Early Triage and Emergency Obstetric Care in High-Risk Pregnancies and Impact on Their Outcome; A Cross-Sectional Study
Objective: To assess the role of early triage and emergency obstetric care for high-risk pregnancies and their outcome. Study Design: Cross-sectional study. Place and Duration of Study: Combined Military Hospital, Bahawalpur Pakistan, from Jan 2021 to Jun 2022. Methodology: Women with high-ri...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2023-12-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/PAFMJ/article/view/9131 |
| _version_ | 1797341033813508096 |
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| author | Rabia Sajjad Viqar Ashraf Naveed Farhat Sumbal Rana Naheed Hayat Anam Mahreen |
| author_facet | Rabia Sajjad Viqar Ashraf Naveed Farhat Sumbal Rana Naheed Hayat Anam Mahreen |
| author_sort | Rabia Sajjad |
| collection | DOAJ |
| description |
Objective: To assess the role of early triage and emergency obstetric care for high-risk pregnancies and their outcome.
Study Design: Cross-sectional study.
Place and Duration of Study: Combined Military Hospital, Bahawalpur Pakistan, from Jan 2021 to Jun 2022.
Methodology: Women with high-risk pregnancies, aged 18-40 years, gestational age >28 weeks, were included. Emergency obstetric care was provided to participants of the study. Maternal outcome was assessed regarding their hospital stay duration, morbidity, mortality and mode of delivery. The fetal outcome was in terms of intra-uterine death (IUD), Early neonatal death (ENND), and live births.
Results: The mean age of patients was 28.1±3.49 years. Most of the patients belonged to high-order cesarean section and
hypertensive disorders of pregnancy. 94.3% were delivered by cesarean section due to obstetric reasons, and hospital stay was an average of> 72 hours in 57.7 %. Maternal mortality and morbidity were not observed. 99.9% of babies were live births, 0.7% ended into ENND, and one received an IUD.
Conclusion: Early triage followed by the provision of emergency obstetric emergency care is recommended in high-risk
pregnancies for optimum feto-maternal outcome.
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| first_indexed | 2024-03-08T10:12:03Z |
| format | Article |
| id | doaj.art-bf7b97b17e1e49a9ae80ac1499ad8326 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-03-08T10:12:03Z |
| publishDate | 2023-12-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-bf7b97b17e1e49a9ae80ac1499ad83262024-01-29T08:23:02ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-12-0173610.51253/pafmj.v73i6.9131Early Triage and Emergency Obstetric Care in High-Risk Pregnancies and Impact on Their Outcome; A Cross-Sectional StudyRabia Sajjad0Viqar Ashraf1Naveed Farhat2Sumbal Rana3Naheed Hayat4Anam Mahreen5Department of Obstetrician Gynecologist, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) PakistanDepartment of Obstetrician Gynecologist, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) PakistanDepartment of Anesthesia, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) Pakistan Department of Anesthesia, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) PakistanDepartment of Obstetrician Gynecologist, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) PakistanDepartment of Obstetrician Gynecologist, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) Pakistan Objective: To assess the role of early triage and emergency obstetric care for high-risk pregnancies and their outcome. Study Design: Cross-sectional study. Place and Duration of Study: Combined Military Hospital, Bahawalpur Pakistan, from Jan 2021 to Jun 2022. Methodology: Women with high-risk pregnancies, aged 18-40 years, gestational age >28 weeks, were included. Emergency obstetric care was provided to participants of the study. Maternal outcome was assessed regarding their hospital stay duration, morbidity, mortality and mode of delivery. The fetal outcome was in terms of intra-uterine death (IUD), Early neonatal death (ENND), and live births. Results: The mean age of patients was 28.1±3.49 years. Most of the patients belonged to high-order cesarean section and hypertensive disorders of pregnancy. 94.3% were delivered by cesarean section due to obstetric reasons, and hospital stay was an average of> 72 hours in 57.7 %. Maternal mortality and morbidity were not observed. 99.9% of babies were live births, 0.7% ended into ENND, and one received an IUD. Conclusion: Early triage followed by the provision of emergency obstetric emergency care is recommended in high-risk pregnancies for optimum feto-maternal outcome. https://www.pafmj.org/PAFMJ/article/view/9131Emergency obstetric care (EmOC)High-risk pregnancyIntra uterine deathLevel III maternal care |
| spellingShingle | Rabia Sajjad Viqar Ashraf Naveed Farhat Sumbal Rana Naheed Hayat Anam Mahreen Early Triage and Emergency Obstetric Care in High-Risk Pregnancies and Impact on Their Outcome; A Cross-Sectional Study Pakistan Armed Forces Medical Journal Emergency obstetric care (EmOC) High-risk pregnancy Intra uterine death Level III maternal care |
| title | Early Triage and Emergency Obstetric Care in High-Risk Pregnancies and Impact on Their Outcome; A Cross-Sectional Study |
| title_full | Early Triage and Emergency Obstetric Care in High-Risk Pregnancies and Impact on Their Outcome; A Cross-Sectional Study |
| title_fullStr | Early Triage and Emergency Obstetric Care in High-Risk Pregnancies and Impact on Their Outcome; A Cross-Sectional Study |
| title_full_unstemmed | Early Triage and Emergency Obstetric Care in High-Risk Pregnancies and Impact on Their Outcome; A Cross-Sectional Study |
| title_short | Early Triage and Emergency Obstetric Care in High-Risk Pregnancies and Impact on Their Outcome; A Cross-Sectional Study |
| title_sort | early triage and emergency obstetric care in high risk pregnancies and impact on their outcome a cross sectional study |
| topic | Emergency obstetric care (EmOC) High-risk pregnancy Intra uterine death Level III maternal care |
| url | https://www.pafmj.org/PAFMJ/article/view/9131 |
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