Complications of grand multiparity

ABSTRACT

The outcome of pregnancy in 300 consecutive grand multiparae receiving care in a teaching hospital was investigated. The incidence of grand multiparity was surprisingly low but one in four patients was less than 30 years old. There were no instances of uterine rupture and, compared to previous reports in the literature, there was a marked decline in the overall maternal and perinatal risks. The impact of active obstetric management and neonatal intensive care in a tertiary unit and improved socio-economic conditions appear to have averted the menace of grand multiparity. (AU)