Prospective study of high-risk pregnancy and their outcome in tertiary care center

Savitri R. Nandimath; Priyanka Gaikwad; Manisha Yadav; Bhushan A. Patil

doi:10.18203/2320-1770.ijrcog20243954

Authors

Savitri R. Nandimath Department of Obstetrics and Gynecology, Srinivas Institute of Medical Sciences, Mangalore, Karnataka, India
Priyanka Gaikwad Department of Obstetrics and Gynecology, ESICMC and PGIMSR, Rajajinagar, Bangalore, Karnataka, India
Manisha Yadav Department of Obstetrics and Gynaecology, Uttaranchal hospital, Dehradun, Uttarakhand, India
Bhushan A. Patil Department of Obstetrics and Gynaecology, PGIMS, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20243954

Keywords:

ANC, HRP, LSCS, MCH, PHC

Abstract

Background: Women form the centre of the family and their health is of prime importance to the well-being of the whole family. MCH status is assessed through measurements of mortality, morbidity, growth and development. The term “high risk pregnancy (HRP)” refers to any pregnancy associated with an increased risk for adverse outcomes which can be maternal or fetal.

Methods: It was a prospective observational study conducted on all pregnant women admitted to labour ward in study period from 1^st October 2018 to 30^th September 2020.

Results: In our study out of 17101 mothers admitted in the labour ward over 56.2 % belong to low-risk group, 25.5% to the moderate and 18.3% belong to high-risk group. Majority of patients belong the age group of 20- 24 years (56.6%) and 78.84% were primipara. Registered patients 98.4% whereas unregistered admissions were 1.6%. 92.95% of admissions were ≥37 weeks gestational age. The mode of delivery for 58.1% of the patients was vaginal deliveries whereas 41.9% delivered through LSCS. 95.10% of women had their babies with them after delivery while NICU admissions were 23.79%. Preterm admissions were seen maximum in high-risk group (26.67%) 52.5% of the patients belonging to the high-risk group were delivered by LSCS, among them 21.59% babies required NICU admission and neonatal death (3.50%) was also higher.

Conclusions: Early detection of high-risk pregnancies at PHC level with proper ANC and referral system improves fetomaternal outcome.

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References

AonsectionIII_2.pdf. Available at: https://www.acog.org. Accessed on 25 March 2021.

High risk pregnancy. National Health Portal of India. Available at: https://pmsma.mohfw.gov.in/about-scheme/. Accessed on 25 March 2021.

Arora P. Maternal mortality- Indian scenario. Med J Armed Forces India. 2005;61(3):214-5.

Coopland AT, Peddle LJ, Baskett TF, Rollwagen R, Simpson A, Parker E. A simplified antepartum high-risk pregnancy scoring form: statistical analysis of 5459 cases. Can Med Assoc J. 1977;116(9):999-1001.

Goodwin JW, Dunne JT, Thomas BW. Antepartum identification of the fetus at risk. Can Med Assoc J. 1969;101(8):57.

Aysha B. A prospective descriptive study of the clinical outcomes of high risk pregnancy at a public sector tertiary care center, Kerala. Achutha Menon Center for Health science studies. 1998.

Jain S, Anand S, Atherwar R. High risk scoring for prediction of pregnancy outcome: a prospective study. Int J Reprod Contracept Obstet Gynecol. 2014;3:516-22.

High-risk pregnancy. Cambridge University Press. Available at: https://www.cambridge.org/core/ books/highrisk-pregnancy/D87DFCD7F0E022 D83797B5349AF114BC. Accessed on 21 March 2021.

Muniro Z, Tarimo CS, Mahande MJ, Maro E, Mchome B. Grand multiparity as a predictor of adverse pregnancy outcome among women who delivered at a tertiary hospital in Northern Tanzania. BMC Pregnancy Childbirth. 2019;19(1):222.

Mufti S, Mufti S. Identification of high risk pregnancy by a scoring system and its correlation with perinatal outcome. Indian J Pract Doct. 2008;5(1):1.

Moussa HN, Arian SE, Sibai BM. Management of hypertensive disorders in pregnancy. Womens Health Lond Engl. 2014;10(4):385-404.

Kattah AG, Garovic VD. The management of hypertension in pregnancy. Adv Chronic Kidney Dis. 2013;20(3):229-39.

Talaulikar VS. Anemia in pregnancy. GLOWM. Available at: http://www.glowm.com/Critical-current-issue/page/25. Accessed on 29 March 2021.

Kidney Disease and Pregnancy: Practice Essentials, Renal Changes During Pregnancy, Overview of Acute Kidney Injury in Pregnancy. 2020. Available from: https://emedicine.medscape.com/article/246123-overview. Accessed on 29 March 2021.

Renal Disease and Pregnancy. GLOWM. Available at: http://www.glowm.com/section-view/heading/renaldisease-and-pregnancy/item/157. Accessed on 29 March 2021.