title: [Grand multiparity: is it a high risk pregnancy?].
abstract: 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.
authors.affiliation: Hospital das Clinicas de Franco da Rocha-SUDS-14-Faculdade de Medicina de Jundiaí, SP.
authors.forename: N L
authors.initials: NL
authors.lastname: Maia Filho
authors.forename: L
authors.initials: L
authors.lastname: Mathias
authors.forename: E G
authors.initials: EG
authors.lastname: Barragan
authors.forename: J
authors.initials: J
authors.lastname: Hiar
mesh_terms: 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
vernacular_title: Grande multípara: gestação de alto risco?