caa a22 4500 445308958 CHVBK 20180317142622.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00404-009-1296-5 doi (NATIONALLICENCE)springer-10.1007/s00404-009-1296-5 Grandmultiparity and pregnancy outcome in Aba, Nigeria: a case-control study [Elektronische Daten] [E. Akwuruoha, C. Kamanu, Stephen Onwere, B. Chigbu, C. Aluka, C. Umezuruike] Objective: To compare the incidence of antenatal and intrapartum complications and perinatal outcomes among women who had delivered five or more times (grandmultiparous) with those of age-matched controls who had delivered two to four times (multiparous). Design: A case-control study. Setting: A tertiary referral hospital in Aba, Nigeria. Sample: Seven hundred and thirty-four grandmultiparous women were compared with 734 age-matched multiparous controls. Methods: Maternal case records were retrieved from medical records department and analyzed with additional information obtained from the labor ward records. Statistical analysis was done using EPI info version 6; χ2 test was used to analyze categorical variables. Results: Grandmultiparity was associated with a significantly higher risk of antenatal anemia (P<0.05), multiple pregnancy (P<0.01), fetal macrosomia (P<0.01), perinatal mortality (P<0.01), and primary postpartum hemorrhage (P<0.05). A significantly higher rate of cesarean deliveries was observed in the multiparous controls (P<0.01), than the grandmultiparous women. Conclusion: Our study shows that there is an increased risk of antenatal anemia, multiple pregnancy, primary postpartum hemorrhage, and adverse perinatal outcomes in grandmultiparous women independent of maternal age. Springer-Verlag, 2009 Grandmultiparity nationallicence Pregnancy nationallicence Outcomes nationallicence Akwuruoha E. Abia State University Teaching Hospital, Aba, Nigeria aut Kamanu C. Abia State University Teaching Hospital, Aba, Nigeria aut Onwere Stephen Abia State University Teaching Hospital, Aba, Nigeria aut Chigbu B. Abia State University Teaching Hospital, Aba, Nigeria aut Aluka C. Abia State University Teaching Hospital, Aba, Nigeria aut Umezuruike C. Abia State University Teaching Hospital, Aba, Nigeria aut Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 167-172 0932-0067 283:2<167 2011 283 404 https://doi.org/10.1007/s00404-009-1296-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-009-1296-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Akwuruoha E. Abia State University Teaching Hospital, Aba, Nigeria aut NATIONALLICENCE 700 1- Kamanu C. Abia State University Teaching Hospital, Aba, Nigeria aut NATIONALLICENCE 700 1- Onwere Stephen Abia State University Teaching Hospital, Aba, Nigeria aut NATIONALLICENCE 700 1- Chigbu B. Abia State University Teaching Hospital, Aba, Nigeria aut NATIONALLICENCE 700 1- Aluka C. Abia State University Teaching Hospital, Aba, Nigeria aut NATIONALLICENCE 700 1- Umezuruike C. Abia State University Teaching Hospital, Aba, Nigeria aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 167-172 0932-0067 283:2<167 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer