UNVEILING THE CULPRITS: FREQUENCY AND FACTORS BEHIND EARLY SEVERE PREECLAMPSIA AT A TERTIARY CARE HOSPITAL IN NOWSHERA

Objective: To determine the frequency of factors leading to early severe preeclampsia in Qazi Hussain Ahmad Medical Complex Nowshera. Methodology: A cross-sectional observational study was conducted at the Department of Obstetrics and Gynecology, Qazi Hussain Ahmad Medical Complex, Nowshera, from November 2022 to May 2023. A total of 145 women aged 18–45 years with singleton pregnancies and gestational age <36 weeks were included. Data on demographic details (age, gestational age, parity) and risk factors, including primiparity, chronic hypertension, chronic renal disease, maternal age ?40 years, and obesity, were recorded using a structured proforma. Results: The mean age of participants was 31.1 ± 6.75 years, mean gestational age was 30.85 ± 2.71 weeks, and mean parity was 2.62 ± 2.16. Primiparity was observed in 28.3% of cases, chronic hypertension in 12.4%, chronic renal disease in 7.6%, maternal age ?40 years in 15.9%, and obesity in 18.6%. Conclusion: Early severe preeclampsia is significantly associated with primiparity, chronic hypertension, chronic renal disease, advanced maternal age, and obesity.