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

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 wi...

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Autores principales: Alkwai, Hend, Khan, Farida, Alshammari, Reem, Batool, Asma, Sogeir, Ehab, Alenazi, Fahaad, Alshammari, Khalid, Khalid, Ayesha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10528561/
https://www.ncbi.nlm.nih.gov/pubmed/37761502
http://dx.doi.org/10.3390/children10091541
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author Alkwai, Hend
Khan, Farida
Alshammari, Reem
Batool, Asma
Sogeir, Ehab
Alenazi, Fahaad
Alshammari, Khalid
Khalid, Ayesha
author_facet Alkwai, Hend
Khan, Farida
Alshammari, Reem
Batool, Asma
Sogeir, Ehab
Alenazi, Fahaad
Alshammari, Khalid
Khalid, Ayesha
author_sort Alkwai, Hend
collection PubMed
description 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.
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spelling pubmed-105285612023-09-28 The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha’il, Saudi Arabia Alkwai, Hend Khan, Farida Alshammari, Reem Batool, Asma Sogeir, Ehab Alenazi, Fahaad Alshammari, Khalid Khalid, Ayesha Children (Basel) Article 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. MDPI 2023-09-12 /pmc/articles/PMC10528561/ /pubmed/37761502 http://dx.doi.org/10.3390/children10091541 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Alkwai, Hend
Khan, Farida
Alshammari, Reem
Batool, Asma
Sogeir, Ehab
Alenazi, Fahaad
Alshammari, Khalid
Khalid, Ayesha
The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha’il, Saudi Arabia
title The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha’il, Saudi Arabia
title_full The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha’il, Saudi Arabia
title_fullStr The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha’il, Saudi Arabia
title_full_unstemmed The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha’il, Saudi Arabia
title_short The Association between Grand Multiparity and Adverse Neonatal Outcomes: A Retrospective Cohort Study from Ha’il, Saudi Arabia
title_sort association between grand multiparity and adverse neonatal outcomes: a retrospective cohort study from ha’il, saudi arabia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10528561/
https://www.ncbi.nlm.nih.gov/pubmed/37761502
http://dx.doi.org/10.3390/children10091541
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