Pregnancy Outcomes among High-Risk Pregnant Women at Our Tertiary Centre: Svims, Tirupati

Abstract

Background:

Even though the majority of pregnancies and deliveries across the world are uncomplicated, all pregnancies are at risk. Approximately 15% of pregnant women may experience potentially fatal problems that require expert care, with some needing significant intervention to survive.

Materials and methods:

It’s a Prospective observational Study conducted on High-risk pregnancy patients. Detailed present and previous obstetric history, present and previous medical history were taken. Measurement of neonatal outcome includes the incidence of stillborn, neonatal death, mode of delivery, birth weight, and admission to the NICU.

Results:

A total of 100 high-risk pregnant women were included in the study. The majority were in the age group between 26- 30 years (34%). Most of the women are from urban areas of residence(76%), and most of them are graduates(51%). On assessment of socioeconomic status, 81% belong to the middle class. In our study, only 8% are referred from the primary center to our center. The risk factors for high-risk pregnancy in our study showed the previous history of lower segment cesarean section (LSCS) was 38(38%), followed by 19 (20.87%), Oligohydramnios(21.0), IUGR(12.0%), PPROM   (11.0%), and  GDM(7.0%).. In our study, most of them underwent emergency LSCS(78%), followed by elective LSCS(15%). Only 5 % underwent normal vaginal delivery. Only 2 babies had a prolonged ICU stay of 5-7 days; both of them belonged to the delayed referral group.

Conclusion:

Previous history of cesarean sections, followed by oligohydramnios, were the most prevalent high-risk variables. Despite the high rate of cesarean sections among high-risk pregnancies, the fetal outcome was favorable.