Multiparity is the risk factor that would be recognized by the nurse as contributory to a postpartum haemorrhage.
Grand Multiparity is considered a risk factor for increasing adverse outcomes for both the fetus and mother, particularly diabetes mellitus, prepartum haemorrhage, malposition, caesarean section rate, postpartum haemorrhage, iron deficiency anaemia, and high perinatal mortality is thought to be a contributing factor.
However, recent reports suggest that with adequate perinatal care, Grand Multiparity no longer needs to be considered an obstetric risk if the health condition is adequate.
The majority of studies argued that grand multiparas women are more likely of old age, which may be the reason for the increased morbidity and mortality.
CONCLUSIONS:
Grand Multiparity remains a major problem. It is associated with many medical and obstetric complications. In communities where large families are desired, it is important to address the value of family planning and implement diligent antenatal care.
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