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    Thus there consider me for the way ? mne hoy to sru thay jse

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    Thus there consider me for the way ? mne hoy to sru thay jse

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    Final PPT-1

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    Jagdish Kalsariya
    Thus there consider me for the way ? mne hoy to sru thay jse

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    You are on page 1of 33

    Prevalence of High-risk

    Pregnancy in Ante-natal mother


    in Civil Hospital, Junagadh

    Department of Community
    Medicine of GMERS Medical
    College & Hospital, JUNAGADH.
    Prepared By Interns
    Batch :-2019-20.
    71-JIVANI BANSI Guide by:-
    72-JIYANI NIKUNJ Dr.Nasrin Hala
    73-JIYANI SMIT
    74-JUKSHI BHIMANI Professor &Head of
    75-OM KAILA Department:-
    76-BHARTI KALSARIYA Dr.Krutarth
    Brahmbhatt
    77-JAGDISH KALSARIYA
    78-KANANI AVINASH
    ABSTRACT
    1)Background:-
    High-risk pregnancies (HRP) place women
    and their offspring at the highest risk for morbidity and
    mortality. Maternal and medical risks increase pregnancy
    risk and complications during pregnancy and childbirth.
    Here, we reported the current prevalence of high-risk
    pregnancies among women who visit OBGY department
    at civil hospital junagadh, which is defined through
    various factors such as maternal, lifestyle, medical,
    current health risk and adverse birth outcomes.
    2)Aim and Objectives:-
    1. To estimate the prevalence of high-risk pregnancies among
    antenatal women.
    2.To determine distribution of high risk pregnancy according to
    socio-demographic factors.
    3)Method:-
    It is a cross- sectional, questions based study done
    among women attending OBGY department at civil
    hospital junagadh.

    The information was collected by interviewing ANC


    mother.
    Introduction
    A high-risk pregnancy is when there is a risk to the
    mother or her fetus or both are at risk of developing complications
    during pregnancy or childbirth than in a normal pregnancy.
    ●WHO criteria for high risk pregnancy

    1. Age:
    - Under 15 years
    - Over 35 years

    2. Parity:
    - Grand multiparity (5 or more previous births)

    3. Medical conditions:
    - Chronic hypertension
    - Diabetes mellitus
    - Heart disease
    - Kidney disease
    - Severe anemia
    4. Obstetric complications:
    - Previous cesarean section
    - Previous preterm labor
    - Previous low birth weight
    - Multiple pregnancy

    5. Current pregnancy complications:


    - Preeclampsia
    - Gestational diabetes
    - Placenta previa
    - Placental abruption
    - Fetal growth restriction
    WHO recommendation
    1. Early identification of high-risk pregnancies
    2. Referral to specialized care
    3. Close monitoring and follow-up
    4. Appropriate management and treatment
    5. Timely interventions to prevent complications.

    WHO guidelines emphasize the importance of


    early detection, specialized care, and timely
    interventions to improve outcomes for high-risk
    pregnancies.
    Methods:-
    Study Design:- Cross-sectional study
    Sample Size:-200
    Sampling technique:-Selective Sampling
    Study Population:-ANC Mother
    Study Area:-Tertiary Care GMERS Hospital,JUNAGADH
    Study Tool:-Designed questionnaire
    Study Period:-August 2024
    Inclusion Criteria:-Women present in ANC ward
    Exclusion Creteria:-Women who did not given consent.
    RESULTS
    • Distribution of High risk
    pregnancy according to socio-
    demographic
    Factors High risk
    factors
    Normal Total
    (1)Age pregnancy PregnancyN(%
    N(%) )
    <20 15(100%)) 0(0%) 15(100%)

    21-30 90(51.43%) 85(48.57%) 175(100%)

    >30 10(100%) 0(0%) 10(100%)

    115 85 200
    Factors High Risk Normal Total
    (2)Place of Pregnancy Pregnancy
    N(%) N(%)
    Residance
    Rural 85(56.67%) 65(43.33%) 150(100%)

    Urban 30(60%) 20(40%) 50(100%)

    115 85 200
    Factors High Risk Normal Total
    (3)Religio Pregancy
    N(%)
    Pregnancy
    N(%)
    n
    Hindu 105(58.33%) 75(41.67%) 180(100%)

    Muslim 10(50%) 10(50%) 20(100%)

    115 85 200
    Factors High Risk Normal Total
    (4)Educati Pregnancy Pregnancy
    N(%) N(%)
    on
    (Mother)
    Literate 40(61.54%) 25(38.46%) 65(100%)

    Illiterate 75(55.56%) 60(44.44%) 135(100%)

    115 85 200
    Factors High Risk Normal Total
    (5) Type of Pregnancy Pregnancy
    N(%) N(%)
    family
    Nuclear 35(63.63%) 20(36.36%) 55(100%)

    Joint 80(55.17%) 65(44.83%) 145(100%)

    115 85 200
    Factors High Risk Normal Total
    (6)Occupat Pregnancy Pregnancy
    N(%) N(%)
    ion
    (Mother)

    Housewife 90(54.54%) 75(45.45%) 165(100%)

    Working 25(71.43%) 10(28.57%) 35(100%)

    115 85 200
    ■ Distribution of different risk factor among
    high risk pregnancy:
    Risk factors N(%)

    • Previous H/O ceserean section 45(28.85%)


    • Severe anemia (7gm%) 23(14.74%)
    • Pre-eclampsia/Eclampsia 18(11.54%)
    • Diabetes (Overt) 3(1.92%)
    • Young primi(<16yrs) 1(0.64%)
    • Elder gravida 2(1.28%)
    • Short stature 5(3.22%)
    • Current twin/Multiple pregnancy 7(4.49%)
    • Grand multipara(>5child) 1(0.64%)
    • Spacing (<3yrs) 32(20.51%)
    • Transverse lie/Breech 4(2.56%)
    • Previous bad obstetric history 11(7.05%)
    • History of Rh - ve pregnancy 4(2.56%)

    Total 156(100%)
    %

    •History of Rh - ve pregnancy

    •Previous bad obstetric history

    •Transverse lie/Breech

    •Spacing (<3yrs)

    •Grand multipara(>5child)

    •Current twin/Multiple pregnancy

    •Short stature

    •Elder gravida

    •Young primi(<16yrs)

    •Diabetes (Overt)

    •Pre-eclampsia/Eclampsia

    •Severe anemia (7gm%)

    Previous H/O ceserean section

    0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00%

    %
    Discussion:-
    A cross-sectional hospital-based research on high-risk pregnancy attending
    OBGY department to know predictors of high-risk pregnancy in pregnant
    females attending tertiary hospitals during a August 2024 duration was
    carried out.
    The proportion of high-risk pregnancies in the current study was found to be
    57.5% which is very high compared to the study done by Jyoti et al which was
    28.6%.
    The majority of the females from rural areas(150) out of which 56.67% present
    with high risk pregnancy which is higher than the study done by Jyoti et al
    which was 41.5%.
    In our study,hindu females with high risk pregnancy is 58.33% which is very
    high compare to Jyoti et al which was 27.1%.
    Continues……
    Females living in nuclear family are 55,among which
    63.63% which is similar to study done by Jyoti et al which
    was 41.5%.

    In current study, it was found that all high risk


    pregnancies(115) had one or more than one risk
    condition. Among 115(57.5%) , 90(45%)females
    presented with one risk condition and 25(12.5%)
    presented with two or more risk factors.Similar study
    conducted by Jyoti et al(28.6%) found that 19.16% of
    presented with one risk condition and 9.44% study
    subjects had two or more risk conditions.
     Conclusion
    The result of our study outline such as the percentage of
    high risk pregnancies is 115 out of 200(57.5%).

    Among the identified high risk factors the most common


    risk factor for high risk pregnancy is previous H/O LSCS.
    (1)Previous H/O LSCS:-28.85%
    (2)Spacing(<3yrs):-20.51%
    (3)Severe anemia(<7gm%):-14.74%
    (4)Pre-eclampsia/Eclampsia:-11.54%
    Recommendati
    on:-
    High prevalence of high risk pregnancies are matter of
    concern and it could be a probable factor for high
    maternal and neonatal morbidity and mortality.

    Further investigations are required focusing on factors


    such as maternal pre-existing conditons and adverse
    birth outcomes.

    Appropriate measure on birth spacing issues through


    policies and programmes and creating public awarness
    and education of women in long run will help for further
    improvement of maternal and neonatal outcomes.
    Continues……
    All Government initiatives for safe motherhood aimed at
    decentralized services catering rural areas as prime focus.
    More high-risk pregnancy at rural places although indicates good
    detection of cases and referral to nearby higher setups.
    The poor socioeconomic status are the determinants of high-risk,
    pregnancy, focusing the services in underprivileged populations and
    policy-making regarding this can be a promising intervention in
    reducing high-risk pregnancy.
    Limitations:-
    Sample collection done at tertiory hospital so chance of
    high risk pregnancy increase in sample.
    Sample collection done at wards rather than OPD.
    Sample size is not calculated and proper sampling
    method not used and purposively collect 200 sample.
    Outcome of pregnancies have not follow-up due to lack of
    resources
    Reference:-
    (1)World Health Organisation
    (2)Ministry of Health and Family Welfare
    (3)National Institute of Health
    (4)Park’s Textbook of Prevantive and Social Medicine
    (5) DC Dutta’s textbook of Obstetrics
    (6) Dwivedi J, Tomar S, Soni M, Vishnoi R. Predictors of High
    risk pregnancy at one of the tertiary care centers of
    Jabalpur Madhya Pradesh: A cross sectional study.
    Healthline. 2024; 15 (2): 132-137
    (7) Sample registration system [Internet]. [cited 2024 Mar 1].
    Available f rom: https ://census india.gov.in:443/
    census.website/node/294
    THANK YOU

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