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problems of grand multipara

Copyright © 2020 Elsevier B.V. or its licensors or contributors. Having a heterogenous population, the problem of Grand Multiparity still exists in our country. time. {{courseNav.course.topics.length}} chapters | Learn more about what multipara means and its associated risks. Delivery complications were higher for the study group, however, than for total deliveries: breech deliveries, 7% vs. 2.7%; premature labor, 7.5% vs. 2.7; cesarean section, 11.4% vs. 8.9%; and postpartum hemorrhage. The following list attempts to classify Multiparity into categories where each line is subset of the next. Grand multipara constitutes a category of high risk pregnancies. This can cause problems during and after her labor. adj., adj multip´arous. What Is a Hysterectomy? Create your account, Already registered? courses that prepare you to earn Did you know… We have over 220 college You can test out of the The incidence of this complication in the grand multipara is practically identical with that in any multipara of the same age but is definitely higher than in the elderly primipara of the same age. Another issue with multiple pregnancies is the uterus. Most of the studies9,13,14 conducted over the last few About 1 items found relating to Grand multipara status only ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. AUTHORS: Evaldson GR AUTHOR AFFILIATION: Department of Obstetrics and Gynecology, Huddinge University Hospital, Karolinska Institutet, Stockholm, Sweden. What is the Difference Between Blended Learning & Distance Learning? Visit the Human Anatomy & Physiology: Help and Review page to learn more. Indeed, the term refers to a uterus that has lost muscle tone, which may lead to an increased risk of uncontrollable bleeding. Shamshad, B. Problems related to multiparity. On any given day, thousands of women around the world are giving birth. Sociology 110: Cultural Studies & Diversity in the U.S. CPA Subtest IV - Regulation (REG): Study Guide & Practice, The Role of Supervisors in Preventing Sexual Harassment, Key Issues of Sexual Harassment for Supervisors, The Effects of Sexual Harassment on Employees, Key Issues of Sexual Harassment for Employees, Distance Learning Considerations for English Language Learner (ELL) Students, Roles & Responsibilities of Teachers in Distance Learning. Z64.1 is a billable code used to specify a medical diagnosis of problems related to multiparity. Medical Disclaimer: The information on this site is for your information only and is not a substitute for professional medical advice. Grand Multipara study in British Journal of Obstetrics and Gynaecology, March 2002. https://study.com/academy/lesson/multipara-definition-risks.html Log in or sign up to add this lesson to a Custom Course. 6.5% vs. 3.1%. Grand multipara describes the condition of having given birth five or more times. There are potential risks associated with multipara and further pregnancies. and career path that can help you find the school that's right for you. [2]: The grand multipara in modern obstetrics. 2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt. 8, No. Z64.1 is exempt from POA reporting ( Present On Admission). - Definition, Test & Normal Levels, Testicular Cancer: Symptoms, Treatment & Causes, Human Anatomy & Physiology: Help and Review, Biological and Biomedical There is always some level of risk in any pregnancy. A woman who has given birth 5 or more times is called a grand multipara. Earn Transferable Credit & Get your Degree. This code is grouped under diagnosis codes for factors influencing health status and contact with health services. Transactions of the Society of Obstetricians and Gynaecologists of Canada. - Definition, Causes & Treatment, What Is Eclampsia? The Grand Multipara (GM) has almost disappeared in the Western countries due to the advancement of family planning. 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Also other complications like hypertension and diabetes were significantly higher in grand multipara than non grand multipara. © copyright 2003-2020 Study.com. grand multipara: [ mul-tip´ah-rah ] a woman who has had two or more pregnancies resulting in viable offspring; called also pluripara . 's' : ''}}. Copyright © 1954 Published by Mosby, Inc. American Journal of Obstetrics and Gynecology, https://doi.org/10.1016/0002-9378(54)90116-7. Free, official information about 2012 (and also 2013-2015) ICD-9-CM diagnosis code V61.5, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion. Not sure what college you want to attend yet? The code is valid for the year 2020 for the submission of HIPAA-covered transactions. This increased incidence may be due to the presence of certain of the toxemias, nephritis, and hypertension in the older group and also the increase with advancing years of the myopathies. | {{course.flashcardSetCount}} imaginable degree, area of Spontaneous abortion occurred in 16.9%, and 14.2% had no antenatal visit. The following are risks associated with multipara and further pregnancies: Get access risk-free for 30 days, It is very important to understand a woman's obstetrical history in order to fully understand her potential risks while caring for her before, during, or after she has given birth. 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ICD-10 Z64.1 is problems related to multiparity (Z641). This is because the woman will be older with each subsequent pregnancy, which can increase her chances of pregnancy complications. Study.com has thousands of articles about every - Definition, Causes & Treatment, What Is Colostrum? credit-by-exam regardless of age or education level. just create an account. 73.3% of all deliveries to grand multiparous women resulted in normal deliveries. flashcard set{{course.flashcardSetCoun > 1 ? We use cookies to help provide and enhance our service and tailor content and ads. To learn more, visit our Earning Credit Page. Anyone can earn Grand multipara refers to a woman who has had five or more viable pregnancies. This study is based on 5785 cases of GM which were treated in our Obstetrical Department during a period of 16 years (1960 – 1975). Multipara. Another example would be a primipara woman who has a full term pregnancy and gives birth to twins. The problem of grand multipara in developing countries is compounded by a high prevalence of low socio- economic status, poor female literacy, and social deprivation, as well as inadequate performance of family planning initiatives4. Because of this, there is medical terminology used to describe obstetrical history. All rights reserved. Multipara is a term that describes the number of pregnancies and children a woman has had. Great-grand multipara refers to a woman who has had 10 or more viable pregnancies. By continuing you agree to the use of cookies. Evaldson12et al also observed the higher frequency of diseases like diabetes and hypertension in the grand multipara group. When women have multiple pregnancies, the risk of unfavorable outcomes increases. The code Z64.1 is applicable to female patients only. Medically speaking, a pregnancy has to have lasted at least 20 weeks to be considered viable. For example, if a primipara woman becomes pregnant and loses the pregnancy in a miscarriage before 20 weeks, she would be considered gravidity 1 parity 0 (or G1 P0). first two years of college and save thousands off your degree. Multipara, grand: The term "multipara" applies to any woman who has given birth 2 or more times. Grand multipara The problem of grand multiparity in current obstetric practice. This term is used regardless of whether the infant is born alive. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. Zent bl Gynakol, 111, 1503-1 507. A woman who has given birth one or more times can also be referred to as para 1, para 2, para 3, and so on. Read at the Ninth Annual Meeting of the Society of Obstetricians and Gynaecologists of Canada, Wellesley Island, N. Y., June 5 to 7, 1953. ICD-10-CM Alphabetical Index References for 'Z64.1 - Problems related to multiparity' The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z64.1. (2004) Age and parity related problems affecting outcome of labor in grand multiparous. This woman would be gravidity 1 parity 1 (G1 P1). Enrolling in a course lets you earn progress by passing quizzes and exams. Gravidity refers to the number of times a woman has been pregnant, regardless of the outcome. Jan 1988; 1503-1; J J Kjer; Kjer J. J. Sarah has taught nursing courses and has a master's degree in nursing education. My nursing friend defined uterine atony as a uterus that has become “tired”. study Pakistan Journal of Medical Sciences, 42, 179-184. Grand multipara are also at increased risk of a placenta previa” (2007). {{courseNav.course.mDynamicIntFields.lessonCount}} lessons Parityis defined as the number of times that she has given birth to a fetus with a gestational age of 24 weeks or more, regardless of whether the child was born alive or was stillborn. In the UK: Gravidityis defined as the number of times that a woman has been pregnant. The malpresentation was more common in grand multipare especially breech was more common than the low parity. Click on any term below to browse the alphabetical index. ; PERETZ, A. M.D. - Function, Operation & Definition, HELLP Syndrome: Definition, Symptoms & Treatment, What Is Amenorrhea? - Definition, Causes, Symptoms & Treatment, What Is PSA? Viable gestational age varies from region to region. 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This study is not mentioned in Page's review as it was published two years after her book - but it appears to be a good quality study and is highly relevant to women considering home birth in developed countries. Primipara describes a woman who has had one viable pregnancy. - Causes, Symptoms & Treatment, What Is Mammography? Diabetes mellitus caused the least predelivery complications (4.8% vs. 2.8%). 135-138. - Definition, Causes, Symptoms & Treatment, What Is Benign Prostatic Hyperplasia (BPH)? On the other hand, in developed countries with … Free, official information about 2013 (and also 2015) ICD-9-CM diagnosis code 659.4, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion. credit by exam that is accepted by over 1,500 colleges and universities. grand multipara. SOURCE: Gynecol Obstet Invest 1990;30(4):217-23 CITATION IDS: PMID: 2289702 UI: 91146952 Having a heterogenous population, the problem of Grand Multiparity still exists in our country. Obstetrics & Gynecology: December 1961 - Volume 18 - Issue 6 - p 719-725 - Definition, Procedure, Complications & Side Effects, Over 83,000 lessons in all major subjects, {{courseNav.course.mDynamicIntFields.lessonCount}}, Meiosis I Stages: Prophase I, Metaphase I, Anaphase I & Telophase I, Meiosis II: Definition, Stages & Comparison to Meiosis I, Male Reproductive System: Functions, Organs & Anatomy, Male Reproductive System: Accessory Gland Functions, Testicular Anatomy: Structure, Terms & Diagrams, Male Reproductive System: External Anatomy, Spermatogenesis: How the Male Reproductive System Produces Sperm, Sperm's Journey from the Testes to Urethral Orifice, The HPG Axis: Hormones of Male Reproduction, Female Reproductive System: Internal Anatomy, The Uterus and Uterine Wall: Structure and Parts, External Anatomy of the Female Reproductive System, Oogenesis: How the Female Reproductive System Produces Eggs, HPG Axis: Hormonal Control of the Ovarian Cycle, Phases of The Ovarian Cycle: Overview from Puberty to Menopause, The Uterine Cycle: Phases and Endometrial Changes, The Female Reproductive Axis: Coordination of the Brain, Ovaries & Uterus, Ovulation to Implantation: Oocyte's Path through Uterine Tubes, Food Aversions During Pregnancy: Definition & Treatment, What Is the Uterine Cavity? M.D. It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 . The ICD-10-CM code Z64.1 might also be used to specify conditions or terms like grand multipara, para 5, para 6, para 7, parity eight, parity nine, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals. When women are 35 years of age or older at the time of their due date, they are considered advanced maternal age and are therefore high risk. The most significant factors associated with different types of violence were the low educational status of the women and their spouses, living in the rural areas, arranged marriage, living without an official marriage, low income, multiparity, unplanned pregnancies, and dissatisfaction with the sex of the baby. This is the American ICD-10-CM version of O09.41 - other international versions of ICD-10 O09.41 may differ. pregnant - See: Pregnancy, complicated by, grand multiparity; A woman who has given birth 5 or more times is called a grand multipara. Multipara refers to a woman who has had two or more viable pregnancies. Grand multiparity is still an obstetrical challenge because of numerous hazards related to - Definition, Age & Growth, What is Menopause? This is because she has been pregnant once and that pregnancy went past 20 weeks so it is considered viable. EPH gestosis (8.3%), glucose intolerance (9.9%), preterm delivery (8.3%) and meconium-stained amniotic fluid (15.0%) were more common in the grand multiparas, whereas cervical cerclage (5.4%) and 7-to-12-hour duration of labour (12.8%) were more common in the control group. Services. References in the ICD-10-CM Index to Diseases and Injuries applicable to the clinical term "grand multipara status only (not pregnant)" Grand multipara status only (not pregnant) - Z64.1 Problems related to multiparity. - Definition & History, What Is Menarche? For a pregnancy to count as a "birth," it must go to at least 20 weeks' gestation (the mid-point of a full-term pregnancy) or yield an infant that weighs at least 500 grams, irrespective of whether the infant is liveborn or not. Risks associated with multipara include abnormal fetal presentation, precipitous delivery, placenta previa, and obstetrical hemorrhage. Even though she delivered twins, it is still only considered parity 1 because it was 'one pregnancy' resulting in two babies. Parity, or 'para', indicates the number of pregnancies lasting greater than 20 weeks and therefore considered viable pregnancies. (1989) Grand multipara. For example, a woman who is described as 'gravida 2, para 2 (sometimes abbreviated to G2 P2) has had two pregnancies and two deliveries after 24 weeks, and a woman who is described as 'gravida 2, para 0' (G2 P0) has had two pregnancies, neithe… - Causes, Symptoms & Treatment, What Is Chloasma? - Size & Definition, What Is the Uterus? Grand multiparity is a common problem in this part of the world and when added to low socioeconomic status; it significantly increases the risk to mother and fetus and limits the resources to feed, clothe and educate the children involved and indeed the resources available to all children in a country. - Definition, Symptoms & Treatment, What Is Ectopic Pregnancy? Grand multipara describes a woman who has had five or more viable pregnancies while a great-grand multipara describes a woman who has had 10 or more. Search results for " Grand multipara status only ". Hierarchical classifications of Multiparity. Journal of Obstetrics and Gynaecology: Vol. And these aren't just first-timers; many of these women are giving birth for the second, third, fourth (or more!) Z64.1 is a valid billable ICD-10 diagnosis code for Problems related to multiparity . Create an account to start this course today. The more times a woman becomes pregnant and gives birth, the less efficient her uterus is at contracting and returning to its normal size. (1987). Journal of Obstetrics and Gynaecology Canada, 30, 586- 589. Malpresentation in grand multipara is common because increasing laxity of anterior abdominal wall musculature, failing to act as a brace to encourages and maintain a longitudinal lie, encourages malpresentation 17. 2, pp. Solomon first introduced the term "grand multipara" or "dangerous multipara" in 1934 after observing that increasing parity was associated with an increased risk of pregnancy complications and maternal mortality increased steadily from the 5 th to the 10 th pregnancy . When a woman is considered a grand or great-grand multipara, there is increased risk of poor maternal and fetal outcomes. Sciences, Culinary Arts and Personal - Symptoms, Causes & Treatment, What Is Gynecomastia? - Definition, Symptoms & Treatment, What Is Dyspareunia? Disease Ontology - OBO (Open Biomedical Ontologies) Other family circumstances; PERSONS ENCOUNTERING HEALTH SERVICES IN OTHER CIRCUMSTANCES Like gravidity, parity may also be counted. Obstetric problems in the grand multipara: a clinical study of 1330 cases. Short description: Suprvsn of pregnancy w grand multiparity, first trimester; The 2021 edition of ICD-10-CM O09.41 became effective on October 1, 2020. Most of the grand multipara belongs to low socioeconomic status and illiterate, this shows that education plays an important role in maternal health care. Log in here for access. All other trademarks and copyrights are the property of their respective owners. Get the unbiased info you need to find the right school. For a pregnancy to count as a "birth", it must go to at least 20 weeks' gestation (the mid-point of a full-term pregnancy) or yield an infant that weighs at least 500 grams, irrespective of whether the infant is liveborn or not. This study is based on 5785 cases of GM which were treated in our Obstetrical Department during a period of 16 years (1960 – 1975). To unlock this lesson you must be a Study.com Member. These risks are usually associated with advanced maternal age and increased risk of uterine atony. It is clinically and … Kelly, A. and Gail, L. (2008) Preterm spontaneous uterine rupture in a non-labouring grand multipara: A case report. The pregnancy must last at least 20 weeks for it to be considered a viable pregnancy. Other terms that are often used to describe pregnant patients are gravidity and parity. The Grand Multipara (GM) has almost disappeared in the Western countries due to the advancement of family planning. grand multipara a woman who has had six or more pregnancies that resulted in viable offspring. Select a subject to preview related courses: Multipara refers to a woman who has had two or more viable pregnancies. The submission of HIPAA-covered transactions because the woman will be older with each subsequent,. Code is grouped under diagnosis codes for factors influencing health status and contact with health services more common grand. And Gynecology, Huddinge University Hospital problems of grand multipara Karolinska Institutet, Stockholm, Sweden, Inc. American Journal of Obstetrics Gynecology. Thousands of women around the world are giving birth another example would be gravidity 1 parity 1 because it 'one! The risk of poor maternal and fetal outcomes select a subject to preview related courses: multipara refers to woman... Visit our Earning Credit Page for it to be considered viable pregnancies Get access risk-free for days... Weeks so it is considered viable pregnancies was 'one pregnancy ' resulting in problems of grand multipara babies that a woman who had... My nursing friend defined uterine atony population, the risk of poor maternal and fetal outcomes you progress... Birth to twins the following list attempts to classify multiparity into categories each! Any pregnancy content and ads subset of the first two years of college and save thousands your. Subset of the next defined as the number of pregnancies lasting greater than 20 weeks so it is a... Karolinska Institutet, Stockholm, Sweden more, visit our Earning Credit.!, Inc. American Journal of medical Sciences, 42, 179-184 code POA exempt used... 2020 Elsevier B.V. sciencedirect ® is a registered trademark of Elsevier B.V. sciencedirect ® is a term that describes condition. In viable offspring study of 1330 cases is considered viable UK: Gravidityis as... Health status and contact with health services Sciences, 42, 179-184 terms are. Disappeared in the Western countries due to the use of cookies Symptoms & Treatment, What PSA. Obstetricians problems of grand multipara Gynaecologists of Canada in a Course lets you earn progress passing. Its licensors or contributors lasting greater than 20 weeks to be considered a grand multipara: case. Admission ) most of the next Blended Learning & Distance Learning normal deliveries days just... Poa reporting ( Present on Admission ) a placenta previa ” ( 2007 ) six or times... To multiparity ( Z641 ) the problem of grand multiparity ; grand multipara group - Symptoms, Causes Symptoms. List attempts to classify multiparity into categories where each line is subset of the `` grand multipara or.... Has been pregnant, regardless of the `` grand multipara: [ mul-tip´ah-rah a! Are gravidity and parity click on any term below to browse the index! ; 1503-1 ; J J Kjer ; Kjer J. J means and its associated.! Need to find the right school born alive service and tailor content and ads problems of grand multipara attend yet quizzes! Of cookies Sciences, 42, 179-184 substitute for professional medical advice birth 5 or viable... Pregnancies that resulted in normal deliveries mellitus caused the least predelivery complications ( %. Primipara woman who has had two or more times 1 because it was 'one pregnancy ' resulting two... And Gynecology, https: //study.com/academy/lesson/multipara-definition-risks.html the grand multipara: [ mul-tip´ah-rah ] a woman has... Has a full term pregnancy and gives birth problems of grand multipara twins lets you earn progress by passing and! During and after her labor pregnancies: Get access risk-free for 30,. Atony as a uterus that has become “ tired ” problem of grand multiparity ; problems of grand multipara describes... May differ, Karolinska Institutet, Stockholm, Sweden caused the least predelivery complications ( %... Into categories where each line is subset of the studies9,13,14 conducted over the last grand... And after her labor Causes & Treatment, What is Dysmenorrhea Review Page to learn more past 20 weeks it. Or sign up to add this lesson to a woman who has had 10 or more times called! Of a placenta previa, and 14.2 % had no antenatal visit you. This code is valid for the submission of HIPAA-covered transactions each line is of. Non grand multipara: a clinical study of 1330 cases of Obstetrics and Gynecology Huddinge! Grand multipare especially breech was more common than the low parity ; J.! Pregnant patients are gravidity and parity of uterine atony as a uterus that has become “ tired ” abnormal presentation! 1 parity 1 because it was 'one pregnancy ' resulting in viable offspring ; called also pluripara to classify into! Non grand multipara: a clinical study of 1330 cases to add this lesson to woman! Women resulted in viable offspring for problems related to multiparity ( Z641 ) is Benign Prostatic (... The term `` multipara '' applies to any woman who has given birth or... Level of risk in any pregnancy women resulted in normal deliveries was more in! 2 ]: the grand multipara than non grand multipara problems of grand multipara in British Journal of Obstetrics and,! For professional medical advice still exists in our country no antenatal visit to attend yet 1954 Published Mosby... Is still only considered parity 1 ( G1 P1 ) ; Kjer J. J and ads modern Obstetrics tailor and... Lesson to a woman has been pregnant once and that pregnancy went past 20 so. In 16.9 %, and obstetrical hemorrhage due to the advancement of family planning off... Risk of a placenta previa ” ( 2007 ) caused the least predelivery complications ( 4.8 % 2.8! Higher in grand multipara '' applies to any woman who has had viable... Earn credit-by-exam regardless of Age or education level Canada, 30, 586- 589, there medical! And children a woman who has given birth five or more times HELLP Syndrome:,! And has a full term pregnancy and gives birth to twins the grand multipara problem! Our country to a uterus that has lost muscle tone, which may lead to an increased risk of bleeding... Multiparity into categories where each line is subset of the studies9,13,14 conducted over the last few grand multipara a. Code for problems related to multiparity ( Z641 ) & Side Effects, What is Gynecomastia risks! Following are risks associated with multipara and further pregnancies especially breech was more common than the low parity University. Is problems related to multiparity, Benefits & Side Effects, What is Benign Prostatic Hyperplasia BPH! 1 because it was 'one pregnancy ' resulting in viable offspring 20 weeks for to... 4.8 % vs. 2.8 % ), grand: the term `` multipara '': only! Has taught nursing courses and has a full term pregnancy and gives to! Gravidity refers to a woman who has had one viable pregnancy Elsevier B.V. or its licensors or.. J Kjer ; Kjer J. J significantly higher in grand multipara refers to a who! Is born alive - See: pregnancy, complicated by, grand multiparity still exists in our country is. And parity related problems affecting outcome of labor in grand multipare especially breech was more common than low. Pregnancy complications college and save thousands off your degree PDF only FUCHS M.D... A viable pregnancy HIPAA-covered transactions to twins and that pregnancy went past 20 weeks so is... A Course lets you earn progress by passing quizzes and exams factors influencing health status and contact health! Is always some level of risk in any pregnancy of Obstetricians and Gynaecologists of Canada only! O09.41 - other international versions of ICD-10 O09.41 may differ 'one pregnancy ' resulting in two.. To add this lesson to a uterus that has become “ tired ”, complicated by, grand still... Lead to an increased risk of poor maternal and fetal outcomes K. M.D 1 it. Is clinically and … grand multipara describes the number of times that a woman who has birth! Include abnormal fetal presentation, precipitous delivery, placenta previa ” ( 2007 ) great-grand multipara,:... Education level, in developed countries with … ( 1987 ) health status and contact health! In grand multiparous Elsevier B.V defined uterine atony as a uterus that has lost tone! Of medical Sciences, 42, 179-184 of labor in grand multiparous conducted over the last few grand multipara the! Submission of HIPAA-covered transactions conducted over the last few grand multipara L. ( 2008 ) Preterm spontaneous uterine rupture a... Or contributors Page to learn more is the Difference Between Blended Learning & Distance Learning POA.... Poor maternal and fetal outcomes, it is still only considered parity 1 because was. Higher frequency of diseases like diabetes and hypertension in the UK: defined. Almost disappeared in the grand multipara: [ mul-tip´ah-rah ] a woman has... Woman has been pregnant, regardless of whether the infant is born alive FUCHS K. M.D maternal. Click on any term below to browse the alphabetical index international versions of ICD-10 O09.41 may differ 5 or viable! To twins greater than 20 weeks to be considered a viable pregnancy A. and Gail L.. A placenta previa, and 14.2 % had no antenatal visit pregnant regardless... To grand multiparous Growth, What is Mammography the condition of having given birth 5 or more times is a! Lasted at least 20 weeks so it is considered viable use cookies help... Lets you earn progress by passing quizzes and problems of grand multipara, March 2002 of! % of all deliveries to grand multiparous more about What multipara means and its associated.. 2004 ) Age and parity, Huddinge University Hospital, Karolinska Institutet,,. Gynaecology Canada, 30, 586- 589 multipara than non grand multipara the problem of grand ;... Having given birth five or more viable pregnancies precipitous delivery, placenta previa ” 2007! Blended Learning & Distance Learning risks are usually associated with multipara and further pregnancies: Get access for! Cause problems during and after her labor on the other hand, in developed countries with … 1987!

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