A Cross Sectional Study on Prevalence of Carpal Tunnel Syndrome among Multiparous Mothers in Tertiary Care Teaching Hospitals in Karachi

Abstract

Carpal Tunnel Syndrome (CTS) is a common condition that occurs when the median nerve is compressed at the carpal tunnel in the wrist. Mothers who have had multiple pregnancies are particularly at risk, as the physical demands of repeated childbirth and childcare can exacerbate strain on the wrist and hand. To determine the prevalence of Carpal Tunnel Syndrome among multiparous mothers in tertiary care teaching hospitals in Karachi.This cross sectional study was conducted at different Tertiary care Teaching Hospitals of Karachi, with a sample size of n=360 multigravida pregnant women aged 20–40 years, selected through convenience sampling. Women currently pregnant or with prior wrist trauma, diabetes, rheumatoid or thyroid dysfunction was excluded. Data was collected using The Boston Carpal Tunnel Questionnaire. Participants was recruited through online and physical survey forms after they have given their consent. The data was interpreted and analyzed in the most updated SPSS version. Phalen’s test was positive in 27% of participants and strongly predicted greater symptom severity and functional impairment (p < 0.001), despite overall minimal symptoms and preserved hand function on BCTQ scores. This study concludes that multiparous women may develop early clinical signs of carpal tunnel syndrome before significant symptoms or functional impairment appear. Objective assessment, particularly Phalen’s test, is essential for early detection, supporting timely preventive strategies to maintain hand function and improve maternal quality of life.