High Risk Pregnancy Scoring System to Evaluate Maternal and Fetal Outcome

Abstract

Objective: Present study evaluated high risk factors according to Dutta and Das prenatal scoring form and their effect on fetomaternal outcome.Methods:The present study was done over a period of 1 year from April 2018 to March 2019.Study included 500 pregnant women, they were categorized into High risk (score 5 or above) , Moderate Risk (3-4), Low risk (1-2) and No risk (score 0) using Prenatal Dutta& Das scoring system. The maternal and fetal outcome were measured according to the risk scores.Results: Among high risk factors most frequent distribution is of Anaemia (38.8%) f/b primigravidity (38.6%) f/b albuminuria (23.2%) f/b hypertension (22.4%) f/b edema(21.6%), other significant high risk factors were h/o previous caesarian section(16%) and h/o abortion/infertility(11.6%).All maternal complications were higher in the high risk group. Most frequent complication was LSCS as mode of delivery. Blood transfusion and I CU admission f/b postpartum haemmorrhage. All fetal complications were higher in high risk group, most frequent being the LBW babies (20.6%) & NICU admissions (10%). Among ICU admissions majority patients were Hypertensive (32 cases i.e 65.3%)., out of which 13 cases were eclampsia patients.4 cases of mortality was obseverved. Three patients had uncontrolled hypertension as the underlying cause while one patient had severe anaemia.Conclusion: Special care to high risk cases and creating a critical link in the continuum of care may result in decreasing fetomaternal morbidity and mortality .Thus we can reduce maternal mortality and infant mortality rates.