Outcome of antenatal care at high risk pregnancy in Qena University Hospitals

Document Type : Original research articles

Authors

1 Department of Public health and Community Medicine, Assiut Faculty of Medicine, Assiut University, Egypt

2 Department of Obstetrics and Gynecology, Qena Faculty of Medicine, South Valley University, Qena, Egypt

3 Department of Public Health and Community Medicine, Qena Faculty of Medicine, South Valley University, Qena, Egypt

Abstract

Background:The central purpose ofantenatal care is to screen for and identify high risk pregnancies as early
as possible from a general population of pregnant women, and then provide appropriate skilled care for
women with high risk pregnancies while continuing to give adequate care for the women with low risk
pregnancies. This “risk approach” is a managerial tool for improving maternal and child health care.
Objective:To evaluate the impact of antenatal care for pregnant women with high risk pregnancy.
Patients and method(s): This is a prospective cohort study of a group of pregnant women with high risk
pregnancy. Detailed history, examination, and screening investigations were done throughout pregnancy.
Setting:pregnantwomen’s with high risk outpatient clinics and emergency unit, Qena university hospital,
Egypt
Result(s):The study included 120 women with high risk pregnancy. There was 16.7% incidence of first
trimester complications (hyperemesis& threatened miscarriage). Most of women suffered from second and
third trimester complications (80.8%) as preeclampsia in 20.8%, Gestational diabetes in 15%, PROM
in13.3%, and preterm labour in 9.2%. fetal complications is seen in 35.8%.
Conclusion: There was significant relationship between number of visits and the occurrence of
complications during the second and the third trimester and during the post-delivery period.

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