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https://www.uptodate.com/contents/grand-multiparity
A reasonable definition of "grand multiparity" is a woman who has had ≥5 births (live or stillborn) at ≥20 weeks of gestation, with "great grand multiparity" defined as ≥10 births (live or stillborn) ≥20 weeks of gestation . However, other definitions are also used. (See 'Variability in the definition of parity' below.)
https://www.fertilitysmarts.com/definition/872/grand-multipara-grand-multip-fertility
Dec 15, 2016 · A grand multipara is also referred to as a grand multip, and may be described as para 5. FertilitySmarts explains Grand Multipara (Grand Multip) Birth professionals including OB/GYNs, midwifes, and labor and delivery nurses often use abbreviated terminology to describe a woman's obstetric history.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878019/
Dec 23, 2013 · Background. The association of grand multiparity and poor pregnancy outcome has not been consistent for decades. Classifying grand multiparous women as a high-risk group without clear evidence of a consistent association with adverse outcomes can lead to socioeconomic burdens to the mother, family and health systems.
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-13-241
Dec 23, 2013 · Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, meconium-stained liquor, placenta previa and a low Apgar score) compared with other multiparous women who delivered at Muhimbili National Hospital.Author: Andrew H Mgaya, Siriel N Massawe, Hussein L Kidanto, Hans N Mgaya
https://file.scirp.org/Html/6-1430398_32419.htm
Background: Grand-multiparity has been known to be an obstetric risk because of the documented complications associated with the condition, and it is an indication for booking in a tertiary health institution. The increase use of contraceptives and improved health care delivery is expected to reduce both the prevalence and complications of this condition.Author: Adeola F. Afolabi, Adewale S. Adeyemi
https://www.icd10data.com/ICD10CM/Codes/Z00-Z99/Z30-Z39/Z37-/Z37.60
Oct 01, 2019 · Note. Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'.This can arise in two main ways:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610637/
May 12, 2015 · All of these complications of pregnancy are well documented to increase the rate of cesarean delivery. This data showed, that within grand multiparity, 120(27.9%) of grand multiparas were less than 35 years of age, of whom 72(60%) were delivered by CS with no significant differences compared to those greater than 35 years of age, (p=0.666).Author: Mohamed Akhatim Alsammani, Salah Roshdy Ahmed
http://www.homebirth.org.uk/multipara.htm
Grand Multipara study in British Journal of Obstetrics and Gynaecology, March 2002. This study is not mentioned in Page's review as it was published two years after her book - but it appears to be a good quality study and is highly relevant to women considering home birth in developed countries.
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