Grand grand multiparity is associated with many complications to both mother and fetus. These might occur during the period of the ante, intra and post partnllTI period. So, the aim of this study consists of two folds ; 1- To evaluate the maternal and neonatal morbidity and mortality in the grand grand multiparous women and 2- To examine the effects of planned nursing intervention on the maternal and neonatal morbidity and mortality. Total of the 460 pregnant women were recruited in the study. 400 pregnant women were subdivided into four groups according to their parity primigravidea, multipara, grand multipara and grand grand multripara (assessment group). While 60 of the pregnant women were grand grand mUltiparity (intervention group). The methods of data collection were interviewing questionnaire (sociodemographic data, obstetrical data, history of present complain etc ... ), Partograph to monitor progress of labor, maternal as well as fetal condition, Apgar scores is to evaluate the infant's cardio respiratory adaptation after birth. Results revealed that the mean age was 21.9 ± 3.6, 28 ± 4.4, 35.1 ± 4.2, 40.1 ± 2.7,37.8 ± 3.4 in the primigravidea, multipara, grand multipara, and grand grand multipara (assessment and intervention groups), respectively. About 62 % and 50% of women with the grand grand multiparity (assessment and intervention groups, respectively) were delivered vaginally as compared to other parities 74%, 67%, 73%. On the other hand, the higher rate of cesarean section 31 % and 46.7% was observed in the grand grand multiparity (assessment and intervention groups, respectively). Furthermore, the frequencies of the low birth weight and cephalopelvic disproportion were slightly high in the intervention group as compared to the assessment group. There were no statistically significant differences between the assessment and the intervention groups of the grand grand multiparity regarding to the incidence of diabetes mellitus, anemia, and premature rupture of membranes, oligohydramnious and placenta abruption. Also, there were statistically significant differences between the two groups regarding to induction, cesarean section, and post term delivery. The rate of post partum hemorrhage was 5%, 8% in the intervention and assessment groups, respectively. Moreover, the frequency of eclampsia was higher in the intervention as compared to the assessment group 16.7%, 7%, respectively. Mean Apgar score at the first minutes and fifth minutes in the grand grand multiparous women 8.6 ± 1.5, 8.9 ± 1.2 and 9.3 ± 0.9, 9.5 ± 1.1 (assessment and intervention groups, respectively) were higher as compared to other parities. Regarding to the neonatal outcome the results revealed that there were slightly higher rate of meconium stained amniotic fluid, in the assessment group as compared to the intervention group with no statistically significant differences between the two groups. The study concluded that' the grand grand multiparity carries the risk of maternal hypertension and diabetes mellitus, which often leads to, induced labor or operative deliveries and placental disorders.