Complications during labor in grand multipara
- Malpresentation - due to pendulous
abdomen together with the high
angle of pelvic inclination - breech
presentation, transverse and
oblique lie are more common. - Delayed engagement of head can
give rise to PROM and cord
complications - Cephalopelvic disproportion may
occur. The babies tend to get larger
with successive pregnancies.
Moreover the pelvic inclination is
increased and forward subluxation
of sacrum upon the sacroiliac joints
reduces the true conjugate. - Incidence of caesarean section is
there by increased - Precipitate labor might occur
- Obstructed labor
- Rupture of uterus