Obstetrical Outcome of Grand Multipara

Summary: intruduction: pregnancy in grand multipara has been considered as high risk because there are higher chance of complication during pregnancy, labour and puerperium. objective: to evaluate various maternal and fetal complication associated with a grand multipara during pregnancy, delivery and puerperium. methods: this prospective study was carried out from 1st january 2008 to 31st december 2008 in obstetrics & gynecology department of sylhet mag osmani medical college & hospital, sylhet. 300 grand multipara pregnant patients were selected those who got admitted in department of obstetrics & gynecology, somch during that period. result: it was found that incidence of grand multipara was 6.60%. majority of the patient were between 31–35 years old (43%). 66% patients never had anternal checkup, caesarean section was high about 47%. complications during labour were also high. it was about 51.67%. maternal morbidity was about 16%. perinatal mortality was about 11%. conclusion: this study showed that grand multipara is a major risk for obstetrical outcome and needs strick supervision and good antenatal, intranatal and postnatal care.