OBSbasic
In obstetrics, which of the following best defines a 'grand multipara'?
Answer
A woman who has given birth five or more times at a gestational age beyond the limit of viability
Explanation
The lecture defines **grandmultiparity** by the number of pregnancies carried beyond a specified gestational threshold: **more than four pregnancies beyond 28 weeks**. The definition is not based on the number of live births, the mode of delivery, or pregnancies at any gestational age. This distinction matters because the threshold concerns pregnancies reaching beyond 28 weeks, not simply a woman's total number of conceptions. The wording in the lecture should be retained when answering questions based on this course material.
**Why the other options are incorrect:** They change the gestational threshold, substitute live births for pregnancies, or add a delivery-mode requirement not given in the lecture.
**Key takeaway:** In this lecture, grandmultiparity means more than four pregnancies carried beyond 28 weeks.
**Glossary:**
- **Gestation**: The period of pregnancy.
- **Grandmultiparity**: The high-parity state defined by the lecture using pregnancies beyond 28 weeks.
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