Background: Objectives of current study were to detect high risk factors in pregnancy and to develop a simple scoring system to identify and categorize high risk pregnancies and to predict neonatal outcome by prospective multifactorial analysis of high risk factors. Methods: In this prospective study, antepartum, intrapartum and neonatal parameters were integrated into the clinical records and the relationship of risk score to outcome was evaluated for 415 randomly selected pregnant patients over a period of 1 year. Risk scoring was applied on selected mothers more than 28 weeks of gestation who presented in labour. Results: Out of 415 women, 96 (59%) were High Risk, 191 (46%) were Low risk and 128 (31%) were No risk. In High risk group there were 59 perinatal deaths and perinatal mortality rate was very high (614 per 1000 live births). Conclusions: The risk scoring system can thus be used not only as a test for predicting perinatal mortality but also as a simple and cost effective screening tool for identifying pregnancies at higher risk of perinatal mortality and morbidity so that these are subjected to the special "high risk" care they need.
Background: Measuring the cross-sectional area of umbilical components in normal pregnant women helps in assessing the fetal abnormalities. Very few literatures were available on evaluation of reference values of cross sectional areas of umbilical cord components. The present study was conducted with the aim to determine the normal reference values of cross sectional areas of umbilical arteries, umbilical vein and Wharton's jelly and to correlate them with the gestational age of the fetus. Methods: A cross sectional study was conducted on 300 normal pregnant women at the Department of Radiodiagnosis, Sri Siddhartha Medical College, Tumakuru, Karnataka to assess the reference range of cross sectional areas of umbilical cord arteries, umbilical vein and Wharton's jelly at different gestational age of the fetus to analyze their growth. Results: A statistically significant correlation was observed between cross sectional areas of umbilical artery and vein and gestational age before and after 34 weeks (p=0.005 and 0.006 respectively) but no significant correlation was noticed with the cross-sectional area of Wharton's jelly (p=0.088). Conclusions: Cross sectional area measurements of umbilical cord components can be considered as important tools for estimation of fetal growth.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.