Maternal and perinatal outcomes of grandmultiparity in Kassala hospital, eastern Sudan

Duria A Rayis, Abdel Aziem A. Ali, Ameer O. Abbaker, Ishag Adam


Background: Grandmultiparity is reported to increase both maternal and perinatal mortality and morbidity.
Objective: To compare the incidence of maternal and perinatal complications among women who had previously delivered five or more times i.e. the test group (n = 512) with that of women with two to three
previous deliveries i.e. the control group (n = 512).
Methods: This is a retrospective case-control study conducted during the period of January – December 2010 at Kassala, Sudan. Medical records of women in both case and control groups were reviewed and sociodemographic
and obstetrical data retrieved.
Results: Of 4889 deliveries there were 512 grandmultiparous women (10.4%). Cases were significantly more likely to be of lower educational levels (57.4 vs. 37.9%, P<0.001) and lack antenatal care coverage
(56.6 vs. 36.9%, P< 0.001). In logistic regression analyses, grandmultiparas were not significantly associated with increased risk of hypertensive disorders, preterm delivery, abruption, postpartum hemorrhage, cesarean
delivery and maternal death.
Conclusion: This study doesn’t support the traditional view that grandmultiparity is associated with poor obstetric outcomes.
*Corresponding author: Department of Obstetrics and Gynecology, Faculty of Medicine, University of Khartoum, Khartoum, Sudan. Tel: +249912168988, Fax: +249183771211, E. mail:

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ISSN: 1858-5345