Prevalence of High Risk Pregnancy: in A Tertiary Care Centre of Sagar Division of M.P.

Abstract

Background: High risk pregnancy is broadly defined as one in which mother, fetus or newborn is or will be
at increased risk for morbidity or mortality before or after delivery. According to WHO, globally about 830
women die from pregnancy or childbirth-related complications every day. About 20-30% of all pregnancies
belong to high-risk category, which is responsible for 70–80% of perinatal mortality and morbidity.
Hence, the current study was done to determine the prevalence of high-risk pregnancies and associated high
risk factors among antenatal women in a tertiary care centre of central India.
Aims & Objectives: To know the prevalence of high-risk pregnancies and associated high risk factors.
Materials and methods: Ethics approval to conduct the study was obtained from the Institutional Ethics
Committee. It is a record-based retrospective longitudinal study done among 3898 antenatal women who
have attended/ referred to our tertiary care institute, Bundelkhand Medical College, Sagar, M.P. during
February 2020 to May 2020.
High-risk pregnancy was classified based on the guidelines from the Pradhan Mantri Surakshit Matritva
Abhiyan.
Results: Among 3898 antenatal case record reviewed. Results of this study show that the prevalence of
high-risk pregnancy among study participants was 16.54%.
Most of the pregnant women were in age group of 20-35 years that is 94.72%.
Most of the pregnant women were multigravida 57.20% by gestation.
Regarding obstetric and neonatal outcomes, majority had normal vaginal delivery (60.6%). The most
common high risk factors were history of previous cesarean section 31.94 %, Hypertension in Pregnancy
22.17% & Abnormal Presentation were 13.95%.
Conclusion: The current study found that almost one-sixth (16.54%) of the pregnant women have highrisk
pregnancy. Hence, early detection of high-risk pregnancy needs to be done to improve the maternal,
obstetric, and neonatal outcomes.