The Effect of high parity on the occurrence of anaemia in pregnant women | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2023]

Author(s):

1. Farida Habib Khan: Department of Family and Community Medicine, College of Medicine, University of Hail, Hail, Kingdom of Saudi Arabia

2. Ayesha Akbar Khalid: William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Kent, UK

3. Hend Mohammed Alkwai: Department of Pediatrics, College of Medicine, University of Hail, Hail, Kingdom of Saudi Arabia

4. Reem Falah Alshammari: Department of Family and Community Medicine, College of Medicine, University of Hail, Hail, Kingdom of Saudi Arabia

5. Fahaad Alenazi: Department of Pharmacology, College of Medicine, University of Hail, Hail, Kingdom of Saudi Arabia

6. Khalid Farhan Alshammari: Department of Medicine, College of Medicine, University of Hail, Hail, Kingdom of Saudi Arabia

7. Ehab Kamal Ahmed Sogeir: Department of Family and Community Medicine, College of Medicine, University of Hail, Hail, Kingdom of Saudi Arabia

8. Asma Batool: Maternity and Child Hospital, Hail, Kingdom of Saudi Arabia

Abstract:

Objective: To compare high-para and low-para women with respect to haematological ndings, determinants, and consequences secondary to anaemia. Study Design: Descriptive cohort study. Place and Duration of the Study: Maternity and Child Hospital, Hail, Saudi Arabia and Specialist Care Hospital (private), Islamabad, Pakistan, from April 2022 to April 2023. Methodology: The study population comprised of pregnant women in the last trimester, with the exception of those women who had more than one fetus and history of haematological disease. Purposive non-probability sampling technique was adopted. Hospital data were retrieved retrospectively for the past obstetrical, contraception usage, and supplement history. Blood parameters, type of delivery, and maternofetal complications were noted down. For qualitative-variable and quantitative-variable comparisons, Chi-square test and t-test were applied, respectively. Signi cance level was kept at p d0.05. Results: The frequency of severe anaemia in high-para was 52%. High parity and anaemia had a signi cant dose-response relationship (p <0.05). There was a signi cant di erence (p <0.05) in blood parameters between high-para and low-para groups. Main determinants identi ed for anaemia were lack of intake of iron-rich food (36%) followed by inadequate intake of oral iron (25%). Preterm birth (68%) and post-partum haemorrhage (96%) were signi cantly associated (p <0.05) with high parity. There was a signi cantly high proportion (83%) of high-para women with more than 3 cesarean deliveries and admissions in ICU. Conclusion: High parity and anaemia had a signi cant dose-response relationship. High parity was the main determinant of maternal and fetal admissions in ICU.

Page(s): 1400-1404

DOI: 10.29271/jcpsp.2023.12.1400

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 33, Issue: 12, Year: 2023

Keywords:

Contraception , Parity , diet , Comparison , Maternal Anaemia , Haematological ndings , Coste ective

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