Anbrin Salick, Lubna Javed, Javed Iqbal, Shahida Sheikh.
Anemia in grandmultipara.
Ann King Edward Med Uni Jan ;10(4):417-9.

Objectives: To determine the prevalence of anemia in the grandmultiparas and compare it with the prevalence of anemia in women of lesser parities. Design: A prospective comparative study in which data was analyzed using p value and tests of significance. Patients and methods: Two thousand two hundred and ninety eight pregnant patients visiting the out patient department of Jinnah Hospital Lahore were evaluated for anemia. Among them 536 were grandmultiparas and 1762 were of lesser parity. Hemoglobin (Hb) percentage in both groups of patients was measured; on this basis anaemia was classified as mild, moderate or severe. Results: There was no significant statistical difference in the prevalence of mild and moderate anemia but severe forms of anemia were found in grandmultiparas as compared to females of lesser parity. Mild anaemia with haemoglobin (Hb) between 10-11 gm/dl was present in 54(10%) patients of group A and 170 (10%) of patients in group B. But the difference between these two groups was not significant statistically (p>0.05). The patients suffering from moderate anaemia Hb 7-10 gm/dl were 460 (86%) in group A and 1550 (88%) in group B. The difference in moderate anaemia in the two groups was not statistically significant. The prevalence of severe anaemia was however significantly higher (p<0.05) among GMPs. Severe anaemia with Hb <7 gm/dl was present in 21 (4%) patients in group A out of total 536 and in group B out of total 1762 patients 36 (2%) had significant anaemia. Conclusions: Severe forms of anemia in grandmultiparas were due to closely spaced pregnancies, inadequate dietary intake, lack of effective contraception and social aspects.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com