What is the definition of grand multiparous?

• A. 5 births exactly
• B. Greater than 5 births
• C. Greater than 6 births
• D. Less than 5 births

Answer: (B)

Grand multiparity means a woman who has had five or more pregnancies reach viability and deliver five or more times. This level of parity is associated with higher obstetric risks, such as uterine atony, postpartum hemorrhage, dystocia, and placental problems, due to the uterus and pelvic framework having been stretched through multiple pregnancies.

Among the given options, the precise definition is five or more births. The choice describing greater than five births would exclude those with exactly five, and the option stating five births exactly would not include higher parity. So, the standard understanding is five or more, with the caveat that some question wordings might vary slightly.