Problems of Grand Multiparity in Labour And Delivery As Seen in Federal Teaching Hospital, Katsina (FTHK). A 5 Year Review.

Abstract

Objectives: To determine the prevalence of grand multiparity amongst the parturient in FTHK, to identify their socio-demographic characteristics, to identify the complications they had during labour, to determine their mode of delivery and the maternal and perinatal outcomes after delivery.

Methods: This is a retrospective study conducted over a five-year period between January 1^st 2016 to December 31^st 2020.

Results: The prevalence of grand multiparity was 17.4%. The GMP women were found not to be significantly older than the MP women (X²=12.000, p=0.384).

Breech presentation was the commonest complication seen in the GMP women. The odds of having at least 1 complication were 4 times higher in grand multiparous women compared with multiparous women (OR 3.92, 95%CI=3.07-5.00), 5.3%(44) of GMP women had assisted breech delivery while 0.6%(13) of MP women had this procedure. The odds of having an unfavorable birth outcome were 5 times higher in the GMP women compared with the MP women (OR 5.28, 95%CI=3.88-7.18). The rates of maternal death were also significantly higher among the grand multiparous women compared with the multiparous women.

CONCLUSION: Our study found a high rate of grand multiparity in our environment. Its obvious grand multiparity is still a source of great concern to the Obstetrician. GMP is associated with increased maternal and perinatal morbidity and mortality. To achieve a reduction of this preventable hazard in our environment there must be an increase in the levels of literacy in the community and also provision of family planning services.