Perinatal Outcomes of High Risk Pregnancies: Experience of a Tertiary Care Hospital: Perinatal Outcomes in High Risk Pregnancies

Saima Ghaffar; Shahla Channa; Saira Dars; Shafia Khan; Farah Liaquat; Hanozia Shah

doi:10.54393/pjhs.v5i04.1385

Authors

Saima Ghaffar Department of Obstetrics and Gynaecology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Pakistan
Shahla Channa Department of Obstetrics and Gynaecology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Pakistan
Saira Dars Department of Obstetrics and Gynaecology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Pakistan
Shafia Khan Department of Obstetrics and Gynaecology, Ibn-e-Sina University, Mirpurkhas, Pakistan
Farah Liaquat Department of Obstetrics and Gynaecology, Baqai Medical University (BMU), Karachi, Pakistan
Hanozia Shah Bilawal Medical College, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i04.1385

Keywords:

Perinatal Outcomes, High Risk Pregnancies, Rh-Factor, Severe Anemia, Pregnancy-Induced Hypertension

Abstract

High Risk Pregnancy (HRP) denotes a condition where the mother, the fetus, or both are predisposed to complications during the gestation period, at birth, or postnatally, which is affected by several factors. Objective: To analyze the perinatal outcomes of high-risk pregnancies, focusing on the experience of a tertiary care hospital. Methods: A longitudinal study over two years, from October 1, 2020, to December 31, 2022, was conducted on 213 high-risk pregnant women, via purposive sampling, who attended the antenatal clinic Liaquat University Hospital, Hyderabad and Jamshoro. After obtaining informed written consent, interviews were conducted with the participants to collect data about their sociodemographic, obstetric, and gynecological histories. Perinatal outcomes were evaluated on the 8th day post-delivery, during which details concerning maternal and fetal complications in terms of morbidity and mortality, were documented. Results: Rh-negative pregnancy was found to be the most high-risk factor with 24.4% (52) of the cases, followed by teenage pregnancy at 12.2% (26), and short stature at 10.9% (23). Additionally, severe anemia was found in 21 women (9.8%), Pregnancy Induced Hypertension (PIH) in 18 women (8.6%), and obesity was also seen in 18 women (8.6%). Other noted risk factors included grand multigravida in 13 women (6.1%), thyroid disorder 4.9% (10), twin pregnancy 3.7% (8) and congenital fetal anomaly, polyhydramnios, oligohydramnios each with 2.4% (5). Conclusions: This study significantly contributes to the body of knowledge on high-risk pregnancies and their outcomes.

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