Pregnancy Outcome in High-Risk Pregnancies - A Prospective Cross-Sectional Study with Reference to Maternal and Perinatal Outcome

Abstract

Background: High-risk pregnancies can be classified into various categories based on risk factors which includes pre-existing medical conditions (viz. heart disease, diabetes, and hypertension); maternal age; obstetric complications (such as a history of preterm labour or caesarean deliveries); and lifestyle factors (viz. tobacco use or drug abuse).

Objective: To study the maternal and perinatal outcome in high-risk pregnancy.

Methodology: Prospective cross-sectional study with source of data for this study was the patients with all high-risk pregnancies admitted to the KLE Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi.

Results: Coopland’s score assessment showed that majority of the women had high score (>7) i.e. 47.0% followed by 45.2% had moderate score (4-6) and 7.8% had low score (0-3). We observed significant association between Coopland’s score with preterm birth, low birth weight, NICU admission , Perinatal Mortality in our study (p<0.05).

Conclusion: We observed statistically significant association between Coopland’s score with maternal outcomes such as operative delivery, maternal mortality, maternal morbidity in our study (p<0.05). We observed significant association between Coopland’s score with preterm birth, low birth weight, NICU admission & Perinatal Mortality in our study (p<0.05).