Maternal Outcomes among Grand Multiparous and Multiparous Women in Mulago Hospital, Uganda

Objective: To compare the incidence of intrapartum and immediate post-partum complications among grand multiparous (para 5-9) and multiparous (para 2-4) delivering at Mulago hospital, Uganda.Design: Prospective cohort study.Setting: Mulago hospital, Uganda.Subjects: One hundred and fifty six grand multiparous and multiparous women were recruited on admission in labour ward and followed up through labour and immediate post partum period. Maternal complications among the two groups were collected and analysed.Results: Women with grandmultiparity were significantly older and had a lower educational profile than multiparous women. The overall incidence of intrapartum and immediate post-partum complications for grandmultiparous women was 13.5% compared with 9.6% in the multiparous group RR 1.19 (0.88-1.61). Grand multiparous (GMP) women were more likely to have PPH than the multiparous (MP) women 6.4% vs. 1.9% RR l.61 (1.20-2.17).Conclusion: Post-partum haemorrhage (PPH) was higher among the GMPs when compared to MPs