Grand Multigravida

Definition - What does Grand Multigravida mean?

Grand multigravida is a term used for a woman who has been pregnant more than four times. This term is used irrespective of the pregnancy outcome. Gravidity refers to the number of times a woman gets pregnant, and multigravida is used for a woman who has been pregnant more than once. The term grand is added when it has been more than four pregnancies.


FertilitySmarts explains Grand Multigravida

Healthcare providers often abbreviate a woman’s obstetric history based on gravidity and parity (the number of times a woman gave birth to a child, be it alive birth or stillbirth). A woman described as G5 P2 has had five pregnancies and given two births. Similarly, a woman described as G5, P0 has had five pregnancies, but zero deliveries.

Grand multigravida and less interval between pregnancies are a risk factor for the following conditions during and after pregnancy:

  • Anemia
  • High Blood Pressure
  • Diabetes Mellitus
  • Uterine Rupture
  • Premature placental separation from the uterus
  • Placenta previa (a condition in which placenta covers the cervix)
  • Excessive bleeding after delivery

Grand multigravida can also have a poor perinatal outcome. The perinatal period starts at 154 days of pregnancy and end after seven days of birth.

Poor perinatal outcomes include:

  • Low birth weight
  • Prematurity
  • Perinatal death
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