Following are more common in multipara woman than primipara except:
**Core Concept**
The question requires understanding the differences in pregnancy complications and outcomes between multipara women (those who have given birth two or more times) and primipara women (those who are giving birth for the first time). This involves recognizing the physiological and anatomical changes that occur with repeated pregnancies.
**Why the Correct Answer is Right**
The correct answer is likely related to the fact that multipara women often have a shorter cervix and a more efficient labor process due to uterine muscle hypertrophy and increased pelvic floor support. This reduces the risk of certain complications. However, some complications are more common in multipara women due to increased uterine distension and potential placental implantation abnormalities.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is likely related to a condition that is less common or not directly related to parity (number of pregnancies). For example, placenta accreta is more common in multipara women due to increased uterine distension.
* **Option B:** This option is incorrect because certain conditions, such as gestational diabetes and hypertension, are more common in primipara women due to increased insulin resistance and vascular changes.
* **Option C:** This option is incorrect because certain complications, such as placenta previa, are more common in multipara women due to increased uterine distension and potential placental implantation abnormalities.
**Clinical Pearl / High-Yield Fact**
It's essential to remember that parity can influence pregnancy complications, and certain conditions are more common in multipara women due to uterine muscle hypertrophy and increased pelvic floor support.
**Correct Answer:** D