فهرست نشریات علمی دسترسی آزاد ایران

Abstract:BACKGROUND: Almost 15% of all pregnant women can develop potentially life‑threateningcomplications. As a result, identification of high‑risk pregnancy at earliest stage will be useful indirecting appropriate intervention. Hence, the current study was done to determine the prevalenceand outcome of high‑risk pregnancy among antenatal women in rural Puducherry.MATERIALS AND METHODS: A record‑based longitudinal study was done during March 2018among 569 antenatal women who have attended rural health center of tertiary care institute. High‑riskpregnancy was classified based on the guidelines from Pradhan Mantri Surakshit Matritva Abhiyanand outcome assessment based on the obstetric and neonatal outcomes.RESULTS: Among 569 antenatal case record reviewed, 315 (55.3%) were in the age group of20–25 years and majority (463, 81.4%) belonged to below poverty line families; 410 (74.3%) registeredtheir current pregnancy within the first trimester. The prevalence of high‑risk pregnancy among studyparticipants was 18.3% (95% confidence interval: 15.3%–21.7%). Majority (81.9%) had term delivery.Regarding obstetric and neonatal outcomes, majority had spontaneous vaginal delivery (73.9%);about 10.4% gave birth to low‑birth weight baby, and only 1.7% had stillbirth. Parity, socioeconomicstatus, and unfavorable outcomes such as low‑birth weight, preterm, and postterm delivery wereassociated with high‑risk pregnancy.CONCLUSION: The current study found that almost one‑fifth of the pregnant women in rural area havehigh‑risk pregnancy. Unfavorable obstetric and neonatal outcomes were common among high‑riskcases. Hence, early detection of high‑risk pregnancy needs to be done at primary health‑care levelto improve the maternal, obstetric, and neonatal outcomes.