Pregnancy-related emergencies: Profile and outcome
Background: National efforts to reduce maternal mortality with respect to community services have primarily focused on upgrading transportation infrastructure and formalizing training for care providers. There is, however, a paucity of baseline data on the profile and outcomes of pregnant women pres...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=9;spage=4618;epage=4622;aulast=Nekkanti |
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| author | Ankita C Nekkanti Darpanarayan Hazra Reshma M George Sruthi Yalamanchili Pushpalata Kumari Santosh T Samuel Kundavaram P. P. Abhilash |
| author_facet | Ankita C Nekkanti Darpanarayan Hazra Reshma M George Sruthi Yalamanchili Pushpalata Kumari Santosh T Samuel Kundavaram P. P. Abhilash |
| author_sort | Ankita C Nekkanti |
| collection | DOAJ |
| description | Background: National efforts to reduce maternal mortality with respect to community services have primarily focused on upgrading transportation infrastructure and formalizing training for care providers. There is, however, a paucity of baseline data on the profile and outcomes of pregnant women presenting to the Emergency Department (ED) in India. Methods: This retrospective study enrolled all pregnant women presenting to a large tertiary medical care center in India, between November 2016 and November 2017. Results: There were 696 ED visits by pregnant women during the study period. The mean age was 26.85 (SD: 4.88) years. Pregnant women in the first trimester contributed to 50.8% of all visits, and 54% being multigravida. The most common presenting complaints were bleeding/spotting per vaginum (PV) (38.2%) and abdominal pain (37.6%) followed by fever (21.6%) and vomiting (21.5%). Obstetric causes contributed to 53.2% of the ED visits, while nonobstetric causes amounted to 43.2%. Over a third (39.7%) required hospital admission. Of these patients, 73% delivered in CMC with live births amounting to 62.3% while 3.5% ended in fetal deaths. The miscarriages rate was as high as 28%. More than half (51.1%) of the deliveries were by normal vaginal delivery. There were no maternal deaths during the time of admission. Conclusions: Our study sheds new light on the profile of emergency visits among pregnant patients and their relationship to the outcome of pregnancy. First trimester visits were most common with complaints of bleeding PV and abdominal pain. This could explain the high rate of miscarriages among this population. |
| first_indexed | 2024-12-13T00:50:06Z |
| format | Article |
| id | doaj.art-3e5795afeee540a5832a05542521ddf9 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-12-13T00:50:06Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-3e5795afeee540a5832a05542521ddf92022-12-22T00:04:56ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-01994618462210.4103/jfmpc.jfmpc_713_20Pregnancy-related emergencies: Profile and outcomeAnkita C NekkantiDarpanarayan HazraReshma M GeorgeSruthi YalamanchiliPushpalata KumariSantosh T SamuelKundavaram P. P. AbhilashBackground: National efforts to reduce maternal mortality with respect to community services have primarily focused on upgrading transportation infrastructure and formalizing training for care providers. There is, however, a paucity of baseline data on the profile and outcomes of pregnant women presenting to the Emergency Department (ED) in India. Methods: This retrospective study enrolled all pregnant women presenting to a large tertiary medical care center in India, between November 2016 and November 2017. Results: There were 696 ED visits by pregnant women during the study period. The mean age was 26.85 (SD: 4.88) years. Pregnant women in the first trimester contributed to 50.8% of all visits, and 54% being multigravida. The most common presenting complaints were bleeding/spotting per vaginum (PV) (38.2%) and abdominal pain (37.6%) followed by fever (21.6%) and vomiting (21.5%). Obstetric causes contributed to 53.2% of the ED visits, while nonobstetric causes amounted to 43.2%. Over a third (39.7%) required hospital admission. Of these patients, 73% delivered in CMC with live births amounting to 62.3% while 3.5% ended in fetal deaths. The miscarriages rate was as high as 28%. More than half (51.1%) of the deliveries were by normal vaginal delivery. There were no maternal deaths during the time of admission. Conclusions: Our study sheds new light on the profile of emergency visits among pregnant patients and their relationship to the outcome of pregnancy. First trimester visits were most common with complaints of bleeding PV and abdominal pain. This could explain the high rate of miscarriages among this population.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=9;spage=4618;epage=4622;aulast=Nekkantiabortionsbleeding pvnonobstetric emergency visit in pregnancypregnancypregnancy-related emergencies |
| spellingShingle | Ankita C Nekkanti Darpanarayan Hazra Reshma M George Sruthi Yalamanchili Pushpalata Kumari Santosh T Samuel Kundavaram P. P. Abhilash Pregnancy-related emergencies: Profile and outcome Journal of Family Medicine and Primary Care abortions bleeding pv nonobstetric emergency visit in pregnancy pregnancy pregnancy-related emergencies |
| title | Pregnancy-related emergencies: Profile and outcome |
| title_full | Pregnancy-related emergencies: Profile and outcome |
| title_fullStr | Pregnancy-related emergencies: Profile and outcome |
| title_full_unstemmed | Pregnancy-related emergencies: Profile and outcome |
| title_short | Pregnancy-related emergencies: Profile and outcome |
| title_sort | pregnancy related emergencies profile and outcome |
| topic | abortions bleeding pv nonobstetric emergency visit in pregnancy pregnancy pregnancy-related emergencies |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=9;spage=4618;epage=4622;aulast=Nekkanti |
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