DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20202740

A study of high-risk factors in ante-natal women at a tertiary care centre

Sonia Dahiya, Smriti Anand, Vandana Rani, Sarika Gautam, Smiti Nanda

Abstract


Background: High-risk pregnancy refers to any condition in pregnancy that increases risk for morbidity or mortality in mother, fetus and neonate. Globally, nearly 5,29,000 women die due to pregnancy related complications. In India, 20-30% of the pregnant patients contribute to high risk group. This study was conducted to determine different high-risk factors prevalent in antenatal women in Haryana. Objective of this study was to find out prevalence of different high-risk factors in antenatal women.

Methods: Data of all antenatal high-risk patients attending OPD during one year was taken from hospital record registers. Maternal characteristics such as age, gravida/parity, gestational age, and gestational age at the time of first visit were noted. High risk factors identified were noted.

Results: The records of total 10073 antenatal women were analyzed, 1283 were included in the high-risk group. Most prevalent high-risk factors found were previous cesarean section (31.04%), anaemia (31.02%), malpresentation (12.93%) and thyroid disorders (13.09%).

Conclusions: Antenatal surveillance for the high-risk factors complicating pregnancy may prevent or treat most of the complications. Authors should develop strategies for early screening of high-risk pregnancy cases to prevent maternal and perinatal mortality and to improve the maternal and perinatal outcome.


Keywords


Anemia, High risk pregnancy, Prevalence, Previous caesarean section

Full Text:

PDF

References


Pradeep MK, Gnanadeep NV, Umesh RD, Pushpa SP. Prevalence of high-risk pregnancy in rural dharwad. J Dent Med Sci. 2015;10:29-32.

World Health Organization 10 Facts on Maternal Health. World Health Organization. Available at: http://www.who.int/features/factfiles/maternal_health/en/. Accessed on 28th April 2018.

Maternal Mortality Ratio: India, EAG and Assam, Southern States and Other States (per 100000 live births. Available at: https://niti.gov.in/content/maternal-mortality-ratio-mmr-100000-live-births. Accessed on 28th April 2018.

Dutta DC. Text Book of Obstetrics. 7th Ed. Calcutta, India: Jaypee Brothers Medical Publishers (P) Ltd. Chapter 38: Special Topics in Obstetrics; 2013;631.

Mufti S, Mufti S. Identification of high-risk pregnancy by a scoring system and its correlation with perinatal outcome. Indian J Pract Doctor. 2008;5(1):1-7.

Bharti Vijay K, Amandeep K, Sumit C, Manisha M. Prevalence and correlates of high-risk pregnancy in rural Haryana: a community-based study. IJBAMS. 2013;3(2):212-7.

Majella MG, Sarveswaran G, Krishnamoorthy Y, Sivaranjini K, Arikrishnan K, Kumar SG. A longitudinal study on high risk pregnancy and its outcome among antenatal women attending rural primary health center in Puducherry, South India. J Educ Health Promot. 2019;8:12.

Sachdeva S, Nanda S, Sachdeva R. Birth audit. Advanced maternal age and adverse pregnancy outcome: evidence from a large contemporary cohort. J Nat Sci Biol Med. 2013;4(1):155-9.

Farajnezhad F, Shaahmadi F, Fashi Z, Daaylar L. Prevalence of high-risk pregnancy and some relevant factors in referred women to health centers. J Sci Achiev. 2017;2(12) 4-7.

Chauhan PA, Bhalani KD, Trivedi A. Risk factors responsible for the high-risk pregnancy and its association with the outcome of the pregnancy among the high-risk mothers of Bhavnagar District, Gujarat: a follow-up descriptive study. Natl J Community Med. 2019;10(6):351-6.

Singh SP, Chawan J, Mangla D. A descriptive study: maternal and fetal outcome of grand multipara. 2015;4(1):219-23.

Keag OE, Norman JE, Stock SJ. Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: systematic review and meta-analysis. PLoS Med. 2018;15:e1002494.

Jaideep KC, Prashant D, Girija A. Prevalence of high risk among pregnant women attending antenatal clinic in rural field practice area of Jawaharlal Nehru Medical College, Belgavi, Karnataka, India. Int J Community Med Public Health. 2017;4:1257.

Seema P, Sangeetha S, Phukan P. A retrospective study on high risk pregnancy and their outcome in a teaching hospital in South India. Medica Innovat. 2014;3(1):122-6.

Kenny LC, Lavender T, McNamee R, O’Neill SM, Mills T, Khashan AS. Advanced maternal age and adverse pregnancy outcome: evidence from a large contemporary cohort. PLoS One. 2013;8(2):e56583.

Jolly M, Sebire N, Harris J, Robison S, Regan L. The risks associated with pregnancy in women age 35years or older. Human Reprod. 2000;15(11):2433-27.