The lecture identifies anaemia in pregnancy as a potential concern associated with repeated childbirths, short inter-pregnancy intervals, and poor nutrition.

This is consistent with the lecture's list of obstetric problems that may occur more frequently in grandmultiparity. It specifically links **anaemia in pregnancy** with repeated childbirths, short intervals between pregnancies, and poor nutrition. The wording indicates associated contributing circumstances; it does not establish that every grandmultiparous woman is anaemic. The lecture's management section recommends routine haematinics and nutrition education as part of care, alongside screening and assessment. **Key takeaway:** The lecture connects anaemia risk with repeated childbirth, short pregnancy intervals, and poor nutrition. **Glossary:** - **Anaemia**: A condition involving reduced haemoglobin or red-cell capacity to carry oxygen. - **Inter-pregnancy interval**: The time between the end of one pregnancy and the beginning of the next.