Introduction: Pregnancy in grand multipara has been considered as high risk because there is higher chance of complication during pregnancy, labour and puerperium.

Objective: To evaluate various maternal and foetal complications associated with a grand multipara during pregnancy, delivery and puerperium.

Methods: This prospective study was carried out from 1^st January 2016 to 31^st December 2016 in obstetrics and gynaecology department of Gonosashthaya Nogor Hospital, Dhanmondi, Dhaka. 200 grand multipara pregnant patients were selected those who got admitted in department of obstetrics and gynaecology, Gonosashthaya Nogor, Hospital during that period.

Results: It was found that incidence of grand multipara was 9.8%. Majority of the patient were 31-35 years old (51%). 71% patients never had antenatal check up. Caesarean section was high about 45%. Complications during labour were also high .Is was about 45%. Maternal morbidity was about16%. Perinatal mortality was about 9.5%.

Keywords: Pregnancy, Maternal and Foetal Outcome, Grand Multipara.

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Dr Arshad Jahan

Registrar, Gynae and Obs, Gonoshasthaya Samaj Vittik Medical College Hospital, Savar, Dhaka