10. ASSESSMENT OF RISK FACTORS FOR HIGH RISK PREGNANCY

Junaid Ahsan1, Romana Ayub1, Rubeena Gul1, Umar Ayub Khan2, Umema Zafar1

1Department of Community Medicine, Khyber Medical College, Peshawar - Pakistan
2Department of Medical Education, Khyber Medical University, Peshawar - Pakistan

Abstract

Objective: To determine the most prevalent causes/factors of high-risk pregnancy among women of reproductive age
group.
Materials and Methods: This is a descriptive study of 100 adult females of reproductive age and was conducted in 3
Teaching Hospitals of Peshawar, Pakistan from January 2015 to December 2015. A semi-structured questionnaire was
used to collect relevant information regarding different modifiable and non-modifiable risk factors.
Results: This study found that among the systemic diseases, anemia(37%) is the most common risk factor followed
by hypertension (20%). The top complication of the previous pregnancy (as a risk factor) is caesarian section. Obstetrical
hemorrhage (p/v bleeding) is the most prevalent complication of existing pregnancy, which contributes to the
pregnancy being high risk. The percentage of teenage pregnancies was 14% and that of elderly pregnancies was 18%.
The illiteracy rate was 85%.
Conclusion: The prevalence of high-risk pregnancy was on the upper side in the study population. The study showed
anemia, hypertension, p/v bleeding, caesarian section and illiteracy as the most prevalent risk factors leading to highrisk
pregnancy and eventually maternal mortality and long term morbidity.

Keywords: High-risk pregnancy, risk factors, anemia, hypertension.

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