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COMPARISON BETWEEN PRIMIPARITY AND MULTIPARITY AS AN INTRAPARTUM OBSTETRIC RISK FACTOR

Dr. Fatima Zahid Butt, Shabi ul Khadeeja Cheema, Dr. Muteen Ahmed

Objective: To access that primiparity is an intrapartum obstetric risk factor for maternal and perinatal results. Methods: The comparative case-controlled study was conducted at the Lahore General Hospital, from June 2017 to May 2018. A self-developed questionnaire was used to obtain relevant information 70 women who were included as part of the study: 35 primigravida and 35 multigravida. The questionnaire covered detailed record of management of labor. Inclusion criteria were singleton pregnancy with cephalic presentation at term. Exclusion criteria included serious medical illness, recurrent abortions, poor obstetrical history, IUD, congenital anomalies, previous CS, twin pregnancy, malpresentation, significant antepartum bleeding and Rhesus (Rh) incompatibility. Results: Primigravidas were at notably higher risk for prolonged duration first and second stage of labor, more chances of fetal distress during labor and need for close monitoring in contrast to the multigravidas. Primigravida were also at convincing higher risk for operative vaginal delivery and emergency caesarean section. The ratio of primary postpartum haemorrhage in primigravidas was found to be increased, and perinatal morbidity was also hiked in the group. Conclusion: Results highlighted that primiparity is a risk factor for maternal and perintal outcome as compared to multigravida.

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