Is Grandmultiparity A Significant Risk Factor in This New Millennium?
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Is Grandmultiparity A Significant Risk Factor in This New Millennium?
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:
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Noraihan Mohd. Nordin, Choong Khim Fen, Suhaimi Isa, Edwin Malcolm Symonds
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Is Grandmultiparity A Significant Risk Factor in This New Millennium?
Year: 2006
Copyright (license): CC BY 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
This study aimed to evaluate the outcomes of grandmultiparous women receiving obstetric care at Maternity Hospital Kuala Lumpur. With ongoing debates regarding the significance of grandmultiparity, this retrospective cohort study assessed complications in 237 grandmultiparous women compared to a control group of 254 multiparous women. Statistical analyses, including Chi-squared and t-tests, were employed to discern any significant differences in maternal and perinatal outcomes between the two groups.
Complications in Grandmultiparity
One of the focal points of the research was the examination of various obstetric complications associated with grandmultiparity. This includes conditions such as preeclampsia, anemia, premature rupture of membranes, preterm labor, and antepartum hemorrhage. The study highlighted a wide array of definitions for these complications, ensuring a standard understanding of terms like significant proteinuria, postpartum hemorrhage, and fetal macrosomia. Through careful retrieval and review of case notes, the study sought to measure the relative risks associated with these complications in grandmultiparous women as compared to their multiparous counterparts, ultimately providing insights into the implications of grandmultiparity on maternal and perinatal health.
Conclusion
The preliminary findings from the Maternity Hospital Kuala Lumpur suggest that grandmultiparity remains a pertinent area of concern within obstetric care, given its associated complications. While this study retrieved data from a significant number of cases, the results may contribute to ongoing discussions regarding the management and risk stratification of grandmultiparous women. This cohort study underlines the need for continuous research in this population to better understand and address their unique healthcare challenges, ensuring safer outcomes for both mothers and their infants.
FAQ section (important questions/answers):
What was the aim of the study conducted at Maternity Hospital Kuala Lumpur?
The study aimed to assess the outcomes of grandmultiparous women receiving current obstetric care, addressing conflicting data on complications related to grandmultiparity.
How many grandmultiparous women were included in the study?
A total of 237 grandmultiparous women were selected for the study after adjusting for confounding factors, from an initial 329 identified.
What defines preeclampsia (PE) in pregnant women?
Preeclampsia is defined as the development of hypertension and significant proteinuria after 20 weeks of gestation.
What statistical methods were used to analyze the study results?
Statistical analysis was conducted using SPSS 10.1, employing Chi-squared, Fisher Exact Probability Test, and Students t test where appropriate.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Is Grandmultiparity A Significant Risk Factor in This New Millennium?”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Labour (Labor):
Labor refers to the physiological process in which the body undergoes contractions to deliver a baby. The study assesses outcomes for grandmultiparous women during labor, focusing on complications that may arise such as prolonged first and second stages, which can affect maternal and fetal health significantly during delivery.
2) Birth:
Birth is the culmination of pregnancy, leading to the delivery of a newborn. In the context of the study, understanding how grandmultiparity impacts birth outcomes, including incidence of fetal macrosomia and low birth weight, helps to evaluate maternal and neonatal health risks associated with multiple childbirths.
3) Bleeding:
Bleeding, particularly post-partum hemorrhage (PPH), poses significant risks to maternal health. This study investigates occurrences of bleeding complications in grandmultiparous versus multiparous women, providing insights into how previous childbirth experiences might contribute to adverse outcomes and the necessity of monitoring during and after delivery.
4) Study (Studying):
The study is a retrospective cohort analysis aimed at evaluating the obstetric and perinatal outcomes of grandmultiparous women in a specific maternity setting. By comparing them with multiparous women, the study seeks to clarify the risks and complications associated with grandmultiparity, contributing valuable data to obstetric care.
5) Relative:
Relative risk is a statistical measure used in the study to compare the likelihood of adverse outcomes between grandmultiparous and multiparous women. Understanding relative risks assists healthcare providers in making informed decisions and counseling patients about potential complications based on their obstetric history.
6) Science (Scientific):
Science refers to the systematic study of the natural world, here exemplified by obstetrics and maternal health research. The study employs scientific methodologies to assess and interpret data on childbirth outcomes, enhancing our understanding of grandmultiparity and informing clinical best practices in maternity care.
7) Death:
Death in this context refers to perinatal mortality, which includes fresh stillbirths, macerated stillbirths, and early neonatal deaths. Investigating the correlation between grandmultiparity and risks of perinatal death is crucial for improving health outcomes and informing maternal care strategies.
8) Blood:
Blood parameters, such as hemoglobin levels, are pivotal in diagnosing conditions like anemia in pregnant women. The study assesses how grandmultiparity affects maternal blood health and related complications during pregnancy and labor, ultimately influencing the care protocols for this population.
9) Post:
Post refers to the period after childbirth, particularly concerning post-partum complications like hemorrhage or infections. The study emphasizes the significance of post-natal monitoring and care in grandmultiparous women, who may experience unique physiological responses that increase risk factors in the post-delivery phase.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Is Grandmultiparity A Significant Risk Factor in This New Millennium?’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Malay, Labour, Blood, First stage, Menstrual period, Anemia, Hemorrhage, Chinese, Blood-pressure, Statistical analysis, Delivery, Ultrasound scan, Statistical Significance, Low birth weight, Birth weight, T-test, Cervical dilatation, Confidence interval, Labor induction, Perinatal Mortality, Postpartum hemorrhage, Premature Rupture of Membrane, Uterus, Gestation, Preterm labor, Fetal macrosomia, Proteinuria, Multiparous Women, Relative risk, Perinatal outcome, Retrospective cohort study, Antepartum hemorrhage, Statistical package for social science, Chi-Squared Test, Placenta previa, Obstetric care, Prostaglandin, Significant proteinuria, Foreign patients, Vaginally, PPH, Elective delivery, Case notes, Malaysian, Uterine segment, Post-date, Fetal viability, Fresh stillbirth, Macerated stillbirth, Risk estimation, Students t test, Potential confounding factors.