Pregnancy Behavior Of Pakistani Women Over Their Reproductive Life Span

Objective: To understand pregnancy behavior of Pakistani women over their reproductive life span so as to generate baseline data on prevalence of pregnancy loss and to generate hypotheses for future research. Examination of events over the reproductive life span of a woman rather during a single pre...

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Main Authors: Sarah Saleem, Elizabeth M McClure, Rasool Bux, Ameer Shaheed, Robert L Goldenberg, Gregory Pappas
Format: Article
Language:English
Published: Al Ameen Medical College 2010-07-01
Series:Al Ameen Journal of Medical Sciences
Subjects:
Online Access:http://ajms.alameenmedical.org/article_Vol03-3-Jul-Sep-2010/AJMS.3.3.2010.228-236.pdf
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author Sarah Saleem
Elizabeth M McClure
Rasool Bux
Ameer Shaheed
Robert L Goldenberg
Gregory Pappas
author_facet Sarah Saleem
Elizabeth M McClure
Rasool Bux
Ameer Shaheed
Robert L Goldenberg
Gregory Pappas
author_sort Sarah Saleem
collection DOAJ
description Objective: To understand pregnancy behavior of Pakistani women over their reproductive life span so as to generate baseline data on prevalence of pregnancy loss and to generate hypotheses for future research. Examination of events over the reproductive life span of a woman rather during a single pregnancy or child birth may be more useful in understanding the birth outcomes. Methods: Data of National Health Survey of Pakistan 1992-94 was used for this analysis as this is the only data available with information on diseases and exposures. Stata Version 9 for complex survey analysis was used with survey weights that reflected the over-sampling of urban areas and the three smaller provinces. Results: 2,947 reproductive age women reported 16,833 pregnancies. More urban (12.6%) than rural (9.2%) and high-middle income (11%) than low-income (9.2%) women reported abortions. Stillbirth rate was almost similar among rural (54/1000) and urban (53/1000) women. After adjusting, hypertension (AOR 1.33; 95% CI 1.02, 1.75) and BMI≥23 kg/m2 (AOR 1.46; 95% CI 1.18, 1.80) remained significantly associated with stillbirth, while middle income (AOR 1.28; 95% CI 1.01, 1.63) and women with BMI≥23 kg/m2 (AOR 1.50, 95% CI 1.19, 1.90) had significantly higher abortion rates. Conclusions: We found a high lifetime adverse pregnancy outcome rates, four-fold that of many developed countries.
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spelling doaj.art-25aa854c68b24d57834f3893bcc2bab02022-12-22T01:44:40ZengAl Ameen Medical CollegeAl Ameen Journal of Medical Sciences0974-11432010-07-010303228236Pregnancy Behavior Of Pakistani Women Over Their Reproductive Life SpanSarah SaleemElizabeth M McClureRasool BuxAmeer ShaheedRobert L GoldenbergGregory PappasObjective: To understand pregnancy behavior of Pakistani women over their reproductive life span so as to generate baseline data on prevalence of pregnancy loss and to generate hypotheses for future research. Examination of events over the reproductive life span of a woman rather during a single pregnancy or child birth may be more useful in understanding the birth outcomes. Methods: Data of National Health Survey of Pakistan 1992-94 was used for this analysis as this is the only data available with information on diseases and exposures. Stata Version 9 for complex survey analysis was used with survey weights that reflected the over-sampling of urban areas and the three smaller provinces. Results: 2,947 reproductive age women reported 16,833 pregnancies. More urban (12.6%) than rural (9.2%) and high-middle income (11%) than low-income (9.2%) women reported abortions. Stillbirth rate was almost similar among rural (54/1000) and urban (53/1000) women. After adjusting, hypertension (AOR 1.33; 95% CI 1.02, 1.75) and BMI≥23 kg/m2 (AOR 1.46; 95% CI 1.18, 1.80) remained significantly associated with stillbirth, while middle income (AOR 1.28; 95% CI 1.01, 1.63) and women with BMI≥23 kg/m2 (AOR 1.50, 95% CI 1.19, 1.90) had significantly higher abortion rates. Conclusions: We found a high lifetime adverse pregnancy outcome rates, four-fold that of many developed countries.http://ajms.alameenmedical.org/article_Vol03-3-Jul-Sep-2010/AJMS.3.3.2010.228-236.pdfperinatal mortalitystillbirthabortionPakistan
spellingShingle Sarah Saleem
Elizabeth M McClure
Rasool Bux
Ameer Shaheed
Robert L Goldenberg
Gregory Pappas
Pregnancy Behavior Of Pakistani Women Over Their Reproductive Life Span
Al Ameen Journal of Medical Sciences
perinatal mortality
stillbirth
abortion
Pakistan
title Pregnancy Behavior Of Pakistani Women Over Their Reproductive Life Span
title_full Pregnancy Behavior Of Pakistani Women Over Their Reproductive Life Span
title_fullStr Pregnancy Behavior Of Pakistani Women Over Their Reproductive Life Span
title_full_unstemmed Pregnancy Behavior Of Pakistani Women Over Their Reproductive Life Span
title_short Pregnancy Behavior Of Pakistani Women Over Their Reproductive Life Span
title_sort pregnancy behavior of pakistani women over their reproductive life span
topic perinatal mortality
stillbirth
abortion
Pakistan
url http://ajms.alameenmedical.org/article_Vol03-3-Jul-Sep-2010/AJMS.3.3.2010.228-236.pdf
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AT ameershaheed pregnancybehaviorofpakistaniwomenovertheirreproductivelifespan
AT robertlgoldenberg pregnancybehaviorofpakistaniwomenovertheirreproductivelifespan
AT gregorypappas pregnancybehaviorofpakistaniwomenovertheirreproductivelifespan