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Prenatal risk score in high risk pregnancy cases and maternal outcome: a study from South India

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Original Article

Author Details : Pooja Bansal, Abhyuday Verma, Akhil Bansal, Deepika Verma

Volume : 3, Issue : 4, Year : 2016

Article Page : 356-360

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Abstract

Identification of a high risk pregnancy by Coopland score helps the obstetrician to identify patient at high risk and also elaborate a prognosis of pregnancy.
Objective: The present study was conducted to evaluate maternal outcomes in high and low risk pregnancies.
Methodology: In the present study of 100 cases of high risk caesarean section were evaluated and compared with 100 cases of low risk caesarean sections over a period of two years.
Results: 96% cases in the high risk group (study group) and 98% cases in low risk group (control group) were between the age group of 17-35years. In the study group there were 42% primigravida, 56% multigravida and 2% grandmultipara, while in the control group respective figures were 46%, 52% and 2%. 54% of the study group and 58% of the control group were operated as emergency cases. 62% of the cases in the study group and 14% cases in the control group had intraoperative complications. 50% in the study group and 12% in the control group had postoperative maternal morbidity. 4% and 2% cases in the study group had hospital stay between 10 to 15 days and more than 15 days respectively. In the control group, all the cases had hospital stay less than 10 days. The average duration of surgery in 90% cases of the study group was less than 1 hour.
Conclusion: We suggest Coopland risk scoring for every case admitted for a caesarean section, which will be definitely helpful in predicting and evaluating the eventual maternal outcomes. Appropriate timely care and referral can have a positive impact in lowering the maternal mortality and morbidity and possibly better neonatal outcome.

Keywords: High risk pregnancy, Maternal outcome, Caesarian section, Coopland scoring

How to cite : Bansal P, Verma A, Bansal A, Verma D, Prenatal risk score in high risk pregnancy cases and maternal outcome: a study from South India. Indian J Obstet Gynecol Res 2016;3(4):356-360

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