A prospective study of causes and outcome of high risk pregnancies inreferred patients in a tertiary health care centre of southern Rajasthan

Shabdika Kulshreshtha, Meetu Babel


Objective: The present study was conducted in a tertiary care health centre of southern Rajasthan to assess the prevalence of referred high risk pregnancy in the region and its outcome. Material & Methods: 200 high risk pregnancies referred to our tertiary healthcare centre during the study period, which were not registered in our antenatal record; with gestation of ≥ 28 weeks were included in the study. Obstetric outcomes were assessed in terms of maternal mortality and mode of delivery while neonatal outcomes were assessed in terms of incidences of intrauterine deaths, still births and live births. Results: Age of the patients’ ranges from 18 to 45 years with the mean age of 24.7 years. 73.5% of the cases in present study were belonged to rural society while 26.5% cases belonged to urban society. The most common cause for referral of the patients in present study was history of previous LSCS (31%) followed by anaemia (16%), hypertensive disorder of the pregnancy (9%) and bad obstetric history (9%).44.5% of the study participants had normal delivery while 54% had caesarean sections and the rest 1.5% had instrumental delivery (vacuum or forceps delivery). 200 study participants gave birth to 203 neonates (included 3 twin births). 97% were the live birth while 3% had intrauterine death and the rest 1.5% were stillborn. Conclusion: Early detection of high risk pregnancies at primary health care level with proper antenatal services and referral system is advisable to improve fetomaternal outcome.

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Dutta D C, Text book of Obstetrics.New Central book Agency (P) Ltd, Calcutta, India. 2015

Arias F, Bhide AG, Arulkumaran S, Damania K, Daftary SN, editors. Practical Guide to High Risk Pregnancy and Delivery-E-Book: A South Asian Perspective. Elsevier health sciences; 2012.

Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387 (10017): 462-74. doi: 10.1016/S0140-6736(15)00838-7. Epub 2015.

Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2 (6):e323-33. doi: 10.1016/S2214-109X(14) 70227-X. Epub 2014.

Pradeep MK, Gnanadeep NV, Umesh RD, Pushpa SP. Prevalence of high risk pregnancy in rural Dharwad. IOSR J Dent MedSci. 2015; 14 (10):29-32. doi: 10.9790/ 0853-141062932

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. International Journal of Community Medicine And Public Health. 2017;4(4):1257-9.doi: http://dx.doi.org/10.18203/2394-6040.ijcmph20171359

Beegom Aysha A. A Prospective descriptive study of the clinical outcomes of high risk pregnancies at a public sector tertiary care centre, Kerala. Dissertation work. dspace.sctimst.ac.in/jspui/bitstream/123456789/ 2204/1/591.pdf

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

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 centre in Puducherry, South India. J Educ Health Promot. 2019;8:12. doi: 10.4103/jehp.jehp_144_18. eCollection 2019.

Jadhao AR, Gawade MD, Ughade SN. Outcome of pregnancy among high risk pregnancies in rural area of Nagpur, Central India. Int J Commun Med Public Health. 2017;4 (3): 628-33. doi: http://dx.doi.org/ 10.18203/2394-6040. ijcmph20170443

Mehta B, Vijay K, Amamdeep K , Sumit C, Manisha M. Prevalence and correlates of high risk pregnancy in rural Haryana: A community based study. Int J Basic Appl Med Sci.2013;3(2):212-7

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 Achieve. 2017;2(12):4-7.


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