DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20191971

Evaluation of perinatal outcome in high-risk pregnancy at tertiary care centre

Anupam Rani, Urmila Karya, Sweta Kumari

Abstract


Background: A high risk pregnancy is one in which mother, fetus or neonate is at increased risk of morbidity or mortality before or after delivery. Hence a relatively small percentage of high risk obstetric population gives rise to a disproportionately high percentage of perinatal and maternal morbidity and mortality. The perinatal outcome can be changed significantly by early detection and special intensive care to high risk pregnancies. Hence Identification of women at risk for these complicated pregnancies with poor outcome is fundamental to antenatal check-up.

Methods: 86 high risk antenatal patients attending the outpatient department and labour room were recruited after informed consent.70 normal pregnancy was taken as control group. Perinatal outcomes were compared between high risk and normal pregnancies.

Results: Adverse perinatal outcomes were more in high risk pregnancies as compared to normal pregnancies.

Conclusions: This study emphasizes on pregnancy related complication leading to adverse perinatal outcome so evaluating patients for high risk factors, early diagnosis, proper antenatal care, prompt treatment, regular follow up, and timely management thus can improve maternal and perinatal outcome.


Keywords


Adverse perinatal outcome, High risk pregnancy

Full Text:

PDF

References


Artal R. Overview of high-risk pregnancy, MSD manual professional Edition. 2015. Available at; http://www.msdmanuals.com/professional/gynecology-and-obstetrics/high-risk-pregnancy/overview-of-high- risk-pregnancy.

Krishnan V, Idris MZ, Srivastava VK, Bhushan V, Chandra MR. Scoring of high risk mothers and related outcome. Indian J Community Med. 1988:13(4):176-9.

Park K. Textbook of Preventive and Social Medicine, 21st ed., Jabalpur: M/s Banarsidas Bhanot Publisher. 2011:513-24.

Shriver EK. National Institute of child health and human development. 2011. Available at: https://www.nichd.nih.gov/health. 11/04/2010.

Samiya M, Samina M. Identification of high-risk pregnancy by a scoring system and its correlation with perinatal outcome. Indian J Pract Dr. 2008:5(1).

Dutta S, Das XS. Identification of high risk mothers by a scoring system and it’s correlation with perinatal outcome. J. Obstet Gynaecol India. 1990;40:181-90.

Bansal P, Verma D, Bansal A, Verma A. Prenatal risk score in high risk pregnancy cases and perinatal outcome:a study from South India. Int J Reprod Contracept Obstet Gynecol. 2016;5:3889-92.

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

Vijayasree M. Increasing trend in caesarian section rate - the need for clinical evaluation of low risk and high risk indications. Int J Adv Case Reports. 2015;2(9):557-66.

Jnaneswari K, Manjubala D. Perinatal outcome in high risk pregnancies. Int Res J Med Sci. 2016;4:1-4.