Shahbano Jawad, Ikram-ul Haq, Muhammad Rafique Cheema.
Role Of Multiparity In Birth Defects.
Professional Med J Jan ;24(8):1241-4.

Objectives: To study role of parity in the occurrence of congenital malformations in neonates delivered at various hospitals in Lahore. Study Design: Descriptive cross sectional study design was used. Setting: Muhammad Akram Teaching and Research Hospital, Social Security Hospital Manga Mandi and Maternity Center at Raiwind Road, Lahore. Period: Three months, Jan to March 2017. Materials and Methodology: Mothers of 100 malformed neonates were taken as sample. A questionnaire data collection tool was developed and the mothers were interviewed about their age, total number of children, and any history of abortion, miscarriages and complications in pregnancy. Questionnaire was pretested before the data collection. Statistical package for social sciences (SPSS) version 20 was used for entry, compilation and analysis of data. Results: Out of 100 subjects, 76 mothers were multiparous and 24 were primiparous. Out of these 76(100%) multiparous mothers, 45(59%) were above 30 years of age, 21(28%) were between 18 and 30years while 10(13%) were below 18.The neonates of these 76 mothers were assessed for the type of anomaly having 28(37%) GIT anomalies, while those with CVS, musculoskeletal, urogenital and facial defects were 15(20%), 9(12%), 18(23%) and 6(8%) respectively. Conclusion: This study suggests that multiparty has an important role in the development of congenital malformations. The number of Urogenital, GIT and CVS anomalies was significantly higher than Facial and Neural Tube defects.

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