Volume : 6, Issue : 4, April - 2017

STUDY OF GRAND MULTIPARA IN TERTIARY CARE HOSPITAL

Dr. Hemlata Parashar, Dr. Anjali Kanhere, Dr. Shikha

Abstract :

<p>&nbsp;<b><span style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,serif;color:windowtext;mso-bidi-font-style:italic">Aim</span></b><span style="font-size: 12pt; line-height: 115%; font-family: &quot;Times New Roman&quot;, serif; color: windowtext;"> </span><span style="font-size: 10pt; line-height: 115%; font-family: &quot;Times New Roman&quot;, serif; color: windowtext;">: To study the presentation pattern of grand multipara in labour by various factors and to establish that grand multiparity is still a high risk obstetrical problem.</span><span lang="EN-GB" style="font-size: 10pt; line-height: 115%; font-family: &quot;Times New Roman&quot;, serif; color: windowtext;"> The purpose of this study was to analyse causes of maternal deaths in multipara&nbsp; and to identify preventable factors leading to maternal mortality in our set up</span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,serif;color:windowtext">Material and Methods </span></b><span style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif;&#10;color:windowtext">: Retrospective analysis of grand multipara in department of Obst &amp; Gynae. PCMS &amp; RC for a period of 2 yrs &amp; 9 moths from Jan-2010 to Sep-2012. various factors analyzed were booked / unbooked cases, age, parity, literacy, gravida status, no. of live births, mode of delivery, outcome of delivery with NICU admissions &amp; acceptance of permanent method of sterilization.<o:p></o:p></span></p> <p class="MsoNormal"><span style="font-size:10.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,serif;color:windowtext">&nbsp;</span><b><span style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,serif;color:windowtext">Results</span></b><span style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,serif;color:windowtext"> </span><span style="font-size:10.0pt;&#10;line-height:115%;font-family:&quot;Times New Roman&quot;,serif;color:windowtext">: Total no of deliveries were 1766&nbsp; Total no of grand multipara admitted were 332, incidence of grand multipara 18.57%&nbsp; Patients of age group 22 to 25 were 27.13 &amp; 26-30 age were 41.46% ,31-35 age were 21.64% &amp; &gt; 35 were 9.45% . 50.92% delivered normal &amp; 49.08% underwent LSCS. The no of patients with live issue of more than 3 were 35.67% 2-3live birth were 29.57%and 28.35%were 1 live birth only 6.40%had no issue, total no. of intrauterine fetal deaths were 9 and 26.52%of babies had NICU admission. Only 11.89% of patients underwent LSCS with TT and even acceptance of puerperal tubectomy was 9.7% <o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,serif;color:windowtext">Conclusion</span></b><span style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,serif;color:windowtext"> </span><span style="font-size:10.0pt;&#10;line-height:115%;font-family:&quot;Times New Roman&quot;,serif;color:windowtext">: Grand multipara always pose different challenge in Obstetrics management. The acceptance rate for permanent method of tubal ligation is poor.</span><span style="font-size:32.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-fareast-font-family:+mn-ea;mso-font-kerning:12.0pt"> </span><span style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif;&#10;color:windowtext">Women are opting for next issue at the cost of their health and for want of male child There is a strong need to promote family planning practices.<o:p></o:p></span></p>