caa a22 4500 445310367 CHVBK 20180317142627.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00404-010-1722-8 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1722-8 Prospective study of maternal and neonatal outcome in great-grand multiparous women (≥10 births) and in aged-matched women with lesser parity [Elektronische Daten] [Angelica Fadeev, Alexander Ioscovitch, Alina Rivlis, Sorina Grisaru-Granovsky, Arnon Samueloff, Michael Schimmel, Deborah Elstein] Purpose: Evaluation of outcome of labor/delivery in great-grand multiparous (GGMP) women relative to women with lower parity is complicated because of confounding parity with (older) age. Herein, we compare maternal and neonatal outcome in GGMP from a large obstetrics department to that in older women with lesser parity. Methods: This was a prospective observational study of older gravid women. All laboring women in a 6-month period were included in this study if they were older than 36years and had had 2-3 previous births (low parity) or 5-6 previous births (medium parity), and also all women ≥10 births (of any age); all other laboring women were excluded. Results: GGMP (187 women) relative to low-parity (128 women) and medium-parity (181 women) had higher mean gestational age (39.72±1.8 vs. 39.1±1.8 and 39.15±1.6weeks; p=0.0011), mean dilatation at presentation (5.0±2.0 vs. 4.3±2.1 and 4.36±2.0; p=0.0074), and mean neonatal birth weight (3444.6±540.8 vs. 2376±507.8 and 3272.3±559.5g; p=0.0032). GGMP relative to low- and medium-parity women had lower mean gravidity:parity (1.10 vs. 1.3 and 1.19; p<0.0001); percent missed abortions (8 vs. 28.1 and 43.1%; p=<0.0001); mean second stage (10.4±12.5 vs. 21.2±26.4 and 12.8±17.3min; p<0.0001); mean ratio previous cesarean sections: total potential deliveries (0.03±1.07 vs. 0.16±0.25 and 0.09±0.22; p<0.0001). The low parity group had the least good maternal and neonatal characteristics. There was no maternal or fetal mortality in any group. Conclusions: Among older Israeli GGMP women, maternal and neonatal outcome is good and comparable to women of similar age, but lesser parity. Springer-Verlag, 2010 Great-grand multiparous nationallicence Parity nationallicence Maternal outcome nationallicence Neonatal outcome nationallicence Epidural anesthesia nationallicence Cesarean section nationallicence Labor nationallicence Delivery nationallicence Fadeev Angelica Department of Anesthesiology, Shaare Zedek Medical Center, Jerusalem, Israel aut Ioscovitch Alexander Department of Anesthesiology, Shaare Zedek Medical Center, Jerusalem, Israel aut Rivlis Alina Toronto, Canada aut Grisaru-Granovsky Sorina Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel aut Samueloff Arnon Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel aut Schimmel Michael Department of Neonatology, Shaare Zedek Medical Center, Jerusalem, Israel aut Elstein Deborah Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel aut Archives of Gynecology and Obstetrics Springer-Verlag 284/4(2011-10-01), 799-805 0932-0067 284:4<799 2011 284 404 https://doi.org/10.1007/s00404-010-1722-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1722-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fadeev Angelica Department of Anesthesiology, Shaare Zedek Medical Center, Jerusalem, Israel aut NATIONALLICENCE 700 1- Ioscovitch Alexander Department of Anesthesiology, Shaare Zedek Medical Center, Jerusalem, Israel aut NATIONALLICENCE 700 1- Rivlis Alina Toronto, Canada aut NATIONALLICENCE 700 1- Grisaru-Granovsky Sorina Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel aut NATIONALLICENCE 700 1- Samueloff Arnon Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel aut NATIONALLICENCE 700 1- Schimmel Michael Department of Neonatology, Shaare Zedek Medical Center, Jerusalem, Israel aut NATIONALLICENCE 700 1- Elstein Deborah Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/4(2011-10-01), 799-805 0932-0067 284:4<799 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer