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Shrestha, Uma. "Elderly Great Grand Multipara with Gestational Hypertension and Anemia Managed in a Rural Tertiary Hospital: A Case Report." Journal of Institute of Medicine Nepal 41, no. 2 (2019): 67–69. http://dx.doi.org/10.3126/jiom.v41i2.26561.

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Parity more than five is grand multiparty and more than 10 is great grand multiparity. Women with high birth order are at increased risk for adverse obstetric outcomes. The risk is even higher for great grand multiparous women than grand multiparous women. Grand and Great grand multiparity predispose for adverse maternal and prenatal outcomes such as malpresentation, labor dystocia, caesarean delivery, postpartum hemorrhage, maternal anemia, congenital malformations and perinatal mortality. Grand and Great grand multiparty is also independent risk factor for labor dystocia and perinatal mortal
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Shrestha, Uma. "Elderly Great Grand Multipara with Gestational Hypertension and Anemia Managed in a Rural Tertiary Hospital: A Case Report." Journal of Institute of Medicine Nepal 41, no. 2 (2019): 67–69. http://dx.doi.org/10.59779/jiomnepal.1050.

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Introduction: Parity more than five is grand multiparity and more than 10 is great grand multiparity. Women with high birth order are at increased risk for adverse obstetric outcomes. The risk is even higher for great grand multiparous women than grand multiparous women. Grand and Great grand multiparity predispose for adverse maternal and perinatal outcomes such as malpresentation, labor dystocia, caesarean delivery, postpartum hemorrhage, maternal anemia, congenital malformations and perinatal mortality. Grand and Great grand multiparty is also independent risk factor for labor dystocia and
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Silva, L. J. P. "Grand grand multiparity." Journal of Obstetrics and Gynaecology 12, no. 5 (1992): 301–3. http://dx.doi.org/10.3109/01443619209015511.

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SEIDMAN, D. S., Y. ARMON, D. ROLL, et al. "Grand Multiparity." Survey of Anesthesiology 33, no. 1 (1989): 23. http://dx.doi.org/10.1097/00132586-198902000-00022.

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JUNTUNEN, K. "Grand Grand Multiparity and Birth Weight." Obstetrics & Gynecology 90, no. 4 (1997): 495–99. http://dx.doi.org/10.1016/s0029-7844(97)00269-x.

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Dacheva, T. "384 Great grand-multiparity." European Journal of Obstetrics & Gynecology and Reproductive Biology 270 (March 2022): e103. http://dx.doi.org/10.1016/j.ejogrb.2021.11.334.

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Bigelow, Catherine A., Amrin Khander, Brittany N. Robles, et al. "137: Grand multiparity and great grand multiparity: obstetric risks in a contemporary cohort." American Journal of Obstetrics and Gynecology 220, no. 1 (2019): S105—S106. http://dx.doi.org/10.1016/j.ajog.2018.11.158.

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Ahmed, B. I., N. Kenyab, N. Saleh, A. Azzam, and H. Almohandi. "Pregnancy Outcome in Grand and Great Grand Multiparity." Qatar Medical Journal 2005, no. 1 (2005): 12. http://dx.doi.org/10.5339/qmj.2005.1.12.

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Abdelmageed, Elmugabil, Hassan Bahaeldin, Alhabrdi Nadiah, Ahmed Abdelbagi, Rayis Duria, and Adam Ishag. "Maternal and neonatal outcomes of grand multiparity in Khartoum, Sudan." African Health Sciences 22, no. 1 (2022): 164–71. http://dx.doi.org/10.4314/ahs.v22i1.21.

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Objectives: Grand multiparity is a major health problem that leads to adverse maternal and perinatal outcomes. We aimed to assess the maternal and perinatal outcomes of grand multiparity.
 Methods: A case-control study was conducted in Saad Abualila Hospital, Khartoum, Sudan from February to December 2019. The cases were grand multiparous (≥ 5 deliveries) women. The controls were women with low parity (multiparous women who delivered two to four times). Maternal and perinatal characteristics were compared between the two groups. Logistic regression analysis was performed.
 Results: T
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Ammarah, Safdar Hafiz Muhammad Rashid javaid Zohaib Iftikhar. "SIX MONTHLY DESCRIPTIVE RESEARCH ABOUT GRAND MULTIPARITY FREQUENCY AND RELATED FETOMATERNAL OUTCOME AT MAYO HOSPITAL, LAHORE." Indo American Journal of Pharmaceutical Sciences 05, no. 05 (2018): 3790–95. https://doi.org/10.5281/zenodo.1248142.

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<strong><em>Objective: </em></strong><em>To find out the occurrences of grand multiparity and to estimate the magnitude of its effect on the mother and the newly born baby in a local health care facility.</em> <strong><em>Design: </em></strong><em>The design of the study was</em><em> descriptive.</em> <strong><em>Place and Duration: </em></strong><em>The study was carried out from February &ndash; July 2016 at Mayo Hospital, Lahore (</em><em>Obstetrics and Gynecology Department), Pakistan.</em> <strong><em>Subjects and Methods: </em></strong><em>The females having grand multiparity were select
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K., Mamatha, and Prameela . "Grand Multiparity-Maternal and Perinatal Outcome." Indian Journal of Obstetrics and Gynecology 4, no. 2 (2016): 109–12. http://dx.doi.org/10.21088/ijog.2321.1636.4216.9.

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Fayed, H. M., S. F. Abid, and B. Stevens. "Risk factors in extreme grand multiparity." International Journal of Gynecology & Obstetrics 41, no. 1 (1993): 17–22. http://dx.doi.org/10.1016/0020-7292(93)90148-p.

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Yves, Jacquemyn, Vermeulen Katrien, and Vellinga Sanne. "A Systematic Review of Grand Multiparity." Current Women's Health Reviews 2, no. 1 (2006): 25–32. http://dx.doi.org/10.2174/157340406775486292.

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Seidman, D. S., R. Gale, P. E. Slater, P. Ever-Hadani, and S. Harlap. "Does grand multiparity affect fetal outcome?" International Journal of Gynecology & Obstetrics 25, no. 1 (1987): 1–7. http://dx.doi.org/10.1016/0020-7292(87)90176-7.

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Gadappa, Shrinivas, Sonali Deshpande, and Swati Goel. "Grand Multiparity in the Modern Era." Journal of South Asian Federation of Obstetrics and Gynaecology 17, no. 1 (2025): 58–63. https://doi.org/10.5005/jp-journals-10006-2554.

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Ukah, Christian E., Osamudia Okhionkpamwonyi, Innocent Okoacha, and Patrick I. Okonta. "Pregnancy Outcome Among Grand Multiparous Women at Delta State University, Oghara, Nigeria." International Journal of Medicine and Health Development 29, no. 4 (2024): 295–98. http://dx.doi.org/10.4103/ijmh.ijmh_24_24.

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Abstract Background: Grand multiparity presents a significant challenge to the obstetrician, especially in developing countries, including Nigeria. Objective: To determine the incidence and complications associated with grand multiparity at the Delta State University Teaching Hospital (DELSUTH), Oghara, Delta State, Nigeria. Materials and Methods: A retrospective descriptive study of grand multiparous women in DELSUTH between July 1, 2014, and June 30, 2023. Data retrieved from the hospital records and case files were analyzed. Results: The results revealed that during the period under review,
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Dasa, Tamirat Tesfaye, Michael A. Okunlola, and Yadeta Dessie. "Multilevel analysis of grand multiparity: Trend and its determinants in the Sidama National Regional State of Ethiopia: a cross-sectional study design from demographic and health survey 2000–2016." BMJ Open 12, no. 8 (2022): e061697. http://dx.doi.org/10.1136/bmjopen-2022-061697.

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ObjectiveThe study was aimed at examining the magnitude, trends and determinants of grand multiparity in the Sidama regional state of Ethiopia.DesignWe retrieved cross-sectional data from the Ethiopia Demographic and Health Survey from 2000 to 2016.SettingCommunity-based demographic and health survey (DHS) was conducted in Ethiopia.ParticipantsThe study population was women (aged 15–49 years) who had delivered children with the available DHS data set.OutcomesMultilevel multivariate logistic regression analyses assessed the relationship between grand multiparity and its determinants.ResultsThe
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Kumari, Samridhi, Nidhi Chauhan, and Ashnoor Bansal. "The impact of grand multiparity on late pregnancy and early labour, hospital-based study on Garhwal region, Uttarakhand." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 13, no. 4 (2024): 884–89. http://dx.doi.org/10.18203/2320-1770.ijrcog20240781.

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Background: Grand multiparity has been associated with adverse outcome for both fetus and mother such as antepartum hemorrhage, malpresentation, caesarean section rate, postpartum hemorrhage, iron deficiency anemia, and a high perinatal mortality rate. This study aimed to estimate the proportion of the antenatal, intrapartum and perinatal complications outcomes related to grand multiparity. Methods: This is a prospective observational study conducted during a period of 1 year from 2021 to 2022 in the department of obstetrics and gynaecology, Himalayan hospital, Jollygrant, Dehra Dun, Uttarakha
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Abu-Heija, A. T., and H. El Chalabi. "Great grand multiparity: is it a risk?" International Journal of Gynecology & Obstetrics 59, no. 3 (1997): 213–16. http://dx.doi.org/10.1016/s0020-7292(97)00198-7.

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King, P. A., S. J. Duthie, and H. K. Ma. "Grand multiparity: A reappraisal of the risks." International Journal of Gynecology & Obstetrics 36, no. 1 (1991): 13–16. http://dx.doi.org/10.1016/0020-7292(91)90171-z.

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Kaplan, B., L. Harel, A. Neri, D. Rabinerson, G. A. Goldman, and B. Chayen. "Great grand multiparity - beyond the 10th delivery." International Journal of Gynecology & Obstetrics 50, no. 1 (1995): 17–19. http://dx.doi.org/10.1016/0020-7292(95)02417-b.

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T. ABU-HEIJA H. EL. CHALABI, A. "Great grand multiparity: is it a risk?" Journal of Obstetrics and Gynaecology 18, no. 2 (1998): 136–38. http://dx.doi.org/10.1080/01443619867867.

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Roman, Horace, Pierre-Yves Robillard, Eric Verspyck, Thomas C. Hulsey, Loïc Marpeau, and Georges Barau. "Obstetric and Neonatal Outcomes in Grand Multiparity." Obstetrics & Gynecology 103, no. 6 (2004): 1294–99. http://dx.doi.org/10.1097/01.aog.0000127426.95464.85.

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Yimer, Nigus Bililign, Zelalem Tenaw, and Abel Gedefaw. "Pregnancy outcomes in Grand multiparous women: Does parity matter? A comparative study." Ethiopian Journal of Reproductive Health 12, no. 1 (2020): 11. http://dx.doi.org/10.69614/ejrh.v12i1.247.

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Background: Grand multiparity is still a common condition in developing countries. Although older literature showed the effect of grand multiparity on adverse pregnancy, recent reports fail to show clear evidence on the contribution of grand multiparity to adverse outcomes. Objective: This study aimed to compare maternal and perinatal outcomes in grand multiparous and low multiparous women in Southern Ethiopia. Methods: Comparative cross-sectional study design was employed from February to June 2018. Four hundred sixty-one (461) mothers were included in the study. Data were collected using str
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Kadir, Sadia. "Antenatal Complications in Grand Multipara Presented at Tertiary Care Hospital." Annals of Punjab Medical College 15, no. 1 (2021): 69–72. http://dx.doi.org/10.29054/apmc/2021.862.

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Background: Grand multiparity considered as a risk factor of obstetrics because of the recorded complications linked to the condition. Grand multiparity typically considered as the distinctive reason for the raised, maternal and fetal morbidity and mortality because of expanded incidence of adverse outcome during pregnancy and birth. Objective: To determine frequency of antenatal complications in grand multipara. Study Design: Cross-sectional study. Settings: Department of Obstetrics and Gynecology, Jinnah Postgraduate Medical Centre, Karachi Pakistan. Duration: Study duration was six months f
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Alkwai, Hend, Farida Khan, Reem Alshammari, et al. "The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha’il, Saudi Arabia." Children 10, no. 9 (2023): 1541. http://dx.doi.org/10.3390/children10091541.

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Inconsistent evidence exists regarding the association of grand multiparity with adverse neonatal outcomes. This study aims to compare specific adverse outcomes in grand multiparas (those with five or more births at twenty or more weeks of gestation, regardless of fetal outcome) compared to those with lower parity (those with less than five births at twenty or more weeks of gestation, regardless of fetal outcome). A retrospective cohort study was undertaken at the Maternity and Children Hospital in Ha’il region, Saudi Arabia. After calculating the required sample size, data were collected from
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Afolabi, Adeola F., and Adewale S. Adeyemi. "Grand-multiparity: Is it still an obstetric risk?" Open Journal of Obstetrics and Gynecology 03, no. 04 (2013): 411–15. http://dx.doi.org/10.4236/ojog.2013.34075.

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Seidman, Daniel S., Yacov Armon, Doron Roll, David K. Stevenson, and Rena Gale. "Grand multiparity: An obstetric or neonatal risk factor?" American Journal of Obstetrics and Gynecology 158, no. 5 (1988): 1034–39. http://dx.doi.org/10.1016/0002-9378(88)90213-x.

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Mohammed, Rusul Faris, and Zinah Salih Mohammed. "A Prospective Cohort Study Investigating Adverse Perinatal Outcomes in Mosul, Iraq, among Women with Grand Multiparity." JANUARY 2024 20, no. 1 (2024): 92–99. http://dx.doi.org/10.47836/mjmhs.20.1.13.

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Introduction: This prospective case-control study aimed to compare the incidence of fetomaternal complications between grand multiparous women under the age of 35 and pregnant women with low parity in the same age group. Methods: The study was conducted at Al-khansaa and Al-Batool Teaching Hospitals from October 1, 2020, to June 1, 2021. One hundred pregnant women with singleton pregnancies in all three trimesters, aged between 18 and 34 years, were selected from the outpatient clinic and the ward. The participants were divided into two groups: Group A consisted of 50 grand multiparous women (
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Roy, Rajib, and Manisha Vernekar. "Feto-maternal outcome in grand multipara." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 7 (2017): 2846. http://dx.doi.org/10.18203/2320-1770.ijrcog20172562.

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Background: Grand multiparity has been considered as obstetric hazards both to the mother and foetus and thus, viewed with great caution. In present set up grand multiparity is associated with increased likelihood of feto-maternal complications.Methods: The study was conducted to determine the feto-maternal outcome in grand multipara pregnancy.Results: In present study, the prevalence of grand multipara was 0.72% out of 15196 deliveries in the period from September 2010 to august 2012. 79.1% of the grand multipara women belonged to the age group of 31-40 years. A majority of the women were in
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International, Journal of Medical Science and Innovative Research (IJMSIR). "Maternal and Fetal Outcome in Grandmultipara - An Observational Study." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 5 (2024): 122–28. https://doi.org/10.5281/zenodo.15437073.

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<strong>Abstract</strong> <strong>Introduction:</strong> Maternal and perinatal morbidity and mortality are significant health challenges in developing countries, particularly India, where over 99% of maternal deaths occur. Among various risk factors, grand multiparity, defined by the World Health Organization (WHO) as having five or more previous viable pregnancies beyond 24 weeks, markedly increases the risk of complications during pregnancy, labor, and the postpartum period. <strong>Objective:</strong> This study aims to analyze maternal and fetal outcomes in grand multiparous pregnancies a
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Abdelsalam, Kamal Eldin Ahmed. "Effect of Grand Multiparity on Certain Thyroid Function Tests." International Journal of Biomedical Research 6, no. 1 (2015): 19. http://dx.doi.org/10.7439/ijbr.v6i1.1525.

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Saadia, Zaheera. "Grand-Multiparity in Saudi Arabia—Examining the Obstetric Risk." Journal of Gynecology and Obstetrics 2, no. 2 (2014): 16. http://dx.doi.org/10.11648/j.jgo.20140202.12.

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Turan, Volkan. "Grand-grand multiparity (more than 10 deliveries) does not convey a risk for osteoporosis." Acta Obstetricia et Gynecologica Scandinavica 90, no. 12 (2011): 1440–42. http://dx.doi.org/10.1111/j.1600-0412.2011.01250.x.

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Kabbashi Mohammed Adam, Hammad, Suliman Awadalla Abdelwahid, Ahmed Hajar Suliman Ibrahim, Ali Emad Abdalla Siddig, and Handady Siddig Omer M. "Impact of Primary Cesarean Section on Grand Multiparous Women." Clinical Journal of Obstetrics and Gynecology 6, no. 3 (2023): 126–31. http://dx.doi.org/10.29328/journal.cjog.1001140.

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Background: Grand multiparty is common obstetrical problem, in Sudan large families is desirable for cultural and religious backgrounds and higher incidence of grandmultipra is expected, the risk factors associated with adverse maternal outcomes have yet to be adequately investigated among grand multiparity need to delivered by primary cesarean section. Objective: The main objective was to determine impact of primary cesarean section on grand multiparous, it is indications and complications. Methodology: It was a descriptive prospective cross-sectional hospital-based study conducted at Omdurma
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Attali, Emmanuel, Daniel Gabbai, Lee Reicher, Anat Lavie, Yariv Yogev, and Ariel Many. "Grand Multiparity and its association with Post-partum Blood Transfusion." American Journal of Obstetrics and Gynecology 226, no. 1 (2022): S103. http://dx.doi.org/10.1016/j.ajog.2021.11.187.

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Akther, Rabeya. "Outcome of grand multi-gravidity & multiparity A retrospective study." Journal of Dhaka Medical College 22, no. 1 (2013): 67–71. http://dx.doi.org/10.3329/jdmc.v22i1.15629.

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Objective: To examine the obstetric outcome in grand multi-parous and the effect of high parity among young women, aged 18-34 years vs. older women, aged 35years and above. Methods: This is a retrospective study done in DMCH from 1st August 2007 to 31st August 2008. For study purpose 98 patients were selected randomly whose gravidity 6th and more. To see peri-natal outcome, the cut-off point of 28 weeks was taken. Results: Mean age of the study group was 32(22-45) years. Mean gravidity and parity of the study group was 6.7 (6-11) and 4(1-8) respectively. Ninety percent pregnancy affected by di
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Smithson, Sarah, James Mirocha, Sarah Kilpatrick, et al. "1225: Grand multiparity is protective against risk for postpartum depression." American Journal of Obstetrics and Gynecology 222, no. 1 (2020): S753. http://dx.doi.org/10.1016/j.ajog.2019.11.1236.

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Simmons, D., J. Shaw, A. McKenzie, S. Eaton, A. J. Cameron, and P. Zimmet. "Is grand multiparity associated with an increased risk of dysglycaemia?" Diabetologia 49, no. 7 (2006): 1522–27. http://dx.doi.org/10.1007/s00125-006-0276-6.

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Khalid, Arfa, Bilqees Akhtar, Tehreem Yazdani, Sadaf Zohra, and Shazia Firdos Chohan. "The Linkage of Grand Multiparity with Associated Risks During Pregnancy and Childbirth: A Cross-Sectional Study at Tertiary Care Hospital." Pakistan Armed Forces Medical Journal 74, no. 5 (2024): 1435–40. http://dx.doi.org/10.51253/pafmj.v74i5.11358.

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Objective: To investigate the risk factors associated with grand multiparityn during pregnancy and childbirth. Study Design: Cross-sectional study. Place and Duration of Study: Gynaecology and Obstetrics Department, Pakistan Emirates Military Hospital, Rawalpindi, Pakistan from Dec 2022 to Oct 2023. Methodology: Three hundred twenty-two (n=322) women from the Pakistan Emirates Military Hospital, labor ward, Rawalpindi, Pakistan, gynecology and obstetrics department participated in this research. Primiparous, Multiparous, and grand multiparous females were included in the study for various demo
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Babinszki, Agota, Thomas Kerenyi, Olga Torok, Victor Grazi, Robert H. Lapinski, and Richard L. Berkowitz. "Perinatal outcome in grand and great-grand multiparity: Effects of parity on obstetric risk factors." American Journal of Obstetrics and Gynecology 181, no. 3 (1999): 669–74. http://dx.doi.org/10.1016/s0002-9378(99)70511-9.

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Emechebe, CI, CO Njoku, EM Eyong, K. Maduekwe, and JT Ukaga. "The social class and reasons for grand multiparity in Calabar, Nigeria." Tropical Journal of Obstetrics and Gynaecology 33, no. 3 (2016): 327. http://dx.doi.org/10.4103/0189-5117.199808.

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Irvine, L. M., C. Otigbah, A. Crawford, and M. E. Setchell. "Grand multiparity–an obstetric problem in Great Britain in the 90s?" Journal of Obstetrics and Gynaecology 16, no. 4 (1996): 217–23. http://dx.doi.org/10.3109/01443619609020707.

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Paltiel, Ora, Salman M. Tajuddin, Yelena Polanker, et al. "Grand multiparity and reproductive cancer in the Jerusalem Perinatal Study Cohort." Cancer Causes & Control 27, no. 2 (2015): 237–47. http://dx.doi.org/10.1007/s10552-015-0701-6.

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Omole-Ohonsi, A., and AO Ashimi. "Grand multiparity: Obstetric performance in Aminu Kano Teaching Hospital, Kano, Nigeria." Nigerian Journal of Clinical Practice 14, no. 1 (2011): 6. http://dx.doi.org/10.4103/1119-3077.79231.

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Andrejević, A., S. Cvetkoviċ, M. Dunjić, G. Relić, and P. Čanković. "FACTORS MORBIDITY AND MORTALITY OF MOTHERS MULTYPAROUS IN PERINATOLOGY." Praxis medica 35, no. 2 (2007): 23–28. http://dx.doi.org/10.70949/pramed200702196a.

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&amp;lt;p&amp;gt;The aim of work was to find out whether multiparity led to increased morbidity and mortality of mothers multyparous. Special attention was paid to appearance of diseases among mothers, both those developed during pregnancy and immediately after delivery. Multiparity is especially characteristic of women of Albanian nationality. Thus it is obvious that there is a reverse proportion between multiparous women and level of education the higher level of education is the smaller is the number of previous deliveries. There is a significant difference in apsolute number of deliveries
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Simonsen, Sara M. Ellis, Joseph L. Lyon, Stephen C. Alder, and Michael W. Varner. "Effect of Grand Multiparity on Intrapartum and Newborn Complications in Young Women." Obstetrics & Gynecology 106, no. 3 (2005): 454–60. http://dx.doi.org/10.1097/01.aog.0000175839.46609.8e.

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Peker, Nuri, and Özge Çeliker Tosun. "Is grand multiparity a risk factor for the development of postmenopausal osteoporosis?" Clinical Interventions in Aging Volume 13 (March 2018): 505–8. http://dx.doi.org/10.2147/cia.s155793.

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Brunner, Jochen, Eva Melander, Margareta Krook-Brandt, and Peter A. Thomassen. "Grand multiparity as an obstetric risk factor; a prospective case-control study." European Journal of Obstetrics & Gynecology and Reproductive Biology 47, no. 3 (1992): 201–5. http://dx.doi.org/10.1016/0028-2243(92)90152-o.

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Rusda, Muhammad, Arvitamuriany Triyanthi Lubis, Muhammad Ramadhan Hisworo, and Andrina Yunita Murni Rambe. "Submucosal Uterine Fibroid in Grand Multipara Woman: A Case Report." Open Access Macedonian Journal of Medical Sciences 9, T3 (2021): 27–30. http://dx.doi.org/10.3889/oamjms.2021.6317.

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Background: to report and analyze a case that diagnosed with submocous uterine fibroid in grand multiparity woman.&#x0D; Methods: Case Report&#x0D; Case: a 49 years woman, P7A0 came with chief complaints vaginal bleeding that has been experienced since one year ago getting worse in 2 months. Her general condition was within normal limit and there was no abnormality in physical examination, by vaginal examination there was blood in the vagina, origin from the External Uterine Orificium (EUO),bimanual examination showed anteflexion uterus with normal size, right and left adnexa within normal lim
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