Peripartum anesthesia in grand-grand multiparous women (≥ 10 births).

Abstract

Grand-grand multiparous (GGMP) women, that is women with ≥10 births, appear less likely to receive epidural anesthesia for labor/delivery than non-GGMP women. Eighteen months' data were collected. 277/16,331 laboring females were GGMP (mean age: 39.6 ± 3.3 years; mean: 11.3 ± 1.5 births), 83/258 (32.2%) delivered vaginally with epidural anesthesia versus 7,203/15,711 (45.8%) non-GGMP with epidural anesthesia (p < .0051; Odds Ratio = 0.56). Among GGMP women, 23/42 cesarean sections (55%) were emergency versus 1,011/1,631 (62%) among non-GGMP women (Odds Ratio: 0.74). Mean birth weight of GGMP babies: 3,428 ± 504 gms; mean Apgar (1'): 8.8; there were six sets of twins. Most GGMP women were healthy, but epidural anesthesia was used less frequently for labor/delivery than in non-GGMP births.

• Authors: Ariel Marks, Jennifer Greenstein, Miriam T Berger, Joel Shapiro, Deborah Elstein, Alexander Ioscovich
• Journal: Health care for women international (Health Care Women Int) Vol. 31 Issue 10 Pg. 938-45 (Oct 2010) ISSN: 1096-4665 [Electronic] England
• PMID: 20835942 (Publication Type: Journal Article)

Topics

• Adult
• Anesthesia, Epidural (statistics & numerical data)
• Anesthesia, Obstetrical
• Delivery, Obstetric (statistics & numerical data)
• Female
• Humans
• Labor, Obstetric
• Parity
• Peripartum Period
• Pregnancy
• Pregnancy Outcome
• Retrospective Studies