Retrospective Review of The Relationship Between Parity and Pregnancy Outcomes at Siriraj Hospital
Keywords:
Parity, pregnancy outcomeAbstract
Objective: To determine the effect of parity to pregnancy outcomes.
Methods: A retrospective study was conducted among 976 singleton pregnant women during July to October 2007 at Siriraj Hospital. Two groups of patients were recruited in this study, the first group was nulliparity (488 patients) and the second group was multiparity (488 patients). The adverse pregnancy outcomes including antepartum hemorrhage (APH), gestational diabetes (GDM), pre-eclampsia, preterm birth, premature rupture of membranes (PROM), mode of delivery, postpartum hemorrhage (PPH) and neonatal morbidity were studied comparatively.
Results: The adverse pregnancy outcome in the aspects of pre-eclampsia, PROM, preterm birth, operative obstetrics and neonatal phototherapy in nulliparity were significantly higher than multiparity with odds ratio 2.43 (95%CI 1.05-5.61), 1.79 (95%CI 1.07-2.98), 1.91 (95%CI 1.23-2.96), 11.20 (95%CI 2.60-48.13), and 2.10 (95%CI 1.40-3.14) respectively. APH was increased in the multiparity group but not significant different by statistics, with odds ratio 5.04 (95%CI 0.59-43.31). There were no significant differences for the prevalence of GDM, PPH, low birth weight and macrosomia in these two groups.
Conclusion: Increased risk of pre-eclampsia, PROM, preterm birth, operative obstetrics and neonatal phototherapy in nulliparity compared with multiparity.
Downloads
Published
How to Cite
Issue
Section
License
Users are free to share, copy, and redistribute all articles published in the Siriraj Medical Journal (SMJ) in any medium or format as long as you follow the following terms:
- Attribution — You must give appropriate credit, provide a link to the material, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the publisher endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.