Outcome of pregnancy among high risk pregnancies in rural area of Nagpur, Central India

Authors

  • Ashok Rupraoji Jadhao Department of Community Medicine, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
  • Mahendra D. Gawade Medical Officer, PHC, Jaitapur, Ratnagiri, Maharashtra, India
  • Suresh N. Ughade Department of Community Medicine, Government Medical College, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20170443

Keywords:

Gestational period 20 weeks and above, High risk pregnancy, Low birth weight, Mode of delivery caesarean section, Pregnancy outcome, Rural area

Abstract

Background: All pregnant women, by virtue of their pregnancy status, face some level of maternal risk. Some pregnancies are complicated by problems associated with mother’s health. Most maternal morbidities could be prevented if mother had access to appropriate and timely healthcare during pregnancy. Study was intended to find out prevalence of high risk pregnancy and pregnancy outcome among them in rural area of Nagpur district, Central India.

Methods: Community based observational descriptive study was conducted on consecutive sample of 214 pregnant women, who had 20 weeks and above gestational period.

Results: Prevalence of high risk pregnancy observed was 33.64% (95% CI 27.31%-39.97%). Caesarean section (OR=7.63, 95% CI=4.04-14.40, P=0.0001) and birth weight less than 2500gm (OR= 3.47, 95% CI=1.47-8.20, P=0.003) were significantly associated with high risk pregnancy. Mode of delivery caesarean section had strong relationship with previous history of caesarean section (OR=37.53, 95% CI=8.64-163.05, P=0.0001) and mothers height less than or equal to 140cm (OR=8.87, 95% CI=1.02-77.32, P = 0.0183). Pregnancy outcome low birth weight was significantly associated with oligohyramnios (OR = 8.45, 95 % CI=1.61-44.48, P=0.003) and history of caesarean section (OR=2.67, 95 % CI=1.01-7.07, P = 0.041).

Conclusions: Prevalence of high risk pregnancy was almost one-third in pregnant women in rural area of central India. Mode of delivery caesarean section and birth weight less than 2500gm was significantly associated with high risk pregnancy. History of caesarean section and height less than or equal to 140 cm influence the outcome of pregnancy i.e. caesarean section. Birth weight, LBW (Low Birth Weight) was associated with history of caesarean section and oligohyramnios.

References

Dattel BJ. High risk pregnancy. 2003. http://www.bestdoctors.com/ en/ doctors/ bjdattel.hmt http://www.bestdoctors.com/ en/ doctors/ bjdattel.hmt.

Samiya M, Samina M. Identification of high risk pregnancy and its correlation with perinatal outcome. Ind J Practising Doctor. 2008;5(1):1-7.

Registrar General India (2012). SRS Bulletin 47(2), Vital Statistics Division, New Delhi. Available from:http://nrhmmanipur.org/ wpcontent/ uploads/ 2013/01/SRS-Bulletin-2011-October-2012.pdf .

Partnership for Safe Motherhood and New born Health. 2002. http:// www.safemotherhood.org.

Bharti, Kumar V, Kaur A, Chawla S, Malik M. Prevalence and correlates of high risk pregnancy in rural Haryana: a community based study. Int J Bas App Med Scie. 2013;3(2):212-17.

International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.

World Health Organisation. WHO STEPS Surveillance. Part 3 Training and Practical Guides, Section 4: Guide to Physical Measurements (Step 2). Geneva WHO; 2008. 1-15.

Dudala SR, Arlappa N. An Updated Prasad’s Socio Economic Status Classification for 2013; http:// www.ijrdh.com ISSN: 2321-1431.

Haematology and Blood Bank Technique online Module. Available from: www. nios.ac /media/ documents/ dmlt/hbbt/Lession-03.pdf.

Roche Manufacturers. Accu-Chek Active Glucometer manual. Germany: Roche Manufacturers. 2008; 31-39.

American Association of Diabetes Educators (AADE). Practice Advisory Blood Glucose Meter Accuracy. American Association of Diabetes Educators (AADE). 2013.

World Health Organisation. Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy. WHO/NMH/MND/13.2 Geneva. WHO; 2013. 4-5.

Parmar D, Bhatkule P. A Community Based Study of Prevalence and Pattern of Morbidities Associated with Some Components of RCH Programme In Population Covered By PHC Patansawangi, District Nagpur (MD Thesis). Nagpur University. 2007.

Oyibo P, Ebeigbe P, Nwonwu E. Assessment of the risk status of pregnant women presenting for antenatal care in a rural health facility in Ebonyi state, south eastern Nigeria. Nor Amer J Med Sci. 2011;3(9):424-7.

Paudel I, Singh S, Jha N, Vaishya A and Mishra. High risk pregnancies and its correlates among the women of eastern Nepal. Ind J Prev Soc Med. 2008;39(3):133-9.

Nosseir S, Mortada M, Nofal L, Dabbous N, Ayoub. Screening of high risk pregnancy among mothers attending MCH centres in Alexandria. Journal of Egypt Public Health Association. 1990;65(5):463-22.

Ranmale D, Thakare S. Study of Prevalence and Pattern of Risk Factors in High Risk Pregnancies in Women Attending ANC Clinic at RHTC Saoner (MD Thesis) Nagpur University. 2005.

Swain S, Prakash A. Utilization of referral services by high risk pregnant population in rural Varanasi. Indian Journal of Maternal and Child Health. 1992;30(3):74-6.

Deshmukh MB, Fusey SS, Yerawar N. Sickle cell anaemia complicating pregnancy. Indian Journal of Obstetrics and Gynaecology India. 1992;42(1):11-4.

Dutta PK, Urmil AC, Gund SS, Dutta M. Utilization of health services by “high risk” pregnant women in semi urban community of Pune- an analytical study. Indian Journal of Maternal and Child Health 1990;1(1):15-9.

Kashani E, Hassanzad A, Ameri M. The rate of the prevalence of high-risk pregnancies and the results on pregnant mothers and the effect on parameters after the birth. Advances in Environmental Biology. 2012;6(3):1319-24.

Firozi S. The rate of the prevalence of high-risk pregnancies and the results on pregnant mothers and the effect on parameters after the birth. IJPSR. 2012;3(10):3735-41.

Misra P, Thakur S, Kumar A, Tandon S. Perinatal mortality in rural India with special reference to high risk pregnancies. J Trop. Pediatrics. 1993;39(1):41-4.

Every Pregnancy Faces Risks. WHO, Division of Reproductive Health (Technical support), Geneva, Switzerland, 1998.

Akthar H, Sultana S, Siddique A. Neonatal out come in high risk pregnancy. TAJ. 2009;22(1):26-9.

Iyengar K. Early postpartum maternal morbidity among rural women of Rajasthan, India: a community-based study. J Health Pop Nut. 2012;30(2):213-25.

Garg R, Shyamsunder D, Singh T. And Singh PA. Study on delivery practices among women in rural Punjab. Health and Population: Perspectives and Issues. 2010;33(1):23-33.

Khatib N, Quazi SZ, Gaidhane AM, Waghmare L, Srivatsava T, Goyal RC, et al. Predictors for antenatal services and pregnancy outcome in a rural area: a prospective study in Wardha district, India. Ind J Med. Science. 2009;63(10):436-44.

Health and Family Welfare Statistics in India 2013. Section – C Maternal Health. Figures based on HMIS Portal (Status as on 27.01.2014).

International Institute for Population Sciences (IIPS), 2014. District Level Household and Facility Survey (DLHS-4), 2012-13: India. Maharashtra: Mumbai: IIPS.

Godefay H. The importance of antenatal care risk scoring in predicting delivery outcomes in Tigray region: a cohort study. Eth J Rep Health. 2009;3(3):16-27.

Government of India. Sample registration system (SRS) statistical report 2012, report no.1 of 2013, office of registrar general of India. 2013.

Rashmi K, Vijay M, Dinesh K. Maternal risk factors and pregnancy wastage in a rural population of Jammu district. http:// www.jkscience. 2013;15(2):82-5.

Alexander AM, Kuryan G, Jayaprakash M, Anuradha B, Jasmin HP. Birthweight Centile Charts from Rural Community-based Data from Southern India. Indian Pediatrics. 2013;50:1020-24.

UNICEF (2009). State of World’s Children, 2009. https://www.unicef.org/sowc09/report/report.php.

Downloads

Published

2017-02-22

How to Cite

Jadhao, A. R., Gawade, M. D., & Ughade, S. N. (2017). Outcome of pregnancy among high risk pregnancies in rural area of Nagpur, Central India. International Journal Of Community Medicine And Public Health, 4(3), 628–633. https://doi.org/10.18203/2394-6040.ijcmph20170443

Issue

Section

Original Research Articles