Medical disorders in pregnancy a tertiary care hospital experience.


  • Samina Naseem Khattak PNS Shifa Karachi.
  • Amera Tariq PNS Shifa Karachi.
  • Muhammad Irfan Khattak PNS Shifa Karachi.
  • Tariq Mahmood Malik PNS Shifa Karachi.
  • Rana Shahid PNS Shifa Karachi.
  • Shumaila Hadi Royal Adelaide Hospital Western Australia.



Anaemia, Hypertension, Liver Disorders, Medical Disorder, Pregnancy


Objective: To determine the exact magnitude of the problem in our setup which will help to develop consensus guidelines with the contribution from various specialists especially obstetric medical specialist. Study Design: Prospective Observational study. Setting: It was conducted on 2448 patients who were ill due to various medical conditions during pregnancy and admitted to PNS Shifa and CMH Kharian. Period: 1st Jun 2019 till 31st May 2021. Material & Methods: Data was collected from the patients in the wards and delivery room and analysed using SPSSV28. Descriptive statistics were applied and means, and frequencies were calculated for different variables. Results: The total number of antenatal admissions was 8775, in which 2488 (28%) were patients. The mean age of our study population was 28 S.D (+ 4.78) years while the mean parity was 4 (S.D + 1.407). Hypertensive disorders were the most common medical disorder followed by haematological and liver disorders. Endocrine disorders were found in 372 (15%) of the study population. A total of 864 (38%) patients in the total study population had haematological abnormalities. Among these, anaemia was the most common haematological abnormality. Regarding respiratory disorders COVID-19 336(14%) was the most common respiratory medical disorder during pregnancy. Conclusions: All medical conditions in pregnancy are common and require a multidisciplinary approach which should be managed by a team involving Obstetric medical specialist.

Author Biographies

Samina Naseem Khattak, PNS Shifa Karachi.

MBBS, FCPS (Gynae), Associate Professor Obs & Gynae, 

Amera Tariq, PNS Shifa Karachi.

MBBS, FCPS (Gynae), Associate Professor Obs & Gynae, 

Muhammad Irfan Khattak, PNS Shifa Karachi.

MBBS, FCPS (Medicine), FCPS (Nephrology), Assistant Professor Medicine, 

Tariq Mahmood Malik, PNS Shifa Karachi.

MBBS, FCPS (Anesthesia), Associate Professor Anesthesia, 

Rana Shahid, PNS Shifa Karachi.

MBBS, FCPS (Medicine), Assistant Professor Medicine, 

Shumaila Hadi, Royal Adelaide Hospital Western Australia.

MBBS, FRACP (Medicine) (Austrailia), Consultant Physician Medicine,