GRANDMULTIPARAS

FREQUENCY OF HYPERTENSION PLACENTAL ABRUPTION AND POSTPARTUM HAEMORRHAGE IN

Abstract

Intrapartum complications that are classically associated with grandmultiparas
include fetal malpresentation, dysfunctional labour, chronic hypertension, abruptio placentae,
postpartum haemorrhage and macrosomic babies. Excellent maternal and fetal outcome is
possible in grandmultiparas with improvement in health care system and free provision of health
facilities to all pregnant women. Objectives: The objective of the study was: to find the frequency
of hypertension, placental abruption and primary postpartum hemorrhage in grandmultiparas.
Study Design: It was a prospective study with descriptive pattern. Setting: Gynaecology
and Obstetric unit-I of Allied Hospital, Punjab Medical College Faisalabad. Period: January to
June 2006. Methods: Eighty patients were included in the study. Eighty grandmultiparas were
randomly selected for the study. Detailed evaluation of all patients was done by thorough history,
examination and investigation. Patients were analyzed for complications during pregnancy,
labour and delivery, especially hypertension, placental abruption and primary post partum
haemorrhage. Results: Hypertensive disorders found to be in 32 (33.8%), placental abruption
in 7(8.8%) and postpartum hemorrhage in 19( 23.8%) of grandmultiparas. Conclusions: It was
concluded from the result of my study that grandmultiparity is still a major obstetric hazard in
developing countries like Pakistan with higher incidence of complications. Safe maternal and
perinatal outcome is possible in grandmultiparas with improvement in health care system and
free provision of health care facilities to all pregnant women.