Nigus Bililign Yimer1, Abel Gedefaw2, Zelalem Tenaw3, Misgan Legesse Liben4, Henok Kumsa Meikena1, Abdella Amano5, Amanuel Alemu Abajobir6,7. 1. Department of Midwifery, Woldia University, Woldia, Ethiopia. 2. Department of Obstetrics and Gynecology, Hawassa University, Hawassa, Ethiopia. 3. Department of Midwifery, Hawassa University, Hawassa, Ethiopia. 4. Department of Public Health, Woldia University, Woldia, Ethiopia. 5. School of Public and Environmental Health, Hawassa University, Hawassa, Ethiopia. 6. Faculty of Medicine, The University of Queensland, Brisbane, Australia. 7. Maternal and Child Wellbeing Unit, African Population and Health Research Centre, Nairobi, Kenya.
Abstract
PURPOSE: Direct obstetric causes have a significant contribution for severe maternal morbidities and mortalities, although the effect of grand multiparity on adverse obstetric outcomes remains controversial across studies. This study aimed to compare obstetric outcomes in grand multiparous and low multiparous women in two hospitals of southern Ethiopia. MATERIALS AND METHODS: A comparative cross-sectional study was conducted in one general and one comprehensive specialized hospitals in 2018. Four hundred and sixty-one mothers were included in the study. Data were collected by structured questionnaire and extraction sheets from clinical documents, and were analyzed using STATA version 14 (StataCorp, College Station, TX, USA). RESULTS: About 39% of the included mothers had at least one adverse obstetric outcome. Hypertensive disorders of pregnancy, antepartum hemorrhage, and premature rupture of membrane and were higher in the grand multiparous mothers. However, obstructed labor and risk of cesarean delivery were higher in low multiparous women. History of medical illnesses, previous cesarean delivery, and high birth weight were independent predictors of adverse maternal outcomes regardless of parity. However, parity did not show statistically significant difference in obstetric outcomes. CONCLUSION: Parity did not show statistically significant difference in experiencing adverse obstetric outcomes in women. Early identification and treatment of high-risk mothers is recommended regardless of parity.
PURPOSE: Direct obstetric causes have a significant contribution for severe maternal morbidities and mortalities, although the effect of grand multiparity on adverse obstetric outcomes remains controversial across studies. This study aimed to compare obstetric outcomes in grand multiparous and low multiparous women in two hospitals of southern Ethiopia. MATERIALS AND METHODS: A comparative cross-sectional study was conducted in one general and one comprehensive specialized hospitals in 2018. Four hundred and sixty-one mothers were included in the study. Data were collected by structured questionnaire and extraction sheets from clinical documents, and were analyzed using STATA version 14 (StataCorp, College Station, TX, USA). RESULTS: About 39% of the included mothers had at least one adverse obstetric outcome. Hypertensive disorders of pregnancy, antepartum hemorrhage, and premature rupture of membrane and were higher in the grand multiparous mothers. However, obstructed labor and risk of cesarean delivery were higher in low multiparous women. History of medical illnesses, previous cesarean delivery, and high birth weight were independent predictors of adverse maternal outcomes regardless of parity. However, parity did not show statistically significant difference in obstetric outcomes. CONCLUSION: Parity did not show statistically significant difference in experiencing adverse obstetric outcomes in women. Early identification and treatment of high-risk mothers is recommended regardless of parity.
Entities:
Keywords:
Ethiopia; Obstetric outcomes; grand multiparous; low multiparous; parity