High risk pregnancy and Fetal outcome at Shree Birendra Hospital

Singh, Apoorv; Khatri, Ratna; Rana, Sadikchya Singh; Malla, Rosy; Thapa, Sumana; Acharya, Indira

doi:10.3126/jssn.v20i2.24377

Cited by 4 publications

(6 citation statements)

References 10 publications

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“…4 Similarly study conducted in Shree Birendra military hospital, Nepal (2017), reported previous lower segment cesarean section as the most common identified high risk pregnancy in 34 (5.43%) cases followed by young primi gravida (3.19%), and breech (2.23%). 5 In contrast, study done in Pakistan (2017) found that among the systemic diseases, anemia (37%) was the most common risk factor followed by hypertension (20%). Obstetrical hemorrhage (p/v bleeding) was the most prevalent complication of existing pregnancy, which contributes to the pregnancy being high risk.…”

Section: Discussionmentioning

confidence: 95%

“…3,4 This study is not in agreement with the studies done in Nepal at Shree Birendra military hospital (2017),and Koshi Hospital in the Morang district (2020), where low prevalence of high risk pregnancy was identified 15.81% and 14.4% respectively. 5,6 Similarly, studies conducted in India at Puducherry (2019) and Haryana (2020) showed low prevalence of 18.3% and 12.73% respectively. 7,8 Free Full Text Articles are Available at www.jnma.com.np Moreover, higher prevalence of 40.5% and 34.3% highrisk pregnancy was seen in the studies done in India at Uttarpradesh (2020) and Delhi (2023) respectively.…”

Section: Discussionmentioning

confidence: 95%

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High Risk Pregnancy and its Outcome in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Bhandari,

Dwa,

Maharjan

et al. 2024

J Nepal Med Assoc

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Introduction: High-risk pregnancy is defined as one which is complicated by factors or factors that adversely affect the pregnancy outcome (maternal, perinatal or both). Early detection and effectivemanagement of high risk pregnancy helps in achieving favorable maternal and perinatal outcomes. This study aimed to find the prevalence of high risk pregnancy and its outcome among pregnant women admitted for delivery in the obstetrics and gynecology department of a tertiary care hospital Methods: A descriptive cross sectional study was conducted in a tertiary care hospital among high risk pregnant women admitted for delivery using structured proforma, from April 2023 to September 2023 after obtaining ethical approval from the Institutional Review Committee. Convenience sampling was used among pregnant women who met the inclusion criteria. Data was entered in excel and analysis was done using IBM SPSS Statistics. Point estimate was calculated at 95% Confidence Interval Results: Among 350 deliveries, high risk pregnancy was seen in 91 (26%) (16.15-32.00, 95% Confidence Interval). The high risk factors were previous history of cesarean section 25 (27.47 %) followed by hypothyroidism 19 (20.87%) and gestational diabetes mellitus 15 (16.48%). Out of 90 high risk pregnancy, 84 (92.30%) had term delivery. Lower segment cesarean section was done in 69 (75.82%) patients of which 26 (28.57%) underwent emergency cesarean section. The total number of births among high risk preganancies were 93 with two sets of twin births. A total of 13 (13.97%) of the babies had low-birth weight. Conclusions: The prevalence of high risk pregnancy was found to be similar as compared to studies done in similar settings.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 95%

High Risk Pregnancy and its Outcome in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Bhandari,

Dwa,

Maharjan

et al. 2024

J Nepal Med Assoc

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“…There are several possible explanations for the relationship between high-risk pregnancy and subsequent complications and we attempt to mention a few of them. A high-risk pregnancy might have persisted throughout the pregnancy journey, leading to complications during labour and delivery 20–22. One reason for the possible persistence of the complication might be inadequate management of the complication.…”

Section: Discussionmentioning

confidence: 99%

“…One reason for the possible persistence of the complication might be inadequate management of the complication. Furthermore, perhaps women who are high risk might have lack access to or usage of ANC services, which can lead to inadequate management of potential complications during pregnancy, labour or delivery 20 21. It is important to identify high-risk pregnancies early, during the first ANC visit, to provide appropriate obstetric and intrapartum monitoring and care to ensure maternal and neonatal survival.…”

Section: Discussionmentioning

confidence: 99%

Effect of high-risk versus low-risk pregnancy at the first antenatal care visit on the occurrence of complication during pregnancy and labour or delivery in Kenya: a double-robust estimation

Bagayoko,

Kadengye,

Odero

et al. 2023

BMJ Open

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ObjectivesWe evaluated the causal effects of high-risk versus low-risk pregnancy at the first antenatal care (ANC) visit on the occurrence of complications during pregnancy and labour or delivery among women in Kenya.MethodsWe designed a quasi-experimental study using observational data from a large mobile health wallet programme, with the exposure as pregnancy risk at the first ANC visit, measured on a binary scale (low vs high). Complications during pregnancy and at labour or delivery were the study outcomes on a binary scale (yes vs no). Causal effects of the exposure were examined using a double-robust estimation, reported as an OR with a 95% CI.ResultsWe studied 4419 women aged 10–49 years (mean, 25.6±6.27 years), with the majority aged 20–29 years (53.4%) and rural residents (87.4%). Of 3271 women with low-risk pregnancy at the first ANC visit, 833 (25.5%) had complications during pregnancy while 1074 (32.8%) had complications at labour/delivery. Conversely, of 1148 women with high-risk pregnancy at the first ANC visit, 343 (29.9%) had complication during pregnancy while 488 (42.5%) had complications at labour delivery. Multivariable adjusted analysis showed that women with high-risk pregnancy at the time of first ANC attendance had a higher occurrence of pregnancy during pregnancy (adjusted OR (aOR) 1.22, 95% CI 1.02 to 1.46) and labour or delivery (aOR 1.20, 95% CI 1.03 to 1.41). In the double-robust estimation, a high-risk pregnancy at first ANC visit increased the occurrence of complications during pregnancy (OR 1.23, 95% CI 1.04 to 1.46) and labour or delivery (OR 1.24, 95% CI 1.07 to 1.45).ConclusionWomen with a high-risk pregnancy at the first ANC visit have an increased occurrence of complications during pregnancy and labour or delivery. These women should be identified early for close and appropriate obstetric and intrapartum monitoring and care to ensure maternal and neonatal survival.

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“…High risk pregnancy is defined as the one in which there is presence of maternal or fetal factor that affects the 1 pregnancy outcome -maternal or perinatal or both. High risk pregnancy cons tutes about 15 to 40 % of cases of [2][3][4][5][6][7][8] pregnancy based on different studies. Maternal complica ons have been reported to be increased in pregnancies 4,7,9 complicated by high risk factors.…”

Section: Introductionmentioning

confidence: 99%

Identifying High Risk Pregnancy and Its Effectiveness in determining Maternal and Perinatal Outcome

Shrestha

Gurung

Subedi

et al. 2021

Birat J. Health Sci.

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Introduction: Identification of high risk pregnancy can be done by using various scoring systems which is highly predictive in determining maternal and perinatal outcome. Objectives: The objectives of the study were to identify high- risk pregnancy and to compare the maternal and perinatal outcome of high-risk with low-risk pregnancies. Methodology: This study was conducted in the department of obstetrics and gynaecology, Manipal Teaching Hospital, Pokhara, from 1st August 2020 to 31st January 2021. Study included pregnant women coming for delivery after 28 weeks of gestation. Antenatal scoring system involving various risk factors, was used to stratify women as low-risk (score 0-3), high-risk (score 4-6) and extremely high-risk group ( score ≥7). All women were followed up in intrapartum and postpartum period and complications noted. Neonates were also followed up. Maternal and perinatal outcome of three groups were compared. Results: There were 67.3% women in low-risk, 20% in high-risk and 12.7% in extremely high-risk groups. Operative deliveries were 89.9% in extremely high- risk, 77.9% in high- risk as compared to 51% in low- risk group. Maternal complications, total amount of blood loss and duration of hospital stay was more in extremely high-risk and high-risk pregnancies. Low birth weight was more common in extremely high risk (60%) and high-risk (26%) pregnancies compared to low- risk pregnancies (15%). Neonates with low Apgar scores at 1 and 5 minutes were more in high-risk pregnancies. Thirty-two percent neonates in extremely high-risk pregnancy required neonatal intensive care admission which was significantly higher as compared to high-risk and low-risk pregnancies. Perinatal deaths were more frequent in extremely high-risk pregnancies. Conclusions: Identifying high risk pregnancy using scoring system is useful to identify women at risk of developing maternal and perinatal complications.

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High risk pregnancy and Fetal outcome at Shree Birendra Hospital

Cited by 4 publications

References 10 publications

High Risk Pregnancy and its Outcome in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

High Risk Pregnancy and its Outcome in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Effect of high-risk versus low-risk pregnancy at the first antenatal care visit on the occurrence of complication during pregnancy and labour or delivery in Kenya: a double-robust estimation

Identifying High Risk Pregnancy and Its Effectiveness in determining Maternal and Perinatal Outcome

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