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Background: High risk pregnancies (HRP) threaten the health or life of the mother or her fetus. Perinatal mortality varies widely in some developed countries and more than 10 times higher in developing countries. For most women, early and regular prenatal care promotes a healthy pregnancy and delivery without complication.Methods: It is a prospective study conducted in BMC, Sagar of duration one year, keeping in mind the inclusion and exclusion criteria with 216 (108 control and 108 cases) patients included in our study.Results: study shows that there is a significantly high incidence of IUGR delivery and preterm delivery in HRP as compared to control.Conclusions: In our study we conclude that there is a high correlation between HRP and poor perinatal outcome thus identifying HRP is important because it is the first step towards prevention perinatal mortality and morbidity.
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Background: Eclampsia is the convulsive and most severe manifestation of the hypertensive disorders of pregnancy. Eclampsia is defined by new-onset tonic-clonic, focal, or multifocal seizures in the absence of other causative conditions.Methods: It is a prospective observational study conducted in BMC Sagar, Madhya Pradesh, India of duration one year, according to inclusion and exclusion criteria with 72 eclampsia patients.Results: Most patients had vaginal deliveries 62.5%. There were 4.2% maternal deaths. 65.4% patients’ babies were shifted to mother’s side. Lesser no. of SNCU referrals were seen in cases of LSCS as compared to vaginal deliveries, in cases where patients had GCS more than 8 at time of admission, where admission delivery interval was less than 12 hrs.Conclusions: The results of the current study indicated that better the general condition of patient at time of admission, lesser the induction/admission delivery interval-better is the fetal maternal outcome. Eclampsia could have been prevented in patients by regular antenatal visits and early detection in pre-eclampsia/gestational hypertension stage.
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Background: Pregnancy and childbirth especially in high-risk women necessitate proper antenatal, intranasal and immediate post partum care. Lack of knowledge, ignorance and poor transport facilities are major contributors of poor pregnancy outcome. Early detection of complications and prompt referral to higher centre is crucial in improving maternal outcome.Methods: This retrospective observational study was conducted in 700 consecutive patients who attended the department of obstetrics and gynecology Bundelkhand medical college, Sagar Madhya Pradesh. India from 1st January 2021 to 30th July 2022.Results: Out of total patients included maximum referrals were from CHC (community health centre) i.e., 49%, followed by 25.5 and 14.6% referrals from DH (district hospital) and PHC (primary health centre) respectively. Majority of referrals from outside located CHC from Sagar district. Maximum referral reported during third trimester i.e., 58.4 and 79.2% from inside and outside Sagar respectively. Overall majority of patients referred belonged to the age group of 21 to 30 years (76.6%) and there was not significant (p=0.41) correlation between inside and outside referral.Conclusions: Maximum referrals reported during third trimester i.e., 58.4% and 79.2% from inside and outside Sagar Districts respectively and there was statistically significant correlation (p=0.01). Antenatal care (ANC) outcome at tertiary health centre can be improved by up grading health care facilities at various peripheral health care centres.