grand multipara
A woman who has given birth five or more times to viable offspring.
Full Definition
Grand multipara, also known as grand multip, refers to a woman with five or more previous deliveries at or beyond 20 weeks gestation. This classification carries increased obstetric risks including uterine atony, postpartum haemorrhage, and placental abnormalities. Some definitions use a threshold of four or more previous deliveries, making documentation of the specific criteria used important in clinical records.
Usage
Usage note: Some institutions define this as 4+ deliveries rather than 5+.
In Context
- "The grand multipara was counselled about increased risks of postpartum haemorrhage." — Antenatal consultation
- "Active management of third stage is particularly important in grand multipara patients." — Delivery care plan