Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jun 30;7(12):1979-1983.
doi: 10.3889/oamjms.2019.463.

Intrapartum Fetal and Maternal Complications in Low-Risk Pregnancy: Experience of a Tertiary Hospital in Low-Income Countries

Mohamed Alkhatim Alsammani  1   2 , Khalid Nasralla  2 , Sumeya A Khieri  1 , Zaheera Saadia  2 , Mohamed Abdelgadir Shaaeldin  2 , Ali Osman Ali  3
Affiliations

Intrapartum Fetal and Maternal Complications in Low-Risk Pregnancy: Experience of a Tertiary Hospital in Low-Income Countries

Mohamed Alkhatim Alsammani et al. Open Access Maced J Med Sci. .

Abstract

Aim: To determine the frequencies of intrapartum fetal and maternal complications in women without the identified prenatal risk factor.

Methods: We conducted a prospective cross-sectional investigation from January to June 2017 at Khartoum North Maternity Hospital in women categorised pregnancies as low risk (no prenatal risk factors). We evaluated adverse intrapartum fetal and maternal outcomes.

Results: Among 600 pregnancies, of these, 12.5% (n = 75) developed fetal or / and maternal complications. The Frequency of primary cesarean delivery, forceps, and ventose among low-risk pregnancies in this study were 16%, 3%, and 2% respectively. Other adverse pregnancy outcomes were PPH (5%), Blood transfusion (4.5%), admission to ICU (1.8%), while perineal tear, cesarean hysterectomy, and re-laparotomy have equal weight (0.3%). Among all births, the most common adverse fetal outcomes were birth asphyxia (3.8%), low birth weight (2%), admission to the neonatal intensive care unit (1.8%), and fresh stillborn babies (1.3%).

Conclusion: Of all low-risk pregnancies, 12.5% were reported to have serious obstetrics and neonatal complications. This information is essential for evaluating resources in delivery centres and hospitals and to provide equipment and further training of medical personnel to provide optimal quality care and patient safety.

Keywords: Labor complications; Low-risk pregnancy; Pregnancy outcomes.

PubMed Disclaimer

References

    1. De Jonge A, van der Goes BY, Ravelli AC, Amelink-Verburg MP, Mol BW, Nijhuis JG, et al. Perinatal mortality and morbidity in a nationwide cohort of 529,688 low-risk planned home and hospital births. BJOG. 2009;116:1177–84. https://doi.org/10.1111/j.1471-0528.2009.02175.x PMid:19624439. - PubMed
    1. Janssen PA, Saxell L, Page LA, Klein MC, Liston RM, Lee SK. Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician. CMAJ. 2009;181:377–83. https://doi.org/10.1503/cmaj.081869 PMid:19720688 PMCid:PMC2742137. - PMC - PubMed
    1. Redshaw M, Rowe R, Schroeder L, Puddicombe D, Macfarlane A, Newburn M, et al. Mapping maternity care. The configuration of maternity care in England. Birthplace in England research programme. Final report part 3:NIHR service delivery and organisation programme. 2011
    1. Valery A, Danilack MPH, PhD, Anthony P Nunes, MS, PhD, Maureen G, Phipps MD, MPH. Unexpected complications of low-risk pregnancies in the United States. Am J Obstet Gynecol. 2015;212(6):809.e1–809.e6. https://doi.org/10.1016/j.ajog.2015.03.038 PMid:26042957 PMCid:PMC4728153. - PMC - PubMed
    1. Wax JR, Lucas FL, Lamont M, Pinette MG, Cartin A, Blackstone J. Maternal and newborn outcomes in planned home birth vs planned hospital births:a metaanalysis. Am J Obstet Gynecol. 2010;203:243.e1–8. https://doi.org/10.1016/j.ajog.2010.05.028 PMid:20598284. - PubMed

LinkOut - more resources