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.

The authors acknowledge the considerable expertise and patience of Ms. Alina Rivilis, who performed all of the statistical analyses thereby enabling a more cogent understanding of the data.