The term signifies a woman who has had five or more previous pregnancies that have progressed beyond the gestational age of viability, regardless of the outcomes. This obstetrical history carries unique considerations for both the pregnant individual and the healthcare providers involved in her care. For example, an individual who has previously given birth to five or more children, regardless of whether those births were vaginal or cesarean, would be classified within this category.
Recognizing this specific obstetrical profile is important because it has historically been associated with increased risks during pregnancy and childbirth. Factors such as uterine atony, postpartum hemorrhage, malpresentation of the fetus, and gestational diabetes may be more prevalent. Understanding the past obstetric history allows for proactive management and tailored care to mitigate these potential complications and improve maternal and fetal outcomes. This knowledge also informs resource allocation and specialized attention throughout the antepartum, intrapartum, and postpartum periods.
