title: Peripartum anesthesia in grand-grand multiparous women (≥ 10 births).
abstract: Grand-grand multiparous (GGMP) women, that is women with ≥10 births, appear less likely to receive epidural anesthesia for labor/delivery than non-GGMP women. Eighteen months' data were collected. 277/16,331 laboring females were GGMP (mean age: 39.6 ± 3.3 years; mean: 11.3 ± 1.5 births), 83/258 (32.2%) delivered vaginally with epidural anesthesia versus 7,203/15,711 (45.8%) non-GGMP with epidural anesthesia (p < .0051; Odds Ratio = 0.56). Among GGMP women, 23/42 cesarean sections (55%) were emergency versus 1,011/1,631 (62%) among non-GGMP women (Odds Ratio: 0.74). Mean birth weight of GGMP babies: 3,428 ± 504 gms; mean Apgar (1'): 8.8; there were six sets of twins. Most GGMP women were healthy, but epidural anesthesia was used less frequently for labor/delivery than in non-GGMP births.
authors.affiliation: Gaucher Clinic, Shaare Zedek Medical Center, Jerusalem, Israel.
authors.forename: Ariel
authors.initials: A
authors.lastname: Marks
authors.forename: Jennifer
authors.initials: J
authors.lastname: Greenstein
authors.forename: Miriam T
authors.initials: MT
authors.lastname: Berger
authors.forename: Joel
authors.initials: J
authors.lastname: Shapiro
authors.forename: Deborah
authors.initials: D
authors.lastname: Elstein
authors.forename: Alexander
authors.initials: A
authors.lastname: Ioscovich
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural / Q000706:statistics & numerical data*; D000773:Anesthesia, Obstetrical; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D010298:Parity; D058725:Peripartum Period; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies