Perinatal Outcomes of High Risk Pregnancies: Experience of a Tertiary Care Hospital
Perinatal Outcomes in High Risk Pregnancies
DOI:
https://doi.org/10.54393/pjhs.v5i04.1385Keywords:
Perinatal Outcomes, High Risk Pregnancies, Rh-Factor, Severe Anemia, Pregnancy-Induced HypertensionAbstract
High Risk Pregnancy (HRP) denotes a condition where the mother, the fetus, or both are predisposed to complications during the gestation period, at birth, or postnatally, which is affected by several factors. Objective: To analyze the perinatal outcomes of high-risk pregnancies, focusing on the experience of a tertiary care hospital. Methods: A longitudinal study over two years, from October 1, 2020, to December 31, 2022, was conducted on 213 high-risk pregnant women, via purposive sampling, who attended the antenatal clinic Liaquat University Hospital, Hyderabad and Jamshoro. After obtaining informed written consent, interviews were conducted with the participants to collect data about their sociodemographic, obstetric, and gynecological histories. Perinatal outcomes were evaluated on the 8th day post-delivery, during which details concerning maternal and fetal complications in terms of morbidity and mortality, were documented. Results: Rh-negative pregnancy was found to be the most high-risk factor with 24.4% (52) of the cases, followed by teenage pregnancy at 12.2% (26), and short stature at 10.9% (23). Additionally, severe anemia was found in 21 women (9.8%), Pregnancy Induced Hypertension (PIH) in 18 women (8.6%), and obesity was also seen in 18 women (8.6%). Other noted risk factors included grand multigravida in 13 women (6.1%), thyroid disorder 4.9% (10), twin pregnancy 3.7% (8) and congenital fetal anomaly, polyhydramnios, oligohydramnios each with 2.4% (5). Conclusions: This study significantly contributes to the body of knowledge on high-risk pregnancies and their outcomes.
References
Mauro E and Gadano A. What's new in portal hypertension? Liver International. 2020 Feb; 40: 122-7. doi: 10.1111/liv.14366. DOI: https://doi.org/10.1111/liv.14366
López-Méndez E and Ávila-Escobedo L. Pregnancy and portal hypertension a pathology view of physiologic changes. Annals of Hepatology. 2006 July-Sep; 5(3): 219-23. doi: 10.1016/S1665-2681(19)32016-2. DOI: https://doi.org/10.1016/S1665-2681(19)32016-2
Hagström H, Höijer J, Marschall HU, Williamson C, Heneghan MA, Westbrook RH, et al. Outcomes of pregnancy in mothers with cirrhosis: a national population‐based cohort study of 1.3 million pregnancies. Hepatology Communications. 2018 Nov; 2(11): 1299-305. doi: 10.1002/hep4.1255. DOI: https://doi.org/10.1002/hep4.1255
Khan YP, Bhutta SZ, Munim S, Bhutta ZA. Maternal health and survival in Pakistan: issues and options. Journal of obstetrics and Gynaecology Canada. 2009 Oct; 31(10): 920-9. doi: 10.1016/S1701-2163(16)34321-3. DOI: https://doi.org/10.1016/S1701-2163(16)34321-3
Al-Hindi MY, Al Sayari TA, Al Solami R, Baiti AK, Alnemri JA, Mirza IM, et al. Association of antenatal risk score with maternal and neonatal mortality and morbidity. Cureus. 2020 Dec: 22; 12(12). doi: 10.7759/cureus.12230. DOI: https://doi.org/10.7759/cureus.12230
Aslam A, Rana IA, Bhatti SS. Local climate zones and its potential for building urban resilience: a case study of Lahore, Pakistan. International Journal of Disaster Resilience in the Built Environment. 2022 Apr; 13(2): 248-65. doi: 10.1108/IJDRBE-08-2021-0116. DOI: https://doi.org/10.1108/IJDRBE-08-2021-0116
Hanif A, Ashraf T, Pervaiz MK, Guler N. Prevalence and risk factors of preterm birth in Pakistan. Journal of Pakistan Medical Association. 2020 Apr; 70(4): 577-82. doi: 10.5455/JPMA.295022. DOI: https://doi.org/10.5455/JPMA.295022
Shakeel A, Kamal A, Ijaz M, Siddiqa M, Tesema GA, Abushal T, et al. Trends and risk factors of stillbirth among women of reproductive age in Pakistan: A multivariate decomposition analysis. Frontiers in Public Health. 2023 Feb; 11: 1050136. doi: 10.3389/fpubh.2023.1050136. DOI: https://doi.org/10.3389/fpubh.2023.1050136
AC G. Committee on the health professions education summit. Health professions education: A bridge to quality. [Last cited: October 2003]. Available at: https://www.ncbi.nlm.nih.gov/books/NBK221528/.
Delavar MA and Jahangiri M. Outcomes of teenage pregnancy in the northeast of Iran: a cohort study. Health Scope. 2015; 4(3): e25217.
Ejiofor CC, Ozokono RU, Ugwu JI. Prevalence of Anaemia among pregnant women attending 82 division Nigerian army hospitals, Enugu. Journal of Obstetrics and Gynaecology Research. 2019 Jan; 6(1): 1-5. doi: 10.17140/GOROJ-6-148. DOI: https://doi.org/10.17140/GOROJ-6-148
Toolan M, Barnard K, Lynch M, Maharjan N, Thapa M, Rai N, et al. A systematic review and narrative synthesis of antenatal interventions to improve maternal and neonatal health in Nepal. AJOG global reports. 2022 Feb; 2(1): 100019. doi: 10.1016/j.xagr.2021.100019. DOI: https://doi.org/10.1016/j.xagr.2021.100019
Begum T, Rahman A, Nababan H, Hoque DM, Khan AF Ali T, et al. Indications and determinants of caesarean section delivery: Evidence from a population-based study in Matlab, Bangladesh. Journal Public Library of Science one. 2017 Nov; 12(11): e0188074. doi: 10.1371/journal.pone.0188074. DOI: https://doi.org/10.1371/journal.pone.0188074
Brown HK, Cobigo V, Lunsky Y, Vigod SN. Maternal and offspring outcomes in women with intellectual and developmental disabilities: A population‐based cohort study. BJOG: An International Journal of Obstetrics and Gynaecology. 2017 Apr; 124(5): 757-65. doi: 10.1111/1471-0528.14120. DOI: https://doi.org/10.1111/1471-0528.14120
Chang YK, Tseng YT, Chen KT. The epidemiologic characteristics and associated risk factors of preterm birth from 2004 to 2013 in Taiwan. BMC Pregnancy and Childbirth. 2020 Dec; 20: 1-7. doi: 10.1186/s12884-020-02903-1. DOI: https://doi.org/10.1186/s12884-020-02903-1
Gala AR, Surapaneni T, Aziz N, Kallur SD. A review of outcomes in pregnant women with portal hypertension. The Journal of Obstetrics and Gynecology of India. 2018 Dec; 68: 447-51. doi: 10.1007/s13224-017-1016-1. DOI: https://doi.org/10.1007/s13224-017-1016-1
Rahim MN, Pirani T, Williamson C, Heneghan MA. Management of pregnancy in women with cirrhosis. United European Gastroenterology Journal. 2021 Feb; 9(1): 110-9. doi: 10.1177/2050640620977034. DOI: https://doi.org/10.1177/2050640620977034
Woldeamanuel GG, Geta TG, Mohammed TP, Shuba MB, Bafa TA. Effect of nutritional status of pregnant women on birth weight of newborns at Butajira Referral Hospital, Butajira, Ethiopia. SAGE Open Medicine. 2019 Jan; 7: 2050312119827096. doi: 10.1177/2050312119827096. DOI: https://doi.org/10.1177/2050312119827096
Woldeamanuel GG K. Depression in new mothers: Causes, consequences and treatment alternatives. 3rd ed. Routledge; 2016.
Feng X, Zhu J, Hua Z, Shi Q, Zhou J, Luo P, et al. The prevalence and determinant of overweight and obesity among residents aged 40-69 years in high-risk regions for upper gastrointestinal cancer in southeast China. Scientific Reports. 2023 May; 13(1): 8172. doi: 10.1038/s41598-023-35477-x. DOI: https://doi.org/10.1038/s41598-023-35477-x
Azhar BS, Islam MS, Karim MR. Prevalence of anemia and associated risk factors among pregnant women attending antenatal care in Bangladesh: a cross-sectional study. Primary Health Care Research and Development. 2021 Jan; 22: e61. doi: 10.1017/S146342362100061X DOI: https://doi.org/10.1017/S146342362100061X
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