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Indian Journal of Obstetrics and Gynecology Research


Scenario of obstetrical emergencies at a tertiary care hospital


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Author Details: Khushpreet Kaur, Parneet Kaur, Surya Malik

Volume : 3

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 397

Article End Page : 399


Abstract

Objective: To study relative preponderance of critical obstetrical emergencies with various maternal factor like quality of antenatal care during pregnancy, regular antenatal checkup during pregnancy, socioeconomic status, education and area wise distribution and to study the contribution of each emergency to maternal mortality and morbidity and fetal outcome.
Methods: The present study was conducted on a prospective basis for one year, from 1st Feb 2011 to 31st Jan 2012 in the department of Obstetrics and Gynecology Govt. Medical College and Rajindra Hospital, Patiala.
All the cases referred as critical emergency from nearby areas during their antenatal period or within 42 days of delivery were included in the study. A detailed history including age, parity, gestational age, antenatal care during pregnancy, socioeconomic status, obstetrical history, medical or surgical disorders was taken into account.
Attention was paid on the management received by each case including blood transfusion, surgical interventions, ICU admission etc.
Results: Total deliveries during this period were 2223. Total obstetric emergencies came out to be 252. Thus the incidence of obstetric emergencies came out to be 11.3%. Various obstetric emergencies that were encountered – Hemorrhage (47.97%), Hypertensive disorders of pregnancy (35.32%), obstructed labor (12.3%), P. sepsis (3.18%), Rupture uterus (2.78%). Maternal mortality came out to be 8.8% Hemorrhage was leading cause of death in 36.36% cases followed by P. sepsis (13.64%), Hypertensive disorders of pregnancy (13.64%), Rupture uterus (9.09%). There were 70.2% Live births and 29.8% still births.
Conclusions: It was concluded that obstetric emergencies are more common in unbooked cases and women with low socioeconomic status with poor access to antenatal care