high-risk pregnancy situation. Grand-multiparity is a serious risk factor in pregnancy and common in developing countries. To study the frequency of maternal and perinatal mortality associated with complications of grand multi parity. Though few studies have argued that grand multiparity may not be discouraged if women are provided with adequate perinatal care, the health risks of grand multiparity include but not limited to incidence of anaemia in pregnancy , type 2 Diabetes , severe mental disorders , perinatal death , and several prenatal risks . The signs of AFE generally show up just before or during the labor and delivery process. Xxx. Several factors can make a pregnancy high risk, including existing health conditions, the mother’s age, lifestyle, and health issues that happen before or during pregnancy. SIR) adjusted for other study variables with 95% confidence intervals (95% CI), among GM-women, by study variables. By contrast, grand multiparity is found to be significantly associated with maternal complications during pregnancy and delivery in the literature [11, 12,20,[30][31][32][33]. Multiparity greater than 3 ↑ Risk antepartum/postpartum hemorrhage: Anemia Fetal death: Weight less than 45.5 kg (100 lb) Poor nutrition Cephalopelvic disproportion Prolonged labor: IUGR Hypoxia associated with difficult labor and birth: Weight more than 91 kg (200 lb) ↑ Risk hypertension ↑ Risk cephalopelvic disproportion ↑ Risk diabetes There was no mention of higher risks even though at most normal hospital I would of been deemed higher risk due to grand multiparity as well as my age. The increase use of contraceptives and improved health care delivery is expected to reduce both the prevalence and complications of this condition. We also conducted analyses within each geographic region that examined how both nulliparity and grand multiparity (vs 1 to 4 parities) were associated with (1) the risk of all-cause dementia, using binary logistic regressions, and (2) the risks of AD, VaD, and non-Alzheimer non-vascular dementia (NAVD), using multinomial logistic regressions. 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