Burden and Socio-Demographic Determinants of High?Risk Pregnancy in Rural Ghaziabad: A Cross?Sectional Study

Abstract

Abstract:
Aim:
To estimate the burden of high-risk pregnancies among postpartum women in rural areas of Ghaziabad and to assess their association with socio-demographic determinants.

Methods:
A cross-sectional study was conducted among 327 postpartum women residing in selected rural villages. Data were collected using a pre-designed, semi-structured questionnaire after obtaining informed consent. Information on socio-demographic profile and pregnancy-related risk factors was obtained through interviews. Data entry was done in MS Excel, and statistical analysis was performed using IBM SPSS version 20.0. Chi-square test was applied, and p<0.05 was considered significant.

Results:
Overall, 131 women (40%) were identified as high-risk. Severe anaemia was the most common risk factor (38.17%; n=50), followed by previous LSCS (34.35%; n=45). Significant associations were noted between high-risk pregnancy and age at marriage (p=0.009), religion (p=0.001),family type (p=0.043) and Gestational Age at Birth(0.001).

Conclusion:
The study reveals a considerable burden of high-risk pregnancies in rural Ghaziabad, with anaemia and previous LSCS being major contributors. Early marriage, religion, and family structure were important determinants. Strengthening antenatal care, promoting delayed marriage, improving nutrition, and enhancing community awareness are essential to reduce maternal and perinatal complications.

Keywords: High-risk pregnancy, determinants, rural health, Ghaziabad, antenatal care.