Open AccessPregnancy Outcomes at a Tertiary Care Hospital of Karnataka, South India
Author(s) -
Damaru Prasad Paneru
Publication year - 2016
Publication title -
journal of south asian federation of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.108
H-Index - 8
eISSN - 0975-1920
pISSN - 0974-8938
DOI - 10.5005/jp-journals-10006-1416
Subject(s) - medicine , obstetrics , low birth weight , pregnancy , logistic regression , obstetrics and gynaecology , odds ratio , tertiary care , birth weight , referral , pediatrics , family medicine , genetics , biology
Objectives To identify the extent of adverse pregnancy outcomes and their distributions in a tertiary care hospital of the Karnataka, South India. Materials and methods A retrospective study was carried out in the Department of Obstetrics and Gynecology, Dr. Prabhakar Kore Charitable Hospital of Belgaum, Karnataka, India. This is the largest multifacility referral center of the Belgaum, Karnataka. Relevant information was scrutinized from the delivery register using structured proforma. Permission was taken from hospital authority for the conduct of study. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 16.0. Percentage, mean, and standard deviation were calculated. Chi-square test and multivariate logistic regression analysis was performed. p-value < 0.05 was considered significant. Results Totally, 1,840 pregnant women attended labor room during April to September 2012. About 4.46% pregnancies ended at abortion and 5% delivered stillbirths (SBs). Three-fifths of the pregnancies were vaginal deliveries. Almost four-fifths were emergency cesareans among all the cesareans sections. Mean weight of the newborns was 2674 ± 51.00 gm. Low birth weight (LBW) was observed among 27.90%. Eight live births had one or other forms of congenital anomaly. Significantly, large numbers of SBs and LBW babies were born to the high-risk mothers and premature deliveries. High-risk mothers had multifold (adjusted odds ratio, 10.40) risk of delivering SBs and nearly double-fold (1.80) risk of LBW as against low-risk mothers. Conclusion Almost one-third pregnancies resulted in adverse outcomes. Adverse outcomes could be reduced by acting on the causes of premature births and preventing the mothers from developing risk factors through effective antenatal and intrapartum care. Further research to identify the causes of premature delivery and their preventions is recommended. How to cite this article Paneru DP. Pregnancy Outcomes at a Tertiary Care Hospital of Karnataka, South India. J South Asian Feder Obst Gynae 2016;8(3):193-197.