Obstetrical Outcome of Grand Multipara

Summary: Intruduction: Pregnancy in grand multipara has been considered as high risk because there are higher chance of complication during pregnancy, labour and puerperium. Objective: To evaluate various maternal and fetal complication associated with a grand multipara during pregnancy, delivery and puerperium. Methods: This prospective study was carried out from 1st January 2008 to 31st December 2008 in Obstetrics Gynecology Department of Sylhet MAG Osmani Medical College Hospital, Sylhet. 300 grand multipara pregnant patients were selected those who got admitted in Department of Obstetrics Gynecology, SOMCH during that period. Result: It was found that incidence of grand multipara was 6.60%. Majority of the patient were between 31–35 years old (43%). 66% patients never had anternal checkup, Caesarean section was high about 47%. Complications during labour were also high. It was about 51.67%. Maternal morbidity was about 16%. Perinatal mortality was about 11%. Conclusion: This study showed that grand multipara is a major risk for obstetrical outcome and needs strick supervision and good antenatal, intranatal and postnatal care.