A pregnant, 30 year old, multiparity mother developed some abnormalities related to her pregnancy. Which of the following is the recommended management?
Explanation
Answer D. All of the Above
Grand multiparity relates to a pregnant mother who has had five or more previous births. Complications of grand multiparity can include miscarriage, malpresentation, preeclampsia, eclampsia, placenta previa, cord prolapse, obstructed labor, and ruptured uterus.
Management of grand multiparity can include:
1. Increased antenatal care
2. Oxytocin must be administered with caution
3. Mandatory hospital admission for delivery (versus home birth)
4. Cesarean section delivery
5. Contraceptive and family planning advice
6. Sterilization (tubal ligation)
