Grandmultiparity is considered a high-risk obstetric condition associated with an increased risk of severe maternal complications, such as postpartum hemorrhage and uterine rupture.

This statement accurately combines the lecture's two epidemiological observations. It reports a decline over the decade, which it associates with the acceptance of smaller families. It also states that grandmultiparity still accounts for **one-tenth of the hospital population** and **one-third of maternal deaths in developing countries**. These figures are lecture-specific estimates and should be understood in the context in which they were presented rather than assumed to apply uniformly across all regions or current populations. **Key takeaway:** The lecture presents grandmultiparity as declining but still associated with a substantial hospital and maternal mortality burden in developing-country settings. **Glossary:** - **Epidemiology**: The study of the distribution and determinants of health conditions in populations. - **Maternal death**: A death related to pregnancy or its management, as defined by relevant public-health standards.