Ogedengbe O K, Ogunmokun A A
Unit of Reproductive Endocrinology and Fertility Regulation, Department of Obstetrics and Gynaecology, College of Medicine of the University of Lagos, Lagos, Nigeria.
Niger Postgrad Med J. 2003 Dec;10(4):216-9.
The case-notes and records of grandmultiparous patients delivered at the Lagos University Teaching Hospital between 1st January, 1994 and 31st December, 1996 were analysed. The incidence of grandmultiparity was 4.11%. There were no cases of extreme grandmultiparity. The mean age +/- SD was 33.26 +/- 1.8 years, and the mean parity +/- SD 5.57 +/- 0.38. No patient was under 20 years and none had a parity greater than 9. Fifty-seven (42.22%) were booked patients and 78(57.78%) were unbooked. Anaemia and malpresentation were commonest in the antenatal period, whilst hypertension and disproportion were commonest intrapartum. Fifty per cent of the patients had a spontaneous vaginal delivery. The Caesarean section rate was 30.37%. The incidence of intrapartum complications, cephalopelvic disproportion, obstructed labour and Caesarean section, were found to be higher in the unbooked patients. There was an increased incidence of twin pregnancy and placenta praevia. The maternal mortality ratio was 44.4/1000 amongst the grandmultipara which was not statistically more significant than in the general obstetric population. The perinatal mortality rate was 169/1000 deliveries.
对1994年1月1日至1996年12月31日在拉各斯大学教学医院分娩的多产妇病例记录进行了分析。多产妇的发生率为4.11%。没有极高龄多产妇病例。平均年龄±标准差为33.26±1.8岁，平均产次±标准差为5.57±0.38。没有患者年龄在20岁以下，也没有产次大于9次的情况。57名（42.22%）为已登记产妇，78名（57.78%）为未登记产妇。贫血和胎位异常在孕期最为常见，而高血压和头盆不称在分娩期最为常见。50%的患者自然阴道分娩。剖宫产率为30.37%。未登记产妇的分娩期并发症、头盆不称、梗阻性分娩和剖宫产的发生率较高。双胎妊娠和前置胎盘的发生率有所增加。多产妇的孕产妇死亡率为44.4/1000，与一般产科人群相比，在统计学上没有更显著差异。围产儿死亡率为169/1000分娩数。
