Evaluation of Perinatal outcomes of High Risk Pregnant Mothers who undergo Caesarean Section
Abstract
Background: Rising caesarean rates above the recommended 10% has shown to worsen the perinatal outcome, especially with reference to developing countries. Early detection of perinatal outcomes followed by special intensive care can significantly alter perinatal mortality rates. The study was undertaken with the objective of evaluating the perinatal outcomes of high risk cases undergoing caesarean section.
Objective: To evaluate perinatal outcome in high risk pregnant mother who undergo caesarean section
Methods: This is a prospective cohort study. The sample size was calculated to be 125 each in cohort and control. A total of 357 women from SAT Hospital, Thiruvananthapuram were interviewed which included those posted for elective caesarean and others. They were categorised according to Coopland’s scoring system into high risk and low risk groups and 250 women who underwent caesarean section were followed up on the 4th day of their confinement and their perinatal outcomes assessed.
Result: The mean age of women who took part in the study was 26.45 years (SD- 4.693) and the mean gestational age was 261 days (SD-14.181). It was found that 39.2% of women had a history of previous caesarean section, 26.8% and 18% of women had gestational diabetes-mellitus and hypertension during their present pregnancy respectively. The relative risk for significant neonatal outcomes in high risk group when compared to low risk group are: respiratory-distress syndrome-11.965(CI 1.51-94.144, P=0.03), neonatal-hyperbilirubinemia -14.393(CI 1.853 to 111.795, P= 0.001), prematurity-2.042 (CI 1.101-3.785, P=0.022), neonatal hypoglycaemia-4.125(CI 1.329-12.805, P=0.009).
Conclusion: Our study found that neonates of high risk women had a greater risk of respiratory-distress syndrome, neonatal-hyperbilirubinemia, prematurity and neonatal-hypoglycaemia. We suggest a timely care and referral of high risk women and a targeted treatment plan for their neonates.
When publishing with Kerala Medicial Journal (KMJ), authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Work includes the material submitted for publication and any other related material submitted to KMJ. In the event that KMJ does not publish said work, the author(s) will be so notified and all rights assigned hereunder will revert to the author(s).
The assignment of rights to KMJ includes but is not expressly limited to rights to edit, publish, reproduce, distribute copies, include in indexes or search databases in print, electronic, or other media, whether or not in use at the time of execution of this agreement.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
The author(s) hereby represents and warrants that they are sole author(s) of the work, that all authors have participated in and agree with the content and conclusions of the work, that the work is original, and does not infringe upon any copyright, propriety, or personal right of any third party, and that no part of it nor any work based on substantially similar data has been submitted to another publication.
