A retrospective study on high risk pregnancy and their outcome in a teaching hospital in South India

Back ground: High risk pregnancies constitute about 15% of the pregnancies in our country which has adverse impact on mother and child survival. This study was an attempt to find out the different probable outcome in a high risk pregnant women. Objectives: To enlist the categories of high risk pregnancies and to record their outcome. Methods: Study design: Retrospective study. Information was collected from hospital case records of high risk deliveries that took place from January 2008 to December 2008 in a teaching hospital in south India. A total of 648 high risk case sheets were analysed. Results: Of 1106 case records analysed, there were 648 cases of high risk deliveries and found that 161 were preterm deliveries, 150 cases were post dated, 120 cases of previous caesarian section, 90 cases of eclampsia, 49 cases of pre eclampsia. Outcomes of the deliveries are: Only one maternal death recorded and 207 babies born with low birth weight, 81 needed NICU care, and 30 had fetal complication, 24 Intra Uterine Deaths, 11 still births and one congenital anomaly. Conclusion: There were few complication noted in the high risk pregnancies which could have been prevented through good antenatal