Summary
We studied the interaction of social status and high partiy in 15,102 consecutive births in one inner-city hospital, of which 1874 (12.4%) occurred in mothers who had given birth to seven or more infants (Grand multiparae). Group 1 consisted of 1258 grand multiparae from a socioeconomically stable and homogeneous ultra-orthodox Jewish community in Jerusalem, and group 2, included all other grand multiparae of relatively greater age and lower socioeconomic status. A significantly higher rate of small for gestational age, low birth weight and preterm infants was found in group 2 compared with group 1. The results suggest that grand multiparity is not of itself a risk factor, but reflects the confounding effect of environmental conditions.
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Al-Sayegh KN, Hathout HM (1974) Reappraisal of grand multiparity. Int J Gynaecol Obstet 12:159–165
Aziz FA (1980) Pregnancy and labor of grand multiparous Sudanese women. Int J Gynaecol Obstet 18:144–146
Baskett TF (1977) Grand multiparity — a continuing threat: a 6 year review. CMAJ 116:1001–1004
Chang A, Larkin P, Esler EJ, Condie R, Morrison J (1977) The obstetric performance of the grand multipara. Med J Aust 1:330–332
Chattopadhyay SK, Sengupta PB, Edrees YB, Lambourne A (1987) Cesarean section: changing pattern in Saudi Arabia. Int J Gynaecol Obstet 25:387–394
Dawood MY, Ng R, Ratnam S (1974) Oxytocin stimulation and uterine rupture in the grand multipara. Singapore Med J 15:40–44
Duckman S, Chen W, Gangor T, Bonura F (1968) Disproportion in the multipara, fact or philosophy. Am J Obstet Gynecol 101:1001–1005
Eidelman AI, Kamar R, Schimmel MS, Bar-On E (1988) The grand multipara: Is she still at risk? Am J Obstet Gynecol 158:389–392
Fuchs K, Peretz BA, Marcovici R, Paldi E, Timor-Tritsh I (1985) The “grand-multipara” — Is it a problem? A review of 5785 cases. Int J Gynecol Obstet 23:321–325
Harlap S, Davies AM, Grover NB, Prywes R (1977) The Jerusalem perinatal study: the first decade 1967–1973. Isr J Med Sci 13:1073–1091
Israel SL, Blazar AS (1985) Obstetric behavior of the grand multipara. Am J Obstet Gynecol 91:326–332
Jones SA, Lowe EW (1968) Primary cesarean section in the grand multipara. Obstet Gynecol 31:785–787
Laor D, Seidman DS, Yaffe H, Diament Y, Gale R (1989) A prospective study of the active management of labor in women of high parity. Eur J Obstet Gynecol 30:111–115
Melesh R (1986) The grand multipara — still an obstetric problem. J Obstet Gynaecol 7:84–87
Mwambingu FT, Al Meshari AA, Akiel A (1988) The problem of grandmultiparity in current obstetric practice. Int J Gynaecol Obstet 26:355–359
Opaneye AA (1986) Observations on some patients of high parity delivering in a general hospital in Saudi Arabia. Int J Gynaecol Obstet 24:435–438
Petrinovsky B, Cohen M, Moy F, Tacer ML (1986) Labor patterns in grand multiparas. Int J Gynaecol Obstet 24:439–441
Seidman DS, Gale R, Slater RE, Ever-Hadani P, Harlap S (1987) Does grand multiparity affect fetal outcome? Int J Gynaecol Obstet 25:1–7
Seidman DS, Armon Y, Roll D, Stevenson DK, Gale R (1988) Grand multiparity: an obstetric or neonatal risk factor? Am J Obstet Gynecol 158:1034–1039
Seidman DS, Ever-Hadani P, Stevenson DK, Slater PE, Harlap S, Gale R (1988) Birth-order and birth weight reexamined. Obstet Gynecol 72:158–162
Tanbo TG, Bungum L (1987) The grand multipara — maternal and neonatal complications. Acta Obstet Gynecol Scand 66:53–56
Ullman AD (1975) Family size and composition differences in two southern Italian villages. J Marriage Fam 37:208–213
Yudkin PL, Harlap S, Baras M (1989) High birthweight in an ethnic group of low socioeconomic status. Br J Obstet Gynecol 90:291–296
Ziel HA (1962) Grand multiparity — its obstetric complications. Am J Obstet Gynecol 84:1427–1433
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Seidman, D.S., Dollberg, S., Stevenson, D.K. et al. The effects of high parity and socioeconomic status on obstetric and neonatal outcome. Arch Gynecol Obstet 249, 119–127 (1991). https://doi.org/10.1007/BF02391578
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DOI: https://doi.org/10.1007/BF02391578