Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes

Abstract Background Grand multiparity is a major public health concern especially among developing countries and has been associated with higher risk of adverse maternal and fetal outcomes compared with women of lesser parity. There is a dearth of evidence on this subject in Cameroon, especially in...

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Main Authors: Atem Bethel Ajong, Valirie Ndip Agbor, Larissa Pone Simo, Jean Jacques Noubiap, Tsi Njim
Format: Article
Language:English
Published: BMC 2019-07-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12884-019-2370-z
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spelling doaj-dfb93e5e8e0046c189fa795a196077372020-11-25T03:07:32ZengBMCBMC Pregnancy and Childbirth1471-23932019-07-011911710.1186/s12884-019-2370-zGrand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomesAtem Bethel Ajong0Valirie Ndip Agbor1Larissa Pone Simo2Jean Jacques Noubiap3Tsi Njim4Maternity and Surgical Department, Kekem District HospitalIbal Sub-divisional hospitalFaculty of Health Sciences, University of BamendaDepartment of Medicine, University of Cape Town and Groote Schuur HospitalCape Universities Body Imaging Center, University of Cape TownAbstract Background Grand multiparity is a major public health concern especially among developing countries and has been associated with higher risk of adverse maternal and fetal outcomes compared with women of lesser parity. There is a dearth of evidence on this subject in Cameroon, especially in the rural areas. We therefore carried out this study to document the prevalence and maternal and fetal delivery outcomes of grand multiparity in a rural Cameroonian setting. Methods We conducted a retrospective chart review of delivery records from two health facilities (the Oku District Hospital and Kevu Integrated Health Centre) in the Oku Health District over a period of eight years. Data was entered into and analyzed using Epi-Info version 7.0.8.3. The Chi-squared or Fisher’s exact test was used to compare categorical variables. The threshold of statistical significance was set at 5%. Results A total of 1755 delivery records met our inclusion criteria. The overall prevalence of grand multiparity was 27.0%. We found no significant difference in the rate of selected maternal and fetal delivery outcomes between grand multiparous women and those with lesser parity (p-value> 0.05). However, grand multiparous women were less likely to develop second-fourth degree perineal tears compared to their counterparts with lesser parity (odds ratio = 0.3, 95% confidence interval = 0.2–0.7, p = 0.001). Conclusion Our study depicts a high prevalence of grand multiparous delivery in this rural community. With the exception of severe perineal tear, grand multipara and their babies are as likely to develop adverse delivery outcomes as their counterparts with lesser parity. There is also the need to enhance existing government policies on reproductive health in rural areas.http://link.springer.com/article/10.1186/s12884-019-2370-zGrand multiparityDelivery outcomesRural Cameroon
collection DOAJ
language English
format Article
sources DOAJ
author Atem Bethel Ajong
Valirie Ndip Agbor
Larissa Pone Simo
Jean Jacques Noubiap
Tsi Njim
spellingShingle Atem Bethel Ajong
Valirie Ndip Agbor
Larissa Pone Simo
Jean Jacques Noubiap
Tsi Njim
Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes
BMC Pregnancy and Childbirth
Grand multiparity
Delivery outcomes
Rural Cameroon
author_facet Atem Bethel Ajong
Valirie Ndip Agbor
Larissa Pone Simo
Jean Jacques Noubiap
Tsi Njim
author_sort Atem Bethel Ajong
title Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes
title_short Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes
title_full Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes
title_fullStr Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes
title_full_unstemmed Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes
title_sort grand multiparity in rural cameroon: prevalence and adverse maternal and fetal delivery outcomes
publisher BMC
series BMC Pregnancy and Childbirth
issn 1471-2393
publishDate 2019-07-01
description Abstract Background Grand multiparity is a major public health concern especially among developing countries and has been associated with higher risk of adverse maternal and fetal outcomes compared with women of lesser parity. There is a dearth of evidence on this subject in Cameroon, especially in the rural areas. We therefore carried out this study to document the prevalence and maternal and fetal delivery outcomes of grand multiparity in a rural Cameroonian setting. Methods We conducted a retrospective chart review of delivery records from two health facilities (the Oku District Hospital and Kevu Integrated Health Centre) in the Oku Health District over a period of eight years. Data was entered into and analyzed using Epi-Info version 7.0.8.3. The Chi-squared or Fisher’s exact test was used to compare categorical variables. The threshold of statistical significance was set at 5%. Results A total of 1755 delivery records met our inclusion criteria. The overall prevalence of grand multiparity was 27.0%. We found no significant difference in the rate of selected maternal and fetal delivery outcomes between grand multiparous women and those with lesser parity (p-value> 0.05). However, grand multiparous women were less likely to develop second-fourth degree perineal tears compared to their counterparts with lesser parity (odds ratio = 0.3, 95% confidence interval = 0.2–0.7, p = 0.001). Conclusion Our study depicts a high prevalence of grand multiparous delivery in this rural community. With the exception of severe perineal tear, grand multipara and their babies are as likely to develop adverse delivery outcomes as their counterparts with lesser parity. There is also the need to enhance existing government policies on reproductive health in rural areas.
topic Grand multiparity
Delivery outcomes
Rural Cameroon
url http://link.springer.com/article/10.1186/s12884-019-2370-z
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