Clinical Medicine Research
Volume 6, Issue 3, May 2017, Pages: 92-98
Received: Mar. 22, 2017;
Accepted: Apr. 1, 2017;
Published: Apr. 27, 2017
Views 2636 Downloads 134
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
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.
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.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Mgaya AH, Massawe SN, Kidanto HL, Mgaya HN. Grand multiparity: is it still a risk in pregnancy? BMC Pregnancy Childbirth. 2013; 13: 241.
Adetoro OO, Okwereku FO. Maternal mortality at Ilorin, Nigeria. Trop J Obstet Gynecol. 1988; 1: 18-22.
Gharoro EP, Igbafe AA. Grandmultiparity: Emerging trend in a tropical Community. Trop J Obstet Gynecol. 2001; 18: 27-30.
WHO. WHO Report. Geneva: WHO; 2004. Available from: http://www.int/whr/2004/annex/country/can/en/
Patrick Idoko, Glenda Nkeng, Matthew Anyawu. Reasons for current pregnancy amongst grand multiparous Gambian women – a cross sectional survey. BMC Pregnancy and Childbirth 2016; 16: 217 DOI 10.1186/s12884-016-1016-7.
Geidam AD, Audu BM, OummateZ. Pregnancy outcome among grand multiparous women at the University of Maiduguri Teaching Hospital: a case control study. J Obstet Gynaecol. 2011; 31 (5): 404-8. Doi: 10.3109/01443615.2011.561383.
Hoque M, Hoque E, Kader SB. Pregnancy complications of Grandmultiparity at a rural setting of South Africa. Iran J Reprod Med. 2008; 6 (1): 25–31.
Yasir R, Perveen FZ, Ali L, Perveen S, Tayyab S. Grand-multiparity still an obstetric risk for developing countries. Med Channel. 2010; 16: 264–8.
Nigeria Demographic and Health Survey 2013. Preliminary Report. National Population Commission (NPC). Abuja, Nigeria. MEASURE DHS, ICF International Calverton, Maryland, USA. 2013.
Hamilton BE, Martin JA, Osterman MJ, Curtin SC, Mathews TJ. Births: Final Data for 2014. Natl Vital Stat Rep. 2015; 64 (12): 1-64.
Adeniran AS, Fawole AA, Fakeye OO. Grandmultiparity: Reasons for index pregnancy, contraception and relationship to the Millennium Development Goals. East and Central African Medical Journal 2014; 1 (1): 3-7.
Roman H, Robillard PY, VerspyckE, HulseyTC, MarpeauL, BarauG. Obstetric and neonatal outcomes in Grandmultiparity. ObstetGynecol 2004; 13 (6): 1294-1299. (Pubmed).
Obiechina NJA, Ugboaja JO, Ezeama CO. Grand multiparity: reasons for the index pregnancy. Trop J Med Res. 2008; 12 (2): 65-70.
Kuti O, Dare FO, Oguniyi SO. Grand multiparity: Mothers own reasons for the index pregnanc. Trop J Obstet Gynaecol. 2001; 18 (1): 34-7.
Yahya M Al-Farsi, Daniel R Brooks, Martha M Werler, Howard J Cabral, Mohammed A Al-Shafei, Henk C Wallenburg. Effect of high parity on occurrence of anemia in pregnancy: a cohort study. BMC Pregnancy and Childbirth 2011; 11: 7/DOI: 10.1186/1471-2393-11-7.
Cochrane W. G, editor. Sampling Techniques. 3rded. New York: John Wiley & sons; 1977.
GeidamAD, AuduBM, OummateZ. Pregnancy outcome among grand multiparous women at the University of Maiduguri Teaching Hospital: a case control study. J ObstetGynaecol. 2011; 31 (5): 404-8. Doi: 10.3109/01443615.2011.561383.
HumphryMD. Is grand multiparty an independent predictor of pregnancy risk? A retrospective observational study. Med. J Aust 2003; 179 (6): 294-6.
Olusanya O. Okpere EE. Ezimokhai M. The importance of social class in voluntary fertility control in a developing country. West Afr Journal of medicine1985; 4: 205-212.
Belayneh H, Abebe G, Tizta T. Unwanted pregnancy and associated factors among pregnant 339 married women in Hosanna Town, Southern Ethiopia. PLoS One 2012; 7 (6): e39074. doi: 10.1371/journal. pone.0039074.
Gilda Sedgh, Akinrinola Bankole, Boniface Oye-Adeniran, Isaac F. Adewole, SusheelaSingh, RubinaHussain. Unwanted pregnancy and Associated Factors Among Nigerian Women. Perspectives on Sexual and Reproductive Health Guttmacher Institute 2006; 32 (4): 175-184.