Fetal Outcomes among Grand Multiparous and Multiparous Women in Mulago Hospital, Uganda

Abstract

Objective: To compare fetal outcomes among grand multiparous (para 5-9) and multiparous (para 2-4) delivering in Mulago hospital, Uganda.
Design: Prospective cohort study.
Setting: Mulago hospital, Uganda.
Subjects: One hundred and fifty six grand multiparous and multiparous women were recruited on admission in labour ward and followed up through labour and immediate post partum period. Fetal outcomes among the two groups were collected and analyzed.
Results: The admissions to SCU were similar in the two groups i.e. 11(7%) GMP vs. 11(7%) MP, the number of fresh still births was higher among the grandmultiparas 13(8.3%) GMP vs. 7(4.5%) MP though this was not statistically significant. The fetal weight did not significantly differ in the two groups.
Conclusion: There was no difference in fetal outcomes among GMPs when compared to MPs.

Key words: Grand multiparous (GMP), Multiparous (MP), Birth weight,  Special Care Unit (SCU), Apgar score, Fresh Still Birth (FSB).