FREQUENCY OF PREECLAMPSIA IN MULTIGRAVIDA AT LADY WILLINGDON HOSPITAL, KHAIRPUR, MEDICAL COLLEGE, TEACHING HOSPITAL, KHAIRPUR

Abstract

Objective: To determine the frequency of preeclampsia in multigravida women presenting to Lady Willingdon Hospital, Khairpur.

Methodology: Descriptive cross-sectional study was conducted at department of Obstetrics and Gynecology, Lady Willingdon Hospital, Khairpur (Mir’s), Sindh, in six months, from 15^th December 2023 to 14^th June 2024. This study included 135 multigravida women (those with two to four previous pregnancies) who fulfilled the inclusion and exclusion criteria. After obtaining informed consent, demographic and clinical data were collected through a structured proforma. Quantitative data were expressed as mean ± standard deviation, while qualitative variables were presented as frequencies and percentages. Data analysis was performed using SPSS version 20. Effect modifiers were controlled through stratification, and the post-stratification chi-square test was applied, with a p-value ≤ 0.05 considered statistically significant.

Results: The mean age, gestational age, body mass index (BMI), and weight of the participants were 32.14 ± 8.49 years, 25.72 ± 4.24 weeks, 27.41 ± 2.56 kg/m², and 78.7 ± 9.87 kg, respectively. Out of 135 multigravida women, 23 (17%) were diagnosed with preeclampsia, while 112 (83%) did not have the condition.

Conclusion: The frequency of preeclampsia among multigravida women was found to be 17%. Effective antenatal, natal, and postnatal follow-up programs, along with maternal and family education, are essential to reduce the risk and adverse outcomes of preeclampsia, a major contributor to maternal and perinatal morbidity and mortality.