Chate Sphurti Uday, Metgud Chandra Shrishail
Department of Community Medicine, Symbiosis Medical College for Women (SMCW), Symbiosis International University (Deemed University), Lavale, Pune, Maharashtra, India.
Department of Community Medicine, J. N. Medical College, KAHER, Belagavi, Karnataka, India.
J Family Med Prim Care. 2022 Aug;11(8):4440-4446. doi: 10.4103/jfmpc.jfmpc_10_22. Epub 2022 Aug 30.
India has around 25% high-risk pregnant mothers, which leads to about 75% perinatal morbidities.(1) The early prediction of a high-risk pregnancy and planning interventions can help in preventing complications and result in good pregnancy outcomes.
To study the pregnancy outcome among the high-risk pregnant women of a rural area and to associate pregnancy outcomes of high-risk pregnant women with modified Coopland's criteria.
Study design: 1-year Longitudinal study from 2016 to 2017, Study population: The high-risk pregnant women attending PMSMA camp, Study area: Kinaye, Primary Health Centre, Belagavi. Sample size: 147, Data collection was done using a pretested predesigned questionnaire after obtaining patient consent and ethical clearance. Chi-square test was used to study the association of variables and categorical data presented as percentages.
Among the participants, 40.4% of the pregnant women had low-risk scores; 45.9% had high-risk scores, and 13.7% had severe-risk scores according to Coopland's high-risk pregnancy scoring. Nearly 29.5% high-risk pregnancies resulted in bad fetal outcomes. As Coopland's score in the high-risk group increased, the chance of having good fetal outcomes decreased, and this association was found to be statistically significant.
70.5% of the high-risk mothers had good pregnancy outcomes. The scoring system can be used by health workers for the prediction of high-risk pregnancy and plan treatment and preventive measures.
印度约25%的孕妇为高危孕妇，这导致约75%的围产期发病情况。（1）对高危妊娠进行早期预测并规划干预措施有助于预防并发症并带来良好的妊娠结局。
研究农村地区高危孕妇的妊娠结局，并将高危孕妇的妊娠结局与改良的库普兰标准相关联。
研究设计：2016年至2017年为期1年的纵向研究，研究人群：参加孕产妇和儿童保健营的高危孕妇，研究地区：贝拉加维初级卫生中心基奈耶。样本量：147，在获得患者同意和伦理批准后，使用预先测试和设计好的问卷进行数据收集。采用卡方检验研究以百分比形式呈现的变量和分类数据之间的关联。
根据库普兰高危妊娠评分，在参与者中，40.4%的孕妇为低危评分；45.9%为高危评分，13.7%为严重高危评分。近29.5%的高危妊娠导致不良胎儿结局。随着高危组中库普兰评分的增加，胎儿获得良好结局的机会降低，且这种关联具有统计学意义。
70.5%的高危母亲有良好的妊娠结局。卫生工作者可使用该评分系统预测高危妊娠并规划治疗和预防措施。
