10), prolonged or precipitous labors, use of pit management of early hemorrhage early identification of high risk clients, improve uterine tone w/ massage or meds, bimanual compression of uterus In this population grand multiparity was not associated with increased risks to the mother or baby. SIR) adjusted for other study variables with 95% confidence intervals (95% CI), among GM-women, by study variables. multiparity. advertisement. INTRODUCTION. ... To be honest this pregnancy was a complete surprise and I never even realized there were extra risks associated with having more babies! OPERATIONAL DEFINITION GRAND MULTIPARAE: Grand multiparae is woman who has delivered five or more babies after 28 weeks, weighing more than 500 grams. more babies would be considered as great grand multiparity.2 Pregnancy in grand multiparous women is viewed with anxiety, especially by obstetricians in developing countries working with inadequate facilities3, 4 . 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