///2009 Abstract Details
2009 Abstract Details2019-08-03T15:55:31-06:00

Peripartum anesthesia in grand-grand multiparous women (≥10 births)

Abstract Number: 13
Abstract Type: Original Research

Alexander Ioscovich MD1 ; Ariel Marks MD2; Miriam T Berger MD3; Joel Shapiro MD4; Deborah Elstein PhD5

Background: Grand-grand multiparas (GGMP), defined as women with ≥10 births, are less likely to receive epidural anesthesia for pain relief during labor and delivery than those with lesser parity (non-GGMP). The purpose of this retrospective study is to describe anesthesia and mode of delivery in GGMPs in our institution.

Methods: Data were culled from the medical records of the Department of Obstetrics and Gynecology for 18 months. The only inclusion criterion was ≥10 births. Students t-test, 2, and Odds Ratios were applied where appropriate.

Results: Of 16331 laboring females, 277 women (mean age: 39.63.3 years; range: 32-48 years) were GGMP (mean: 11.31.5 births; range: 10-18 births). Among GGMP in active labor and who delivered vaginally, 83/258 (32.2%) received epidural anesthesia during labor and/or delivery versus 7203/15711 (45.8%) among non-GGMP (p<0.0051; Odds Ratio = 0.56). Among GGMP there were 42 cesarean sections (15.2%) of which 23 (55%) were emergency versus 1631 cesarean sections (10.4%) among non-GGMP where 1011 (62%) were emergency (Odds Ratio = 0.74). Among GGMP, only 3 women (1%) were in ASA category III. Mean birth weight of GGMP babies was 3428504 (range: 785-4750) gms; mean Apgar at 1 was 8.8 (range: 6-10); and there were 6 sets of twins.

Conclusions: GGMP in our institution receive epidural anesthesia less often for pain relief during labor and delivery than non-GGMP. Advantages of this pilot study are the large number of women, inclusion criterion of ≥10 births as defining GGMP, and good antenatal care in all. A prospective study is planned to determine why GGMP avail themselves less of epidural anesthesia.

SOAP 2009