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. 2022 Aug;11(8):4440-4446.
doi: 10.4103/jfmpc.jfmpc_10_22. Epub 2022 Aug 30.

Pregnancy outcome among high-risk pregnant women in the rural area of Belagavi

Sphurti Uday Chate  1 , Chandra Shrishail Metgud  2
Affiliations

Pregnancy outcome among high-risk pregnant women in the rural area of Belagavi

Sphurti Uday Chate et al. J Family Med Prim Care. 2022 Aug.

Abstract

Background: India has around 25% high-risk pregnant mothers, which leads to about 75% perinatal morbidities.(1) The early prediction of a high-risk pregnancy and planning interventions can help in preventing complications and result in good pregnancy outcomes.

Aims: To study the pregnancy outcome among the high-risk pregnant women of a rural area and to associate pregnancy outcomes of high-risk pregnant women with modified Coopland's criteria.

Material and methods: Study design: 1-year Longitudinal study from 2016 to 2017, Study population: The high-risk pregnant women attending PMSMA camp, Study area: Kinaye, Primary Health Centre, Belagavi. Sample size: 147, Data collection was done using a pretested predesigned questionnaire after obtaining patient consent and ethical clearance. Chi-square test was used to study the association of variables and categorical data presented as percentages.

Results: Among the participants, 40.4% of the pregnant women had low-risk scores; 45.9% had high-risk scores, and 13.7% had severe-risk scores according to Coopland's high-risk pregnancy scoring. Nearly 29.5% high-risk pregnancies resulted in bad fetal outcomes. As Coopland's score in the high-risk group increased, the chance of having good fetal outcomes decreased, and this association was found to be statistically significant.

Conclusions: 70.5% of the high-risk mothers had good pregnancy outcomes. The scoring system can be used by health workers for the prediction of high-risk pregnancy and plan treatment and preventive measures.

Keywords: Belagavi; High risk; PMSMA; pregnancy outcome.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Distribution of mothers based on modified Coopland’s high risk pregnancy scoring
Figure 2
Figure 2
Distribution of newborns based on bad pregnancy outcome
Figure 3
Figure 3
Preventive practies by Health care workers using Coopland’s criteria for High risk pregnant mothers
See this image and copyright information in PMC

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