Impaired Function of the Levator Ani Muscle in the Grand Multipara and Great Grand Multipara

Impaired function of the levator ani muscle in the grand multipara and great grand multipara.

Repeated deliveries might disturb the levator function and increase defecation disorders. In this prospective study, we determined the electric activity of the levator ani muscle (LAM) in nullipara, multipara, grand multipara, and great grand multipara (20 subjects for each group). Multiparity, grand multiparity, and great grand multiparity were defined as women having 2 - 5, 6 - 9, and 10 and ...

CASE REPORT Preterm Spontaneous Uterine Rupture in a Non-labouring Grand Multipara: A Case Report

Background: Uterine rupture can be a catastrophic obstetrical emergency. Many risk factors for uterine rupture have been identified, as well as a wide range of clinical presentations. In this case report, we describe the occurrence of fetal death and uterine rupture in a non-labouring, preterm patient. Case: A 32-year-old woman, gravida 10, para 7, who had three previous lower segment Caesarean...

Ileosigmoid Knotting in Grand Multipara Women during Labor, a Rare Occurrence

Ileo-sigmoid knotting (ISK) is one of the uncommon causes of bowel obstruction except in sigmoid volvulus belt countries where it is fairly common. Bowel obstruction during pregnancy is also uncommon; when it occurs it is mostly due to adhesions. Obstruction during labor is a very rare phenomenon. In this article we present a case of ISK diagnosed intra operatively in a grand-multipara mother t...

The labor curve of the grand multipara: does progress of labor continue to improve with additional childbearing?

OBJECTIVE Our purpose was to test the hypothesis that progress of labor slows as parity exceeds 4 by comparing labor curves of grand multiparous women (para 5 and over) (GMs) with those of nulliparous and lower-parity multiparous women. STUDY DESIGN Retrospective cohorts of spontaneously laboring, vertex-presenting, term GMs who were admitted to two medical centers during the period from Janu...

The Difficulties and Dangers of the Multipara.