Grand-multiparity means having 5 or more deliveries.
The relationship between giving birth in large numbers and
some risks related to pregnancy and delivery has not always been consistent in
research. One of the reasons for the discrepancy is the increase in the age of
the mother as the number of births increases. As the age of the mother
increases, some risks related to pregnancy increase even if it is the first
pregnancy. Some of the research has not adequately corrected maternal age. In
some studies, socioeconomic level has been a confusing factor. The fact that
the socioeconomic level is different in those who give birth to many births may
lead to differences such as timely and rapid access to healthcare. In some
studies, no risk or low risk in those who gave birth was explained by
"being healthy in those who gave birth". What is meant here is that
women who have problems in their first pregnancy generally avoid giving birth,
but those who do not have problems in their first pregnancy are more prone to
the decision to give birth. For this reason, those who give birth more create a
healthier population.
In most of the studies, the relationship between excessive
delivery and hypertension (preeclampsia), gestational diabetes, difficult
birth, preterm birth, neonatal intensive care requirement and perinatal death
could not be clearly distinguished.
Some studies have shown that those who give birth at a young
age are at a lower risk than those who give birth at a young age. Such studies
show that maternal age is the determining factor rather than the number of
births.
In conclusion: The common consensus in the majority of the
research today is as follows: In the past, grand-multiparity was thought to be
associated with risks related to pregnancy and childbirth, but today the
evidence for this relationship is unclear. Considering the current healthcare
facilities and the level of care, it is thought that giving birth to a large
number of normal births (5 or more births) does not pose a significant risk.
Patients who have had a cesarean are out of this generalization and the risk
increases even more with each cesarean delivery.
Is it
harmful to be too many cesarean? WHAT ARE THE RISKS?
There may be patients with second, third, fourth and rarely
fifth or even more cesarean sections after the first cesarean section. Is it
harmful to have too many caesarean sections? Which risks increase as the number
of cesarean increases? Questions such as are often encountered.
As the number of cesarean increases, the risks encountered
during and after the surgery increase. In general, it is considered very risky
after the 3rd cesarean section, although a definite limit has not been
established, and it is not recommended to conceive a woman who has been caesarean
3 times unless it is mandatory. However, there is less risk in previous
cesarean deliveries.
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