Impact of grandmultiparity on obstetric outcome in low resource setting
Impact of grandmultiparity on obstetric outcome in low resource setting
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DOI：
10.1111/j.1447-0756.2010.01476.x
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发表时间：
2011-08-01
影响因子：
1.6
通讯作者：
Das, Vinita
中科院分区：
文献类型：
--
作者：
Agrawal, Smriti;Agarwal, Anjoo;Das, Vinita
目的：材料与方法：282例产次>= 4的孕妇与564例产次1- 3的孕妇进行比较。结果：2006年1月至2008年12月，在勒克瑙CSMMU共分娩13403例。经产妇的患病率为2.3%。与对照组相比，经产妇年龄较大（P < 0.001），且更多来自农村地区（P < 0.001）。经产妇中穆斯林所占比例（23.8%）明显高于对照组（16.5%），P < 0.01。经产妇贫血（P < 0.001）、胎位不正（P = 0.01）、子宫破裂（P < 0.001）的发生率明显高于经产妇。胎盘早剥、前置胎盘、难产多见于经产妇，差异有统计学意义（P < 0.01）。在分娩方式、新生儿性别或低出生体重发生率方面没有差异（
Aim: This study was undertaken to evaluate the impact of grandmultiparity on obstetric outcome in a low resource setting.Material & Methods: Two hundred and eighty-two antenatal grandmultiparous women (parity >= 4) were compared with consecutive 564 antenatal women with parity 1-3.Results: There were 13 403 deliveries over the study period from Jan 2006-December 2008 at CSMMU, Lucknow. The prevalence of grandmultipara was 2.3%. Grandmultipara were older (P < 0.001) and more commonly from rural areas (P < 0.001) as compared to the control group. The percentage of Muslims among grandmultipara (23.8%) was higher than among controls (16.5%), P < 0.01. Grandmultipara had significantly higher prevalence of anemia (P < 0.001), malpresentation (P = 0.01) and rupture uterus (P < 0.001). Abruptio placenta, placenta previa and obstructed labor were seen more often in grandmultipara, and the difference was statistically significant (P < 0.01 in each group). There was no difference in terms of mode of delivery, sex of newborn or the prevalence of low birthweight (