The Impact of Grand Multiparity on Perinatal and Neonatal Results in Females Over 35 Years of Age

BACKGROUND/AIMS: The purpose of this current research was to evaluate the perinatal and neonatal outcomes among >35-year-old grand multiparous, multiparous, and primiparous pregnant females. MATERIALS AND METHODS: In this study, a total of 156 patients who underwent pregnancy follow-up and gave birth in the obstetrics clinic between January 2018 and January 2024 were included. The par-ticipants were divided into 3 groups based on primiparous (single birth), multiparous (2-4 births), and grand multiparous (5 or more births). The age, parity, type of birth, presence of perineal tears, blood transfusion history, presence of gestational hypertension, and gestational diabetes during pregnancy were scanned retrospectively from the hospital database of the females analyzed in the research. RESULTS: The mean body mass index of grand multiparous pregnant females was 27.4±3.1 kg/m2, which was considerably larger than that of the other groups (p=0.032). The gravida number of grand multiparous pregnant females was 6 (5.7) and the parity number was 6 (5.5), which were found to be higher than in the other groups (p=0.012, p=0.008, respectively). The rate of perineal laceration was considerably higher in the primiparous pregnant group than in the other groups (p=0.021). When compared with regard to pregnancy and birth-complications, estimated blood loss volume and >1000 cc bleeding rates were shown to be considerably larger in primiparous-pregnancies than in other preg-nancies (p=0.012, p=0.046, respectively). Neonatal intensive care unit need was observed tobe sig-nificantly greater in the primiparous pregnant groups than in the other groups (p=0.024). CONCLUSION: In this current research we showed that grand multiparity (GM) has complication rates similar to other groups and is not a risk factor alone. Advanced maternal age may also be associated with difficulties associated with GM. Pregnancy monitoring and birth should be performed more fre-quently and carefully to reduce risks in this patient group.