ArticleBMC pregnancy and childbirth2019
Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes.
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 16 papers, 1 of them a synthesis that pooled it.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 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
- Abdominal wall hernia management in a second level hospital of Senegal: a cross-sectional study.Frontiers in surgery · 2026Article
- Provincial distribution and factors associated with high completed fertility among married and cohabiting women aged 40-49 years in Sierra Leone: a cross-sectional study.International health · 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
- Spatial distribution and factors associated with high completed fertility among women aged 40-49 years in Ghana: evidence from the 2022 Ghana Demographic Health Survey.Reproductive health · 2024Article
- 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
- The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha'il, Saudi Arabia.Children (Basel, Switzerland) · 2023Article
- Sexual and reproductive health of CDC plantation camp residents: a focus on unmet need for family planning among women in union.BMC public health · 2023Article
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- Maternal and neonatal outcomes of grand multiparity in Khartoum, Sudan.African health sciences · 2022Article
- Effect of Grand Multiparity on the Adverse Birth Outcome: A Hospital-Based Prospective Cohort Study in Sidama Region, Ethiopia.International journal of women's health · 2022Article
- Effect of grand multiparity on adverse maternal outcomes: A prospective cohort study.Frontiers in public health · 2022Article
- Optimal parity cut-off values for predicting postpartum hemorrhage in vaginal deliveries and cesarean sections.The Pan African medical journal · 2020Article
- Adverse birth outcomes and associated factors among Sub-Saharan African grand multiparas: a systematic review and meta-analysis.Therapeutic advances in reproductive healthArticle
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Authors and funding
5 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGrand multiparity is a major public health concern especially among developing countries and has been associated with higher risk of adverse maternal and fetal outcomes compared with women of lesser parity. There is a dearth of evidence on this subject in Cameroon, especially in the rural areas. We therefore carried out this study to document the prevalence and maternal and fetal delivery outcomes of grand multiparity in a rural Cameroonian setting.
methodsWe conducted a retrospective chart review of delivery records from two health facilities (the Oku District Hospital and Kevu Integrated Health Centre) in the Oku Health District over a period of eight years. Data was entered into and analyzed using Epi-Info version 7.0.8.3. The Chi-squared or Fisher's exact test was used to compare categorical variables. The threshold of statistical significance was set at 5%.
resultsA total of 1755 delivery records met our inclusion criteria. The overall prevalence of grand multiparity was 27.0%. We found no significant difference in the rate of selected maternal and fetal delivery outcomes between grand multiparous women and those with lesser parity (p-value> 0.05). However, grand multiparous women were less likely to develop second-fourth degree perineal tears compared to their counterparts with lesser parity (odds ratio = 0.3, 95% confidence interval = 0.2-0.7, p = 0.001).
conclusionOur study depicts a high prevalence of grand multiparous delivery in this rural community. With the exception of severe perineal tear, grand multipara and their babies are as likely to develop adverse delivery outcomes as their counterparts with lesser parity. There is also the need to enhance existing government policies on reproductive health in rural areas.
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