Evidence map›Paper›PMID 37761502›Full record

ArticleChildren (Basel, Switzerland)2023

The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha'il, Saudi Arabia.

Hend Alkwai, Farida Khan, Reem Alshammari, Asma Batool, Ehab Sogeir, Fahaad Alenazi, Khalid Alshammari, Ayesha Khalid

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Predictive factors for emergency cesarean section in grand multiparous compared to primiparous and multiparous women.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hend AlkwaiDepartment of Pediatrics, College of Medicine, University of Ha'il, Ha'il 55473, Saudi Arabia.ORCID 0000-0001-6396-9263
Farida KhanDepartment of Family and Community Medicine, College of Medicine, University of Ha'il, Ha'il 55473, Saudi Arabia.
Reem AlshammariDepartment of Family and Community Medicine, College of Medicine, University of Ha'il, Ha'il 55473, Saudi Arabia.ORCID 0000-0002-5861-9960
Asma BatoolDepartment of Obstetrics and Gynecology, Maternity and Children Hospital, Ha'il 55471, Saudi Arabia.
Ehab SogeirDepartment of Family and Community Medicine, College of Medicine, University of Ha'il, Ha'il 55473, Saudi Arabia.
Fahaad AlenaziDepartment of Pharmacology, College of Medicine, University of Ha'il, Ha'il 55473, Saudi Arabia.
Khalid AlshammariDepartment of Medicine, College of Medicine, University of Ha'il, Ha'il 55473, Saudi Arabia.
Ayesha KhalidWilliam Harvey Hospital, Ashford TN24 0LZ, UK.

Funding

University of Hail RG-21068
6 · The paper itself

Abstract

Inconsistent evidence exists regarding the association of grand multiparity with adverse neonatal outcomes. This study aims to compare specific adverse outcomes in grand multiparas (those with five or more births at twenty or more weeks of gestation, regardless of fetal outcome) compared to those with lower parity (those with less than five births at twenty or more weeks of gestation, regardless of fetal outcome). A retrospective cohort study was undertaken at the Maternity and Children Hospital in Ha'il region, Saudi Arabia. After calculating the required sample size, data were collected from consenting participants with a viable singleton delivery. Socio-demographic variables, select maternal characteristics, and adverse neonatal outcomes (admission to the neonatal intensive care unit, low birth weight, prematurity, and APGAR score less than 7 in the first 5 min) were compared between grand multiparas and women with lower parity. Two hundred ninety-four participants were recruited (ninety-eight grand multiparas and one hundred ninety-six of lower parity). There was a statistically significant difference between the two groups in relation to age, level of education, body mass index, and the occurrence of gestational diabetes. Out of the studied adverse neonatal outcomes after the adjustment for maternal age between the two groups, no statistically significant difference in the adverse neonatal outcomes was found between the two groups. Grand multiparity does not incur an additional risk of adverse neonatal outcomes compared to women of lower parity. Furthermore, increasing maternal age and comorbid conditions might have a more detrimental effect on neonatal outcomes than grand multiparity per se.

Indexed as

grand multiparityHa’ilneonatal outcomesparitySaudi Arabia

Identifiers

PMID37761502
PMCPMC10528561

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.