Elderly Great Grand Multipara with Gestational Hypertension and Anemia Managed in a Rural Tertiary Hospital

  • Uma Shrestha


Parity more than five is grand multiparity and more than 10 is great grand multiparity. Women with high birth
order are at increased risk for adverse obstetric outcomes. The risk is even higher for great grand multiparous
women than grand multiparous women. Grand and Great grand multiparity predispose for adverse maternal
and perinatal outcomes such as malpresentation, labor dystocia, caesarean delivery, postpartum hemorrhage,
maternal anemia, congenital malformations and perinatal mortality. Grand and Great grand multiparty is also
independent risk factor for labor dystocia and perinatal mortality. However, most of the adverse outcomes
that have been associated with grand multiparity may actually be confounded by advanced age, less antenatal
care and low socioeconomic level. Although pregnancy hypertension is more commonly seen among young
primigravidas, hypertension is equally common in elderly women. This is a unique case of elderly great grand
multiparous women with moderate anemia who developed gestational hypertension and underwent emergency
cesarean section resulting into normal maternal and fetal outcome.
Elderly, gestational hypertension, great grand multiparity, pregnancy outcome