ArticleInternational journal of general medicine2021
Adverse Perinatal Outcomes Among Grand Multiparous and Low Multiparous Women and Its Associated Factors in North Shewa Zone Public Hospitals: The Role of Parity.
Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 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
- Pooled estimates of stillbirth in Ethiopia: systematic review and meta-analysis, 2013-2024.Journal of health, population, and nutrition · 2025Pooled it
- Criteria based clinical audit of selected obstetric emergencies standard of care and feto-maternal outcomes in public hospitals of West Shoa Zone, Central Ethiopia.BMC pregnancy and childbirth · 2026Article
- Magnitude of Adverse Birth Outcomes and Predictors Among Newborns Delivered at Public Hospitals in Benadir Region, Somalia.Journal of epidemiology and global health · 2026Article
- Article
- Prevalence and determinants of adverse perinatal outcomes of preeclampsia with severe features at two selected public hospitals in Addis Ababa, Ethiopia.Frontiers in pediatrics · 2024Article
- Parental stress and associated factors among parents of preterm neonates admitted at neonatal intensive care unit among selected governmental hospitals Addis Ababa, Ethiopia, 2022. An institution-based cross-sectional study.Frontiers in psychiatry · 2024Article
- Association between Parity and Preterm Birth-Retrospective Analysis from a Single Center in Poland.Healthcare (Basel, Switzerland) · 2023Article
- The effects of advanced maternal age on perinatal mortality in Ethiopia: A systematic review and meta-analysis.SAGE open medicine · 2023Review
- Undernutrition and associated factors among rural pregnant women in Eastern Ethiopia.SAGE open medicine · 2022Article
- Article
- Maternal risk factors contributing to stillbirths in semi-rural Ghana: Insights from a cross-sectional study.Women's health (London, England)Article
- 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
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdverse perinatal outcomes are the major cause of neonatal morbidity, mortality, and long-term physical and psychological consequences. Contradicting evidence across studies was reported about the impact of grand multiparity on adverse perinatal outcomes. Older literature reported increased incidence of perinatal complications in grand multiparas, but, recent reports failed to support this finding. In addition, there is a paucity of comparative studies on perinatal outcomes. Thus, the study aimed to compare the perinatal outcomes in grand multiparous (GM) and low multiparous (LM) women who give birth in North Shewa Zone Public Hospitals, Ethiopia, 2021.
methodsA comparative cross-sectional study was done among 540 (180 GM and 360 LM) women from January 1 to March 30, 2021. The data were collected using a structured and pre-tested questionnaire through interviews and reviewing patient charts. SPSS version 25 was used for data analysis. The data were entered using Epi-Data version 4.6. The Hosmer-Lemeshow goodness-of-fit was applied to test for model fitness. The statistical significance level was declared at a p-value of ≤0.05.
resultsIn this study, the prevalence of adverse perinatal outcomes was 14.1% (95% CI: 10.9-17.2). Stillbirth/IUFD (33.3%) and low APGAR score (60%) were frequently occurred complications in grand multiparas. Nevertheless, meconium aspiration (26%), admission to NICU (65.2%), macrosomia (61%), and prematurity (52.2%) were higher in low multiparous women. Age above 35 years (AOR (CI) = 2.61 (1.23-5.53)), rural residence (AOR (CI) = 8.31 (3.05-22.6)), being a government employee (AOR (CI) = 0.19 (0.05-0.69)), lack of antenatal care (AOR (CI) = 9.76 (3.03-31.5)), and previous pregnancy complications (AOR (CI) = 3.10 (1.63-5.90)) were significant predictors of adverse perinatal outcomes. However, parity did not show a statistically significant association with perinatal outcomes.
conclusionMaternal age, residence, occupation, lack of antenatal care, and previous pregnancy complications were significant associates of perinatal outcome. There was no statistically significant difference in perinatal outcome between GM and LM women. Socio-economic development, good antenatal care, and early identification and treatment of complications are needed regardless of parity.
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