TITLE:
Relation between Obstetric Outcome and Parity
AUTHORS:
Helene Warde Chami, Mamour Gueye, Mame Diarra Ndiaye, Mouhamadou Wade, Aliou Diouf, Abdoulaye Diakhate, Simon Birame Ndour, Ndama Niang, Magatte Mbaye
KEYWORDS:
Direct Obstetric Complications, Primiparous, Multiparous
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.6,
June
28,
2019
ABSTRACT: Objectives: To evaluate the prognosis of obstetric complications by parity in a suburban
center in Dakar. Patients and Method: We conducted a retrospective and prospective, cross-sectional study that
evaluated all women admitted to the Philippe Maguilen Senghor Health Center for
the management of their pregnancy
(childbirth, abortion, ectopic pregnancy), whether they were primiparous or
multiparous. The data for this study covered a 66-month period, from January 1, 2012 to June 30, 2017. Data were entered into our E-perinatal computer database. They were then extracted and analyzed first on Microsoft Excel 2016 and then on SPSS 24, Windows version. Results: Between January 2012 and June 2017, we’ve
registered 27,441 patients including 25,905 deliveries, 1415 abortions and 121 ectopic
pregnancies. Direct obstetric complications involved 14.1% of our patients. 12.1% multiparous and 17.3% primiparous had at
least one direct obstetric complication of
World Health Organization (WHO). Antepartum haemorrhage, uterine rupture, ectopic
pregnancy, and abortion complications were more common in multipara, whereas prolonged and obstructed labor, preeclampsia, and eclampsia were more common in primiparous women. Postpartum haemorrhage occurred at substantially equal frequencies in
both parity groups. We had not found any case of sepsis. Conclusion: Our study confirms that primiparity is a factor that may lead to obstetric
complications. However, while some complications were more common in the
primiparous, others were exclusive to
multiparous when we did not expect it. We also recommend continuing this
work by singling out multiparas and large multiparas, in order to better
understand the obstetric prognosis linked to parity.