title: Extreme grandmultiparity: is it an obstetric risk factor?
abstract: OBJECTIVE
  To examine the perinatal outcome in women of extreme grandmultiparity (EGMP) in a setting with good socio-economic conditions and modern perinatal care.
  
  
  METHODS
  About 1015 pregnant women with a parity of 10 and above who delivered at Al-Mafraq hospital, Abu Dhabi between 1992 and 1998 were compared with 2044 women of parity <5 and 1662 with parity of 5-9.
  
  
  RESULTS
  Pregnant women with parity of 10 and above had an increased incidence of gestational diabetes (P<0.001) and macrosomia (P<0.001) and a reduced incidence of preterm delivery (P<0.0001) and induction of labor (P<0.0001). There were no significant differences between the groups regarding, antepartum hemorrhage, cesarean section rate and neonatal outcomes.
  
  
  CONCLUSIONS
  Extreme grandmultiparity does not appear to be an independent risk factor for adverse perinatal outcome in the setting of good perinatal care.
authors.affiliation: Department of Obstetrics and Gynaecology, Al-Mafraq Hospital, P.O. Box 2951, Abu Dhabi, United Arab Emirates. srinathk@emirates.net.ae
authors.forename: Aruna S
authors.initials: AS
authors.lastname: Kumari
authors.forename: Padmanabhan
authors.initials: P
authors.lastname: Badrinath
mesh_terms: D016640:Diabetes, Gestational / Q000453:epidemiology; D005260:Female; D005320:Fetal Macrosomia / Q000453:epidemiology; D006801:Humans; D007751:Labor, Induced / Q000706:statistics & numerical data; D007752:Obstetric Labor, Premature / Q000453:epidemiology; D010298:Parity / Q000502:physiology*; D018743:Perinatal Care; D011247:Pregnancy; D011256:Pregnancy Outcome; D012307:Risk Factors; D014479:United Arab Emirates / Q000453:epidemiology