Maternal and Neonatal Outcome in Grandmultiparaous Women at Zagazig University Hospitals | ||
| Zagazig Nursing Journal | ||
| Article 3, Volume 9, Issue 2 - Serial Number 2013, 2013, Pages 31-48 PDF (140.81 K) | ||
| Document Type: Research Article | ||
| DOI: 10.21608/znj.2013.38659 | ||
| Authors | ||
| Eman Ahmed Gouda1; Sanaa Ali. Nour2; Amina Saad Genaid3; Eman El sayed Mohamed4 | ||
| 1Demonstrator, Obstetrics and Gynecological Nursing Dep.- Faculty of Nursing- Zagazig University, | ||
| 2Professor of Obstetrics and Gynecological nursing- Faculty of Nursing- Zagazig University | ||
| 3Assistant Prof. of Obstetrics and Gynecological nursing-Faculty of Nursing- Zagazig University | ||
| 4Lecturer of Obstetrics and Gynecological nursing- Faculty of Nursing-Zagazig University | ||
| Abstract | ||
| Background: Egypt is over populated and continuing population growth places a major strain on land and resources alike. Grandmultiparity can impose costly burden on Egypt; not only that, but also it can hinder economic development, increase health problems for the mother and children and erode the quality of life by reducing access to education, nutrition and employment. The aim of the present study was to compare maternal and neonatal outcome between grandmultipara and low parity women. Research design: A case control design was used in carrying out this study and a representative sample of 200 grandmultipara and low parity women were recruited for this study. The tools used for data collection were; an interview questionnaire sheet, a clinical assessment form, the partograph, a summary of labor sheet and a neonatal assessment sheet. The results of the study revealed that, grandmultipara women were more than 35 years, illiterate or can read and write and were living in rural areas. Previous abortion (54.0%), neonatal deaths (51.0%) and previous CS (63.0%) were more common and they had a statistically higher rate of contraceptive failure (p= 0.020). Their current pregnancy was associated with a higher proportion of anemia (65.0%), gestational diabetes and mal-presentation. They also had more failure of labor progress, uterine inertia, elective type of CS (67.6%), and postpartum hemorrhage. Neonatal deaths (5.0%), need of resuscitation as well as admission to NICU were also more common among grandmultipara women. It can be concluded that, the grandmultiparity was associated with ante-partum, intra-partum and postpartum complications, as well as neonatal morbidity and mortality. It was recommended that, the antenatal care and quality delivery services, adequate counseling to improve patient’s awareness pertaining to family planning and on issues relating to education, economic empowerment, as well as the misuse of culture and tradition that impedes their progress. | ||
| Keywords | ||
| Grandmultiparity; Obstetrical complications of grandmultipara | ||
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