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Grand Multipara refers to a woman who has given birth five or more times. The term is derived from the Latin words 'grandis' meaning 'great' and 'multipara' meaning 'to give birth'. The condition is associated with both maternal and fetal risks, and requires careful medical management.

Definition

A woman is considered a Grand Multipara if she has been pregnant five or more times and each pregnancy has resulted in a live birth or stillbirth at 20 weeks gestation or later. This definition excludes miscarriages and ectopic pregnancies.

Risks

Grand multiparity is associated with several risks for both the mother and the baby. These include preterm labor, postpartum hemorrhage, placenta previa, placental abruption, and uterine rupture. The risk of cesarean section is also increased.

Management

Management of grand multiparity involves careful antenatal care, with regular monitoring of the mother and baby. This may include more frequent ultrasound scans and blood tests. During labor, the woman may require closer monitoring and potentially a cesarean section if complications arise.

Sociocultural Factors

In many cultures, particularly in developing countries, grand multiparity is common due to societal expectations around family size. However, it is associated with increased maternal and infant mortality rates, particularly in areas with limited access to healthcare.

See Also

• Pregnancy
• Childbirth
• Obstetrics
• Gynecology