Khan Shazia, Khan Inam D
Department of Obstetrics & Gynaecology, Indian Naval Hospital Ship Asvini, Mumbai, India.
Department of Clinical Microbiology & Infectious Diseases, Army College of Medical Sciences & Base Hospital, New Delhi, India.
Sultan Qaboos Univ Med J. 2018 Aug;18(3):e355-e361. doi: 10.18295/squmj.2018.18.03.015. Epub 2018 Dec 19.
The , an annual mass gathering of Muslim pilgrims, is known for its high morbidity and mortality rates. However, pregnant women sometimes participate in this pilgrimage, despite guidelines that discourage such an undertaking due to potential fetomaternal complications. This study aimed to evaluate fetomaternal outcomes among pregnant Indian pilgrims.
This prospective cross-sectional study was conducted at two Indian Hajj Medical Mission (IHMM)-affiliated secondary care hospitals in Saudi Arabia during the periods of August-October 2015 and 2016 and July-September 2017. All female Indian pilgrims of reproductive age who underwent pregnancy screening at secondary care IHMM hospitals during this period were included in the study. Definitive obstetric care was provided at the Makkah Maternity & Child Hospital. Data regarding the pilgrims' obstetric characteristics, antenatal complications, management and fetomaternal outcomes were evaluated.
A total of 114 pregnant Indian pilgrims were identified during the study period. The most common antenatal complications were respiratory tract infections (51.75%), followed by iron deficiency anaemia (17.54%), hyperemesis (14.04%), hypothyroidism (9.65%) and gestational diabetes mellitus (5.26%). There were 20 vaginal deliveries (17.54%), two Caesarean sections (1.75%) and 32 abortions (28.07%). The cumulative three-year birth rate was 24.60 per 1,000 females.
During , pregnant pilgrims have a high risk of abortion, respiratory tract infections and various antenatal, perinatal and neonatal complications which may go unreported or untreated. Women should therefore be educated regarding the risk of adverse fetomaternal outcomes which may occur while undertaking a pilgrimage during pregnancy.
朝觐是穆斯林朝圣者的年度大规模集会，以高发病率和死亡率而闻名。然而，尽管有指南因潜在的母胎并发症而不鼓励孕妇进行此项朝圣，但有时仍有孕妇参与。本研究旨在评估印度孕妇朝圣者的母胎结局。
这项前瞻性横断面研究于2015年8月至10月、2016年以及2017年7月至9月期间，在沙特阿拉伯两家隶属于印度朝觐医疗团（IHMM）的二级护理医院进行。在此期间，在二级护理IHMM医院接受妊娠筛查的所有育龄印度女性朝圣者均纳入研究。在麦加妇产儿童医院提供确定性产科护理。评估了有关朝圣者产科特征、产前并发症、管理及母胎结局的数据。
研究期间共识别出114名印度孕妇朝圣者。最常见的产前并发症是呼吸道感染（51.75%），其次是缺铁性贫血（17.54%）、妊娠剧吐（14.04%）、甲状腺功能减退（9.65%）和妊娠期糖尿病（5.26%）。有20例阴道分娩（17.54%）、2例剖宫产（1.75%）和32例流产（28.07%）。三年累计出生率为每1000名女性24.60例。
在朝觐期间，孕妇朝圣者有很高的流产、呼吸道感染以及各种产前、围产期和新生儿并发症风险，这些可能未被报告或未得到治疗。因此，应教育女性了解孕期进行朝觐朝圣时可能出现的不良母胎结局风险。
