Abstract
Objective: To determine the frequency of preeclempsia among multigravida females.
Methodology: This descriptive cross sectional study
was conducted in department of gynecology and
obstetrics, Allama Iqbal Memorial Teaching Hospital,
Sialkot from January 2021 to June 20201.
Multigravida women with the parity of 2 – 4, with
singleton pregnancy and having gestational age > 20
weeks confirmed on ultrasound, were included in the
study. Those having any chronic disease
likehypertension, diabetes mellitus, chronic kidney
disease, multi fetal pregnancy, smoking or drug
addiction, history of congenital anomalies in previous
children were excluded from the study. Female with
blood pressure ≥140/90 mmHg and proteinuria of ≥ 1+
detected on dipstick method either with edema or
without edema was diagnosed as pre-eclempsia. Data
were analyzed using SPSS version 21.
Results: Total of 142 multigravida females were
included in the study with mean age of 27.83 ± 4.5
years. 41 (28.8%) were para-2, 68 (47.8%) were para-3
and 33 (23.2%) were para-4. 82 (57.7%) had
gestational age < 26 weeks and 60 (42.2%) had
gestational age ≥ 26 weeks. Body mass index was < 25
in 96 (67.6%) females and ≥ 25 in 46 (32.4%) females.
Mean systolic blood pressure was 142.86 ± 12.5
mmHg and mean diastolic blood pressure was 88.26 ±
11.3 mmHg. Proteinuria was found in 19 (13.4%)
females. Pre-eclempsia was found in 21 (14.8%)
multigravida females.
Conclusion: Multigravida females are at high risk for
developing pre-eclempsia. Increased parity, increased
body mass index and older age are risk factors of preeclempsia. There should be proper follow-up such
pregnant females to reduce its morbidity and mortality.
Keywords: Multigravida, pre-eclempsia, proteinuria,
hypertension.
