Purpose: Direct obstetric causes have a significant contribution for severe maternal morbidities and mortalities, although the effect of grand multiparity on adverse obstetric outcomes remains controversial across studies. This study aimed to compare obstetric outcomes in grand multiparous and low multiparous women in two hospitals of southern Ethiopia.Materials and methods: A comparative cross-sectional study was conducted in one general and one comprehensive specialized hospitals in 2018. Four hundred and sixty-one mothers were included in the study. Data were collected by structured questionnaire and extraction sheets from clinical documents, and were analyzed using STATA version 14 (StataCorp, College Station, TX, USA).Results: About 39% of the included mothers had at least one adverse obstetric outcome. Hypertensive disorders of pregnancy, antepartum hemorrhage, and premature rupture of membrane and were higher in the grand multiparous mothers. However, obstructed labor and risk of cesarean delivery were higher in low multiparous women. History of medical illnesses, previous cesarean delivery, and high birth weight were independent predictors of adverse maternal outcomes regardless of parity. However, parity did not show statistically significant difference in obstetric outcomes.Conclusion: Parity did not show statistically significant difference in experiencing adverse obstetric outcomes in women. Early identification and treatment of high-risk mothers is recommended regardless of parity.

译文

目的: 直接的产科原因对严重的孕产妇疾病和死亡率有重大贡献,尽管在所有研究中,大多重分娩对不良产科结局的影响仍然存在争议。本研究旨在比较埃塞俄比亚南部两家医院的大多产和低多产妇女的产科结局。材料和方法: 在一家普通医院和一家综合专科医院2018年进行了一项对比横断面研究。研究包括了469名母亲。数据通过结构化问卷和临床文件提取表收集,并使用STATA版本14 (StataCorp,College Station,TX,USA) 进行分析。结果: 大约39% 的被纳入的母亲至少有一个不良的产科结局。妊娠期高血压疾病,产前出血和胎膜早破,在大产妇中较高。然而,低多产妇女的难产和剖宫产风险较高。医疗疾病史,先前的剖宫产和高出生体重是孕产妇不良结局的独立预测因素,而与胎次无关。然而,胎次在产科结局方面没有显示出统计学上的显著差异。结论: 胎次在女性经历不良产科结局方面没有显示出统计学上的显著差异。无论是否均等,都建议对高危母亲进行早期识别和治疗。

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