Elderly Great Grand Multipara with Gestational Hypertension and Anemia Managed in a Rural Tertiary Hospital: A Case Report

Abstract

IntroductionParity more than five is grand multiparity and more than 10 is great grand multiparity. Women with high birthorder are at increased risk for adverse obstetric outcomes. The risk is even higher for great grand multiparouswomen than grand multiparous women. Grand and Great grand multiparity predispose for adverse maternaland perinatal outcomes such as malpresentation, labor dystocia, caesarean delivery, postpartum hemorrhage,maternal anemia, congenital malformations and perinatal mortality. Grand and Great grand multiparty is alsoindependent risk factor for labor dystocia and perinatal mortality. However, most of the adverse outcomesthat have been associated with grand multiparity may actually be confounded by advanced age, less antenatalcare and low socioeconomic level. Although pregnancy hypertension is more commonly seen among youngprimigravidas, hypertension is equally common in elderly women. This is a unique case of elderly great grandmultiparous women with moderate anemia who developed gestational hypertension and underwent emergencycesarean section resulting into normal maternal and fetal outcome.KeywordsElderly, gestational hypertension, great grand multiparity, pregnancy outcome