Volume : VI, Issue : IV, April - 2017

STUDY OF GRAND MULTIPARA IN TERTIARY CARE HOSPITAL

Dr. Hemlata Parashar, Dr. Anjali Kanhere, Dr. Shikha

Abstract :

 Aim : To study the presentation pattern of grand multipara in labour by various factors and to establish that grand multiparity is still a high risk obstetrical problem. The purpose of this study was to analyse causes of maternal deaths in multipara  and to identify preventable factors leading to maternal mortality in our set up

Material and Methods : Retrospective analysis of grand multipara in department of Obst & Gynae. PCMS & RC for a period of 2 yrs & 9 moths from Jan-2010 to Sep-2012. various factors analyzed were booked / unbooked cases, age, parity, literacy, gravida status, no. of live births, mode of delivery, outcome of delivery with NICU admissions & acceptance of permanent method of sterilization.

 Results : Total no of deliveries were 1766  Total no of grand multipara admitted were 332, incidence of grand multipara 18.57%  Patients of age group 22 to 25 were 27.13 & 26-30 age were 41.46% ,31-35 age were 21.64% & > 35 were 9.45% . 50.92% delivered normal & 49.08% underwent LSCS. The no of patients with live issue of more than 3 were 35.67% 2-3live birth were 29.57%and 28.35%were 1 live birth only 6.40%had no issue, total no. of intrauterine fetal deaths were 9 and 26.52%of babies had NICU admission. Only 11.89% of patients underwent LSCS with TT and even acceptance of puerperal tubectomy was 9.7%

Conclusion : Grand multipara always pose different challenge in Obstetrics management. The acceptance rate for permanent method of tubal ligation is poor. Women are opting for next issue at the cost of their health and for want of male child There is a strong need to promote family planning practices.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

DR.HEMLATA PARASHAR, DR.ANJALI KANHERE, DR.SHIKHA, STUDY OF GRAND MULTIPARA IN TERTIARY CARE HOSPITAL, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-6, Issue-4, April‾2017

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