TITLE:
The Delivery of Grand Multiparas in a Semi-Rural Setting: A Cross-Sectional Descriptive Study at the Ayos Locality of Cameroon
AUTHORS:
Serge Robert Nyada, Cliford E. Ebong, Véronique Mboua, Christiane Nsahlai, Pascale Mpono Emenguele, Michelle Mendoua, Junie Metogo, Isidore Tompeen, Cyrile Claude Noa Ndoua
KEYWORDS:
Grand Multipara, Delivery, Semi Rural, Cameroon
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.1,
January
30,
2023
ABSTRACT: Introduction: Grand
multiparity is a known risk factor for maternal and fetal complications. Materials and Methods: We carried out a cross-sectional
descriptive study on the delivery of grand multiparas at the maternity of the
regional hospital annex of Ayos, a semi-rural locality in the Center region of
Cameroon. The study covered the period from January 2012 through December 2020,
and the objective was to assess the frequency, the determinants and the outcome
of delivery in grand multiparas. Results:
We recorded 1384 deliveries and enrolled 137 cases of delivery of grand multiparas.
This gives a frequency of grand multipara delivery of 9.89%. The mean age of
the women was 34.96 ± 4.45 years. Married parturients accounted for 65% of the
cases and 16.8% were HIV positive. Delivery occurred at term in 89.9%. In
35.8%, no antenatal consultation was done. The use of the partograph during
labor was reported in 11.7%. Per vaginal delivery was noted in 88.3%, emergency
cesarean in 10.2% and elective cesarean in 1.5%. The most frequent maternal
complications included post-partum hemorrhage (19.9%), genital tract tears
(12.4%), endometritis (9.5%) and surgical wound infection (8.7%). No maternal
death was recorded. The mean birth weight of the newborns was 3336.8 ± 550 g. Fetal
complications were mostly represented by neonatal infection (20.1%), perinatal
death (7.9%) and neonatal asphyxia (9.5%). Conclusion: The frequency of grand multiparous
delivery in the semi-rural locality of Ayos, Cameroon, was
9.89%. The mean age of parturients was 38.96 years and the proportion of
vaginal delivery was 88.3%.