Prenatal risk score in high risk pregnancy cases and perinatal outcome: a study from South India


  • Pooja Bansal Consultant Gynaecologist, Jai Ortho and Maternity Clinic, Bhopal, Madhya Pradesh, India
  • Deepika Verma Department of Obstetrics and Gynaecology, Sri Aurobindo Medical College and PGI, Indore, Madhya Pradesh, India
  • Akhil Bansal Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Abhyuday Verma Department of Medicine, Index Medical College, Indore, Madhya Pradesh, India



Caesarian section, Coopland scoring, High risk pregnancy, Perinatal outcome


Background: Identification of a high risk pregnancy by Coopland score helps the obstetrician to identify patient at high risk and also elaborate a prognosis of pregnancy. The present study was conducted to evaluate perinatal outcomes in high and low risk pregnancies.

Methods: In the present study of 100 cases of high risk caesarean section were evaluated and compared with 100 cases of low risk caesarean sections over a period of two years.

Results: 40% and 28% of the high risk and low risk group respectively had low birth weight baby. In the high risk group, 2% had neonatal death, while these figures were 0% in the control group respectively. 28% babies in the study group and 18% babies in the control group had mild to severe depression and Apgar score below 6-4. 42% and 12% babies in the high risk and low risk group respectively had perinatal morbidity which was in the form of prematurity, IUGR, respiratory distress syndrome and birth asphyxia. 7% and 4% cases in both study and control group respectively had poor perinatal outcome.

Conclusions: We suggest Coopland risk scoring for every case admitted for a caesarean section, which will be definitely helpful in predicting and evaluating the eventual perinatal outcomes. Appropriate timely care and referral can have a positive impact in lowering the perinatal mortality and morbidity and possibly better maternal outcome.


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Original Research Articles