ArticleBMC pregnancy and childbirth2019
Grand multiparity as a predictor of adverse pregnancy outcome among women who delivered at a tertiary hospital in Northern Tanzania.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Adverse birth outcomes and associated factors among African grand multiparous women: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Birth Weight in the Daasanach Community of Northern Kenya and the Effect of Multiparity.American journal of human biology : the official journal of the Human Biology Council · 2026Article
- Adverse Pregnancy Outcomes and Prevalent Cardiovascular Disease Among an Urban Cohort in Haiti.JACC. Advances · 2026Article
- Association of grand multiparity with adverse birth outcomes and sociodemographic characteristics: an analysis of nationwide birth data in Japan.Reproductive health · 2025Article
- Preconception health risk profiles among women planning pregnancy in northern Ethiopia: a latent class analysis.BMJ open · 2025Article
- Challenges in reducing grand multiparity rates in Ethiopia: an analysis of 2019 EDHS data using a multilevel model approach.Contraception and reproductive medicine · 2025Article
- Mixed vulnerabilities: the biological risk of high parity is aggravated by emergency referral in Benin, Malawi, Tanzania and Uganda.International journal for equity in health · 2025Article
- Article
- Association between parity and adverse maternal and neonatal outcomes: a population-based cross-sectional study.Frontiers in medicine · 2025Article
- Grand multiparity and its associated factors in Zambia: Evidence from the 2018 Zambia Demographic and Health Survey.PLOS global public health · 2025Article
- Birth asphyxia and its association with grand multiparity and referral among hospital births: A prospective cross-sectional study in Benin, Malawi, Tanzania and Uganda.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Inequalities in use of hospitals for childbirth among rural women in sub-Saharan Africa: a comparative analysis of 18 countries using Demographic and Health Survey data.BMJ global health · 2024Article
- The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha'il, Saudi Arabia.Children (Basel, Switzerland) · 2023Article
- Predictors of Neonatal Intensive Care Unit Admission and Adverse Outcomes Related to Gestational Diabetes.Cureus · 2023Article
- Risk Factors for Neonatal Mortality in Rural Iganga District, Eastern Uganda: A Case Control Study.The East African health research journal · 2023Article
- The interaction between age and parity on adverse pregnancy and neonatal outcomes.Frontiers in medicine · 2023Article
- Prevalence and determinants of intention to use modern contraceptives among grand-multiparous women in sub-Saharan Africa.Archives of public health = Archives belges de sante publique · 2022Article
- Prevalence and Sociodemographic Profiles of Grand Multipara in Abu Dhabi, United Arab Emirates.Nutrients · 2022Article
- Adverse obstetric outcome and its associated factors in public hospitals of North Ethiopia: does parity make a difference?BMC pregnancy and childbirth · 2022Article
- Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGrand multiparity has been associated with increased risks of adverse pregnancy outcomes such as post-partum hemorrhage,gestational hypertension, gestationaldiabetes mellitus and high perinatal mortality.There is limited information about the impact of high parity on pregnancy outcomes in Tanzania. This study aimed to determine prevalence, trend and associated adverse pregnancy outcomes of grand multiparity in a tertiary hospital in Northern Tanzania.
methodsA retrospective cross-sectional study was conducted at Kilimanjaro Christian Medical Centre (KCMC) using maternally linked data from medical birth registry. Women with singleton deliveries from 2006 to 2014 were analyzed. The prevalence of grand-multiparity was computed as proportion to estimate the trend over years. Adverse pregnancy outcomes associated with grand multiparity were estimated using multivariable logistic regression models. A p-value of < 0.05 was considered statistically significant.
resultsThe overall prevalence of grand multiparity was 9.44% ranging from 9.72% in 2006 to 8.49% in 2014. The grand multiparous women had increased odds of prelabour rupture of membranes (Adjusted odds ratio [AOR] 1.78: 95% CI:1.28-2.49), stillbirth (AOR 1.66: 95% CI:1.31-2.11) and preterm birth delivery (AOR 1.28; 95% CI: 1.05-1.56) as compared to women in the lower parity group.
conclusionsThe prevalence of grand multiparity among women in North-Tanzania was 9.44%. It was significantly associated with adverse pregnancy outcomes. This calls for a need to increase community awareness on its risks, encourage birth control among older women. Delivery-care facilities should prepare for emergency situation when attending deliveries of high parity group.
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