Shazia Aftab, Saadia Rashid, Aliya Waheed, Aasha Mahesh, Fariha Hussain, Samina Ayaz.
Perinatal outcome in relation to high-risk pregnancies in tertiary care settings.
Pak J Surg Jan ;37(3):200-5.

Introduction: Pregnancy is defined as high risk when it is complicated by one or more medical or obstetric problems and there is likelihood of adverse outcome to the women or her fetus that is greater than the incidence of that outcome in the general population. Pakistan is a developing country with limited resources and a very high maternal and perinatal mortality. 70% of Pakistani women, mostly from rural areas, do not receive antenatal care, which directly contributes to adverse perinatal outcome. Objective: The aim of our study is to determine the perinatal outcome of high risk pregnancies, in terms of perinatal mortality, still birth, early neonatal death, APGAR score and birth weight. Material and Methods: It was a descriptive case series study conducted in Department of Gynaecology and Obstetrics at Jinnah Medical College Hospital, Karachi between January 1, 2020 and June 2020 in duration of six months, 287 patients with high risk pregnancies were included. Perinatal outcome was assessed in terms perinatal mortality, still birth and early neonatal death. Following delivery Apgar score was noted at 5 min and birth weight was measured. Quantitative data was presented as simple descriptive statistics giving mean and standard deviation and qualitative variables was presented as frequency and percentages. Data is compiled and results were carried out by SPSS version 23. Results: Out of total 287 patients, mean maternal age and mean gestational age in our study was 32.56+-3.91 years and 34.78+-3.05 weeks respectively. Perinatal outcome out of 287 high risk pregnancies was found to be perinatal mortality 30 (10.5%), still birth 33 (11.5%), early neonatal death 27 (9.4%), Apgar score <7 at 5 min 20 (7%) and birth weight <2.5 kg 24 (8.4%) respectively. Conclusion: Provision of safe motherhood services including antenatal care, clean and safe delivery, and emergency obstetric and neonatal care services at the door step of women will help in reducing the perinatal death.

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