[Grand multiparity: is it a high risk pregnancy?].
OBJECTIVE
evaluate biological and medical characteristics of the grand multipara and her offspring in the neonatal period.


METHODS
comparative and retrospective. SITE: Hospital of the Jundiai School of Medicine.


METHODS
study group--134 grand multiparas; control group--100 primiparas. All patients were admitted to the Franco da Rocha Hospital, the maternity school of the Jundiai School of Medicine.


METHODS
analytical study.


RESULTS
hypertension, haemorrhage, twins, premature labor, pelvic location, and anemia were the complications seen in group 1. Cesarean section was indicated in the presence of a prior cesarean section, and fetal distress was the indication followed in group 2. Post partum damage to soft tissue was more prevalent in group 1. Premature labor and perinatal mortality were more frequent in group 1.


CONCLUSIONS
The authors conclude that GMP were women with a high risk and, thus, they suggest adequate antenatal assistance as an important measure to decrease perinatal and maternal mortality.
Maia Filho
N L
NL
Hospital das Clinicas de Franco da Rocha-SUDS-14-Faculdade de Medicina de Jundiaí, SP.
Mathias
L
L
Barragan
E G
EG
Hiar
J
J
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008423:Maternal Age; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D018566:Pregnancy, High-Risk; D012189:Retrospective Studies; D012307:Risk Factors
Grande multípara: gestação de alto risco?