Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria
Clinical Medicine Research
Volume 6, Issue 3, May 2017, Pages: 92-98
Received: Mar. 22, 2017; Accepted: Apr. 1, 2017; Published: Apr. 27, 2017
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Ikeanyi Eugene Maduabuchukwu, Department of Obstetrics and Gynecology, College of Health Sciences, Niger Delta University, Amassoma, Nigeria
Ibrahim Isa Ayuba, Department of Obstetrics and Gynecology, College of Health Sciences, Niger Delta University, Amassoma, Nigeria
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Background: The Total Fertility Rates have declined below the replacement rates globally and in the industrialized countries. The rates are still high in Nigeria and most other poorer countries. Too much childbirth is associated with increased adverse obstetric outcomes and socioeconomic implications. There has been profuse literature on high parity but limited data on the reasons for high parity. We set out to explore the reasons the women have for high parity in Nigeria. Aim: To investigate the reasons women have for high parity in order to improve reproductive health services. Methods: This was a cross-sectional descriptive study on 288 grandmultiparas (para≥5) in South-south Nigeria between 2012 and 2016. EPI INFO software was used for analysis with statistical significance set at P<.05. Results: The mean age of respondents was 35.3±4.2 years. About 85% and 12% were in first marriage and remarried relationship respectively. The mean parity was 5.95±1.3 and ranged 5-11births. Respondents leading reasons for high parity were mistake (unplanned) 30.9%, desire for specific gender 22% (male child 15.6%) and personal desire for more children 15.3%. Over 90% was aware of contraception, only 29.2% ever used any method. The younger (OR=4.9, P=0.02), less educated (OR=0.39, P=0.01) and employed (OR=0.23, P=0.02) and (OR=6.9, P= 0.04) respondents significantly cited spouse desire, desire of male child, child loss and contraception failure for high parity respectively. Conclusion: Mistake, desire for male child and large family were the leading reasons women gave for high parity. Maternal age, education and employment significantly influenced the reasons for high parity. There was high contraceptive awareness but poor utilization among the respondents; a huge unmet need of contraception in this population.
Grandmultiparity, Reasons, high Parity, Contraception uptake, unmet Need
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Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba, Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria, Clinical Medicine Research. Vol. 6, No. 3, 2017, pp. 92-98. doi: 10.11648/j.cmr.20170603.16
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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