Department of Midwifery, Woldia University, Woldia, Ethiopia.
Department of Obstetrics and Gynecology, Hawassa University, Hawassa, Ethiopia.
J Matern Fetal Neonatal Med. 2022 May;35(10):1915-1922. doi: 10.1080/14767058.2020.1774542. Epub 2020 Jun 7.
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.
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).
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.
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.
尽管多胎妊娠对不良产科结局的影响在不同研究中存在争议，但产科直接病因对严重产妇发病率和死亡率有重大影响。本研究旨在比较埃塞俄比亚南部两家医院的多胎产妇和低胎产妇的产科结局。
2018 年在一家综合医院和一家综合专科医院进行了一项比较性的横断面研究。共纳入 461 名母亲。数据通过结构化问卷和从临床文件中提取表收集，并使用 STATA 版本 14（StataCorp，德克萨斯州大学城，美国）进行分析。
约 39%的纳入母亲至少有一种不良产科结局。多胎产妇的妊娠高血压疾病、产前出血和胎膜早破的发生率更高。然而，低胎产妇的梗阻性分娩和剖宫产风险更高。无论产次如何，既往病史、既往剖宫产史和高出生体重都是不良母婴结局的独立预测因素。然而，产次在产科结局方面没有显示出统计学上的显著差异。
产次在产妇经历不良产科结局方面没有统计学上的显著差异。无论产次如何，建议早期识别和治疗高危产妇。
