title: Great grand multiparity--beyond the 10th delivery.
abstract: OBJECTIVE
  To investigate the perinatal outcome and obstetric complications of women delivering for the 10th time or more.
  
  
  METHODS
  Four hundred twenty women of great grand multiparity were analyzed in a modern health care setting and compared with our general population of obstetric patients, with regard to past history, maternal age, gestational age, mode of delivery, fetal outcome and intercurrent medical/obstetric problems.
  
  
  RESULTS
  The study group showed significantly lower rates of low birth weight infants and instrumental delivery. No significant difference was seen in the incidence of cesarean section, pathologic fetal presentation, maternal hypertension, gestational diabetes, hemorrhage, or perinatal morbidity or mortality. There was a slightly higher incidence of twin births compared with the general population.
  
  
  CONCLUSIONS
  It is probable that women capable of reaching their 10th delivery are basically healthy. If offered adequate perinatal care, they are not a high-risk group during subsequent deliveries.
authors.affiliation: Department of Obstetrics and Gynecology, Beilinson Medical Center, Petah-Tikva, Israel.
authors.forename: B
authors.initials: B
authors.lastname: Kaplan
authors.forename: L
authors.initials: L
authors.lastname: Harel
authors.forename: A
authors.initials: A
authors.lastname: Neri
authors.forename: D
authors.initials: D
authors.lastname: Rabinerson
authors.forename: G A
authors.initials: GA
authors.lastname: Goldman
authors.forename: B
authors.initials: B
authors.lastname: Chayen
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome