title: Cesarean section in grandmultiparas.
abstract: Grandmultiparity which has been considered to be a factor in maternal and neonatal morbidity [3], is still high in Libya as compared with European countries. A retrospective study of one aspect of this problem concerned the Cesarean section in patients who had delivered 6 or more babies. During the period of January Ist to the end of December 1993, the records of all grandmultiparous women who delivered by a Cesarean section (287 cases) were reviewed at Obstetric Department of University Hospital in Benghazi-Libya. The incidence was 7.9%. The most common indications for the Cesarean section were: fetopelvic disproportion or failure to progress (26.5%), previous Cesarean sections (19.5%), malpresentation (16%), placenta praevia and failed induction for each of them (7%). The perinatal mortality was 17/1000. We conclude that grandmultiparas require Cesarean sections more frequently than nongrandmultiparas, especially primary and emergency Cesarean sections. For such patients an effective family planning program is necessary.
authors.affiliation: I Department of Obstetric & Gynaecology, II Faculty of Medicine, Medical Academy, Warsaw, Poland.
authors.forename: F A
authors.initials: FA
authors.lastname: Ali
authors.forename: B
authors.initials: B
authors.lastname: Spiewankiewicz
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D012189:Retrospective Studies; D012307:Risk Factors