BACKGROUND AND OBJECTIVE To document bilateral tubal ligation (BTL) rates and highlight the need to improve on the rates. MATERIALS AND METHODS A retrospective review of BTLs done in a five-year period from January 2000 to December 2004 constituted the study group. RESULTS There were a total of 103 BTLs, 58 were Caesarean BTLs, six were cases of BTL with repair of uterine rupture and 39 had...

BACKGROUND Grandmultiparity has been associated with complications for both mother and the fetus. OBJECTIVE To evaluate if grandmultiparity is a risk factor in the presence of adequate antenatal care. SETTING A tertiary care teaching hospital. METHODS It was a retrospective study conducted in the department of Obstetrics & Gynecology at The Aga Khan University Hospital in Karachi. During ...

AIMS The aim of the current study was to determine the prevalence of grandmultiparity and the associated risks factors. METHODS Four hundred thirty grandmutliparas (parity 5 or more) were compared with multiparous population (parity 2-4) with regard to maternal age, gestational age, mode of delivery, fetal and maternal outcomes and inter-current medical and obstetrical problems. RESULTS The...

OBJECTIVE While high parity is hypothesized to be associated with insulin resistance and type 2 diabetes, few studies have examined this association in diverse racial samples or geographical areas. Our objectives were to estimate the magnitude of association between parity and diabetes and to determine if higher parity is predictive of future risk of diabetes. RESEARCH DESIGN AND METHODS This...

Background: Intrapartam complications such as foetal malpresentation, placental abruption, dysfunctional labour, and postpartum haemorrhage are associated with grandmultiparity. In developing countries and many parts of Africa and sub-Saharan Africa, there is limited access to medical care. There is a need in these areas to identify women whose pregnancies are at risk of complication and it is ...

INTRODUCTION Traditionally grandmultiparity has been considered to be an obstetric hazard both to the mother and foetus. Compounding factors are low socioeconomic status, poor female literacy and social deprivation. In developed populations with improved and optimal obstetric services, parity per se is no longer considered a significant risk for adverse obstetric and perinatal outcome. OBJECT...

BACKGROUND The Cervical Ripening Balloon (CRB) is a novel mechanical method for induction of labour (IOL), reducing the risks of hyperstimulation associated with pharmacological methods. However, there remains a paucity of literature on its application in high risk mothers, who have an elevated risk of uterine rupture, namely those with previous scars and grandmultiparity. METHODOLOGY A retro...