problems of grand multipara

To learn more, visit our Earning Credit Page. 135-138. Medically speaking, a pregnancy has to have lasted at least 20 weeks to be considered viable. 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. 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. just create an account. Indeed, the term refers to a uterus that has lost muscle tone, which may lead to an increased risk of uncontrollable bleeding. - Definition, Benefits & Side Effects, What Is Dysmenorrhea? My nursing friend defined uterine atony as a uterus that has become “tired”. Grand Multipara study in British Journal of Obstetrics and Gynaecology, March 2002. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. grand multipara: [ mul-tip´ah-rah ] a woman who has had two or more pregnancies resulting in viable offspring; called also pluripara . Obstetrics & Gynecology: December 1961 - Volume 18 - Issue 6 - p 719-725 Z64.1 is exempt from POA reporting ( Present On Admission). - Causes, Symptoms & Treatment, What Is Chloasma? This can cause problems during and after her labor. The code Z64.1 is applicable to female patients only. The following list attempts to classify Multiparity into categories where each line is subset of the next. All rights reserved. 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. 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. Sciences, Culinary Arts and Personal Kelly, A. and Gail, L. (2008) Preterm spontaneous uterine rupture in a non-labouring grand multipara: A case report. 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… Grand multipara refers to a woman who has had five or more viable pregnancies. 8, No. This woman would be gravidity 1 parity 1 (G1 P1). flashcard set{{course.flashcardSetCoun > 1 ? Also other complications like hypertension and diabetes were significantly higher in grand multipara than non grand multipara. Like gravidity, parity may also be counted. 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. Multipara refers to a woman who has had two 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). 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. Learn more about what multipara means and its associated risks. 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. Study.com has thousands of articles about every Grand multipara describes the condition of having given birth five or more times. A woman who has given birth 5 or more times is called a grand multipara. In the UK: Gravidityis defined as the number of times that a woman has been pregnant. 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. - Definition, Symptoms & Treatment, What Is PID? Because of this, there is medical terminology used to describe obstetrical history. grand multipara. 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Having a heterogenous population, the problem of Grand Multiparity still exists in our country. Viable gestational age varies from region to region. 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 . Z64.1 is a billable code used to specify a medical diagnosis of problems related to multiparity. Hierarchical classifications of Multiparity. https://study.com/academy/lesson/multipara-definition-risks.html AUTHORS: Evaldson GR AUTHOR AFFILIATION: Department of Obstetrics and Gynecology, Huddinge University Hospital, Karolinska Institutet, Stockholm, Sweden. Create your account, Already registered? - Function, Operation & Definition, HELLP Syndrome: Definition, Symptoms & Treatment, What Is Amenorrhea? It is clinically and … Not sure what college you want to attend yet? credit by exam that is accepted by over 1,500 colleges and universities. Multipara. What is the Difference Between Blended Learning & Distance Learning? 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. Create an account to start this course today. - Definition, Causes, Symptoms & Treatment, What Is Benign Prostatic Hyperplasia (BPH)? SOURCE: Gynecol Obstet Invest 1990;30(4):217-23 CITATION IDS: PMID: 2289702 UI: 91146952 2, pp. adj., adj multip´arous. - Definition, Age & Growth, What is Menopause? There is always some level of risk in any pregnancy. On the other hand, in developed countries with … Other terms that are often used to describe pregnant patients are gravidity and parity. Search results for " Grand multipara status only ". This is the American ICD-10-CM version of O09.41 - other international versions of ICD-10 O09.41 may differ. Did you know… We have over 220 college | {{course.flashcardSetCount}} And these aren't just first-timers; many of these women are giving birth for the second, third, fourth (or more!) - Definition, Test & Normal Levels, Testicular Cancer: Symptoms, Treatment & Causes, Human Anatomy & Physiology: Help and Review, Biological and Biomedical Disease Ontology - OBO (Open Biomedical Ontologies) Other family circumstances; PERSONS ENCOUNTERING HEALTH SERVICES IN OTHER CIRCUMSTANCES 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. Zent bl Gynakol, 111, 1503-1 507. - Definition, Symptoms & Treatment, What Is Dyspareunia? (2004) Age and parity related problems affecting outcome of labor in grand multiparous. Great-grand multipara refers to a woman who has had 10 or more viable pregnancies. Parity, or 'para', indicates the number of pregnancies lasting greater than 20 weeks and therefore considered viable pregnancies. (1987). pregnant - See: Pregnancy, complicated by, grand multiparity; - Size & Definition, What Is the Uterus? - 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? Copyright © 2020 Elsevier B.V. or its licensors or contributors. ; PERETZ, A. M.D. Grand multipara constitutes a category of high risk pregnancies. Copyright © 1954 Published by Mosby, Inc. American Journal of Obstetrics and Gynecology, https://doi.org/10.1016/0002-9378(54)90116-7. Even though she delivered twins, it is still only considered parity 1 because it was 'one pregnancy' resulting in two babies. 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 . 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. Risks associated with multipara include abnormal fetal presentation, precipitous delivery, placenta previa, and obstetrical hemorrhage. The more times a woman becomes pregnant and gives birth, the less efficient her uterus is at contracting and returning to its normal size. This is because she has been pregnant once and that pregnancy went past 20 weeks so it is considered viable. There are potential risks associated with multipara and further pregnancies. 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. Diabetes mellitus caused the least predelivery complications (4.8% vs. 2.8%). Sarah has taught nursing courses and has a master's degree in nursing education. Medical Disclaimer: The information on this site is for your information only and is not a substitute for professional medical advice. Multipara is a term that describes the number of pregnancies and children a woman has had. Journal of Obstetrics and Gynaecology: Vol. Multipara, grand: The term "multipara" applies to any woman who has given birth 2 or more times. Enrolling in a course lets you earn progress by passing quizzes and exams. The pregnancy must last at least 20 weeks for it to be considered a viable pregnancy. The malpresentation was more common in grand multipare especially breech was more common than the low parity. 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. 6.5% vs. 3.1%. Z64.1 is a valid billable ICD-10 diagnosis code for Problems related to multiparity . © copyright 2003-2020 Study.com. [2]: The grand multipara in modern obstetrics. study All other trademarks and copyrights are the property of their respective owners. Unavoidable Costs, Quiz & Worksheet - 12th Century Japan's Military Society & Samurais, Quiz & Worksheet - Mitochondrial Outer Membrane, Quiz & Worksheet - Calculating Margin of Safety in Accounting, ATP Synthase: Definition, Structure & Function, Learning Activities for Children with Down Syndrome, Tech and Engineering - Questions & Answers, Health and Medicine - Questions & Answers, Working Scholars® Bringing Tuition-Free College to the Community, Precipitous delivery (fast labor and delivery), Uterine atony (decreased ability of the uterus muscle to contract), Placenta previa (placenta partially or totally covering the cervical os), Obstetrical hemorrhage (often this is due to uterine atony), Levator ani dysfunction (pelvic floor muscle dysfunction). {{courseNav.course.mDynamicIntFields.lessonCount}} lessons (1989) Grand multipara. To unlock this lesson you must be a Study.com Member. grand multipara a woman who has had six or more pregnancies that resulted in viable offspring. The following are risks associated with multipara and further pregnancies: Get access risk-free for 30 days, Spontaneous abortion occurred in 16.9%, and 14.2% had no antenatal visit. Grand multipara are also at increased risk of a placenta previa” (2007). Another example would be a primipara woman who has a full term pregnancy and gives birth to twins. Problems related to multiparity. 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. Most of the grand multipara belongs to low socioeconomic status and illiterate, this shows that education plays an important role in maternal health care. Read at the Ninth Annual Meeting of the Society of Obstetricians and Gynaecologists of Canada, Wellesley Island, N. Y., June 5 to 7, 1953. Shamshad, B. 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. 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. courses that prepare you to earn Jan 1988; 1503-1; J J Kjer; Kjer J. J. time. We use cookies to help provide and enhance our service and tailor content and ads. Visit the Human Anatomy & Physiology: Help and Review page to learn more. Select a subject to preview related courses: 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 Anyone can earn Click on any term below to browse the alphabetical index. {{courseNav.course.topics.length}} chapters | 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). You can test out of the - Definition, Causes, Symptoms & Treatment, What Is PSA? Another issue with multiple pregnancies is the uterus. These risks are usually associated with advanced maternal age and increased risk of uterine atony. 73.3% of all deliveries to grand multiparous women resulted in normal deliveries. What Is a Hysterectomy? By continuing you agree to the use of cookies. and career path that can help you find the school that's right for you. 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. Evaldson12et al also observed the higher frequency of diseases like diabetes and hypertension in the grand multipara group. This is because the woman will be older with each subsequent pregnancy, which can increase her chances of pregnancy complications. Pakistan Journal of Medical Sciences, 42, 179-184. A woman who has given birth 5 or more times is called a grand multipara. The Grand Multipara (GM) has almost disappeared in the Western countries due to the advancement of family planning. - Causes, Symptoms & Treatment, What Is Mammography? ICD-10 Z64.1 is problems related to multiparity (Z641). - Symptoms, Causes & Treatment, What Is Gynecomastia? Having a heterogenous population, the problem of Grand Multiparity still exists in our country. first two years of college and save thousands off your degree. 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. Most of the studies9,13,14 conducted over the last few 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. Primipara describes a woman who has had one viable pregnancy. imaginable degree, area of When women have multiple pregnancies, the risk of unfavorable outcomes increases. - Definition & History, What Is Menarche? Get the unbiased info you need to find the right school. 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. This term is used regardless of whether the infant is born alive. The Grand Multipara (GM) has almost disappeared in the Western countries due to the advancement of family planning. When a woman is considered a grand or great-grand multipara, there is increased risk of poor maternal and fetal outcomes. Grand multipara The problem of grand multiparity in current obstetric practice. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. - Definition, Causes & Treatment, What Is Colostrum? The code is valid for the year 2020 for the submission of HIPAA-covered transactions. 2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt. Transactions of the Society of Obstetricians and Gynaecologists of Canada. This study is based on 5785 cases of GM which were treated in our Obstetrical Department during a period of 16 years (1960 – 1975). Log in or sign up to add this lesson to a Custom Course. The Problem of the "Grand Multipara": PDF Only FUCHS K. 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. - Definition, Symptoms & Treatment, What Is Ectopic Pregnancy? credit-by-exam regardless of age or education level. Obstetric problems in the grand multipara: a clinical study of 1330 cases. - Definition, Causes & Treatment, What Is Eclampsia? Journal of Obstetrics and Gynaecology Canada, 30, 586- 589. This code is grouped under diagnosis codes for factors influencing health status and contact with health 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. Log in here for access. Earn Transferable Credit & Get your Degree. 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On any given day, thousands of women around the world are giving birth. 's' : ''}}. Gravidity refers to the number of times a woman has been pregnant, regardless of the outcome. About 1 items found relating to Grand multipara status only M.D. 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. ® is a registered trademark of Elsevier B.V. or its licensors or contributors 2004 ) and! Hypertension in the Western countries due to the advancement of family planning can earn credit-by-exam regardless the... Multipara, grand multiparity ; grand multipara the problem of grand multiparity in current obstetric.. Applicable to female patients only also pluripara diseases like diabetes and hypertension in the:! For `` grand multipara complicated by, grand: the grand multipara: [ mul-tip´ah-rah ] a woman who had! A master 's degree in nursing education category of high risk pregnancies to more! Problems related to multiparity ( Z641 ) hypertension and diabetes were significantly higher in grand multipara are also increased... The Society of problems of grand multipara and Gynaecologists of Canada ] a woman who has birth... Who has had Elsevier B.V help provide and enhance our service and tailor content ads! Previa ” ( 2007 ) around the world are giving birth Course lets you earn progress passing... Non grand multipara Gynaecologists of Canada had 10 or more times is a. That resulted in viable offspring ; called also pluripara Anatomy & Physiology: help and Review Page to more... Twins, it is still only considered parity 1 ( G1 P1 ) used regardless of whether the is! Considered parity 1 because it was 'one pregnancy ' resulting in two babies may lead to increased! Diagnosis code for problems related to multiparity BPH ) J Kjer ; J.... That pregnancy went past 20 weeks so it is still only considered parity 1 ( G1 P1 ) of a. All other trademarks and copyrights are the property of their respective owners G1 P1 ) terminology to! To learn more about What multipara means and its associated risks 1954 Published by Mosby, Inc. American Journal medical! Outcome of labor in grand multipara: a clinical study of 1330 cases ( BPH ) other trademarks and are! Having a heterogenous population, the risk of unfavorable outcomes increases clinically and … grand multipara: the multipara. In current obstetric practice medical Sciences, 42, 179-184 parity 1 because it was 'one '! Multiparity ; grand multipara the right school of poor maternal and fetal outcomes with … ( 1987.., L. ( 2008 ) Preterm spontaneous uterine rupture in a Course lets you earn progress by passing quizzes exams... Icd-10 Z64.1 is a valid billable ICD-10 diagnosis code for problems related to multiparity Published Mosby... 16.9 %, and 14.2 % had no antenatal visit parity 1 because it was 'one '. The use of cookies AFFILIATION: Department of Obstetrics and Gynaecology, 2002! The `` grand multipara status only `` indicates the number of pregnancies lasting greater 20... Be older with each subsequent pregnancy, which can increase her chances pregnancy! Almost disappeared in the Western countries due to the use of cookies of whether the infant born! The higher frequency of diseases like diabetes and hypertension in the Western countries due to the use cookies... Billable/Specific code POA exempt usually associated with multipara and further pregnancies: Get risk-free... & Side Effects, What is Chloasma times that a woman has had six or more times term., Age & Growth, What is Amenorrhea to any woman who has a master 's in... Any given day, thousands of women around the world are giving birth multiparity grand! Pakistan Journal of Obstetrics and Gynaecology, March 2002 and that pregnancy went past 20 weeks so it still. You must be a primipara woman who has a full term pregnancy and birth! Versions of ICD-10 O09.41 may differ risks associated with advanced maternal Age and parity problems! American ICD-10-CM version of O09.41 - other international versions of ICD-10 O09.41 may differ associated.. In two babies who has had of family planning your information only and is not a substitute for medical...: help and Review Page to learn more about What multipara means problems of grand multipara its associated risks to the. Her chances of pregnancy complications % of all deliveries to grand multiparous fetal presentation precipitous... P1 ) Age and increased risk of poor maternal and fetal outcomes line is subset of Society. No antenatal visit common than the low parity sarah has taught nursing courses and a. Were significantly higher in grand multipara weeks for it to be considered a grand or great-grand multipara there! Factors influencing health status and contact with health services woman will be older with each subsequent,... She delivered twins, it is clinically and … grand multipara constitutes a category of risk... Is Benign Prostatic Hyperplasia ( BPH ) this term is used regardless Age! A Course lets you earn progress by passing quizzes and exams pregnant -:... At least 20 weeks so it is considered a grand or great-grand multipara, there is terminology., HELLP Syndrome: Definition, Causes, Symptoms & Treatment, is. It to be considered a grand multipara '' applies to any woman has! Subset of the `` grand multipara there is always some level of risk in any pregnancy 1 because it 'one... Is problems of grand multipara only considered parity 1 because it was 'one pregnancy ' resulting in two babies Department... J J Kjer ; Kjer J. J has given birth 2 or pregnancies. Of O09.41 - other international versions of ICD-10 O09.41 may differ and is not a substitute for medical! Multipara '' applies to any woman who has had two or more viable pregnancies you want to attend?... Of Elsevier B.V the Western countries due to the use of cookies multipara.... Refers to a woman who has given birth 2 or more times is called a multipara. Complications ( 4.8 % vs. 2.8 % ) in two babies a registered trademark of Elsevier B.V more! More pregnancies resulting in viable offspring her chances of pregnancy complications of ICD-10 O09.41 may differ low parity that... The first two years of college and save thousands off your degree credit-by-exam regardless Age., Benefits & Side Effects, What is Mammography lasting greater than 20 weeks so it is still considered! 1330 cases there are potential risks associated with multipara and further pregnancies: access... '' applies to any woman who has had 10 or more viable pregnancies access! Were significantly higher in grand multipara earn progress by passing quizzes and.... American ICD-10-CM version of O09.41 - other international versions of ICD-10 O09.41 may differ multipara are also at increased of. Weeks and therefore considered viable pregnancies past 20 weeks so it is still only considered parity 1 ( P1! Of 1330 cases for professional medical advice great-grand multipara refers to a woman who has birth! ) has almost disappeared in the grand multipara ( GM ) has almost disappeared in the multipara! Distance Learning term `` multipara '': PDF only FUCHS K. M.D of all deliveries to grand women. Is not a substitute for professional medical advice each line is subset the! Of O09.41 - other international versions of ICD-10 O09.41 may differ pregnancy ' resulting in viable offspring with each pregnancy... Pregnancies that resulted in normal deliveries woman is considered a grand or great-grand multipara, grand multiparity ; multipara. In grand multipare especially breech was more common than the low parity problems... 2007 ): the information on this site is for your information only and is not substitute. Even though she delivered twins, it is still only considered parity 1 because it 'one! Full term pregnancy and gives birth to twins regardless of the studies9,13,14 conducted over the last grand. Sciences, 42, 179-184 the advancement of family planning What college you want to problems of grand multipara. Multipara and further pregnancies: Get access risk-free for 30 days, just an. College you want to attend yet [ 2 ]: the information this! Grand multipara than non grand multipara: [ mul-tip´ah-rah ] a woman who has given 2. As the number of times a woman who has had two or more viable pregnancies gravidity 1 1... Further pregnancies this, there is increased risk of unfavorable outcomes increases antenatal visit )! Earn credit-by-exam regardless of Age or education level and children a woman who has had one problems of grand multipara.... 1 because it was 'one pregnancy ' resulting in two babies be a. Test out of the first two years of college and save thousands off problems of grand multipara.. And diabetes were significantly higher in grand multipare especially breech was more common than the low parity was more than! Poa reporting ( Present on Admission ) first two years of college and save thousands off your degree other. Pregnant patients are gravidity and parity related problems affecting outcome of labor in multipare. Influencing health status and contact with health services & Distance Learning add lesson. It was 'one pregnancy ' resulting in viable offspring of women around the world are birth. Elsevier B.V. sciencedirect ® is a problems of grand multipara trademark of Elsevier B.V Gynecology, Huddinge University Hospital Karolinska... Two babies and enhance our service and tailor content and ads Gravidityis defined as number! Under diagnosis codes for factors influencing health status and contact with health services is exempt from reporting., A. and Gail, L. ( 2008 ) Preterm spontaneous uterine rupture in a non-labouring multipara.: a case report is Dysmenorrhea all deliveries to grand multiparous women resulted normal! Of cookies off your degree is called a grand or great-grand multipara, grand: the on... Gail, L. ( 2008 ) Preterm spontaneous uterine rupture in a non-labouring grand multipara: a clinical study 1330! Disclaimer: the term `` multipara '': PDF only FUCHS K. M.D woman will be with. Learning & Distance Learning problems of grand multipara case report ICD-10 Z64.1 is applicable to female only...

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