Epidemiology of high risk pregnancy in Sousse, Tunisia

Abstract

RÉSUMÉ la présente étude descriptive a évalué la fréquence de certains facteurs de risque pour la grossesse à haut risque chez les femmes de la région de Sousse. Elle a été menée du 15 février au 15 août 2005 auprès de l'ensemble des femmes ayant accouché au-delà de 28 semaines d'aménorrhée dans quatre maternités publiques et présentant au moins un facteur de risque. La collecte des données a été effectuée dans les 24 heures qui ont suivi l'accouchement à partir des dossiers obstétricaux et fiches de consultation prénatale et par entretien. Sur 4660 femmes, 1194 (25,6 %) avaient au moins un facteur de risque et étaient considérées comme des grossesses à risque. Les femmes à risque avaient un âge moyen de 31,3 ans (ET 5,4) ; 73 % étaient d'origine urbaine, 38 % avaient un niveau d'étude secondaire ou supérieure et 75 % étaient des femmes au foyer. La moyenne des facteurs de risque est de 1,5 par femme. La majorité des femmes (59,3 %) avaient un facteur de risque et 30,4 % en avaient deux. La moyenne des visites prénatales était de 4 ; 68,6 % ont été assurées par un obstétricien et 43 % des femmes ont recouru au secteur privé. Certains facteurs ont été insuffisamment dépistés : âge > 35 ans, parité > 4, antécédent de faible poids de naissance et de décès néonatal, hauteur utérine excessive et anémie. This descriptive study assessed the frequency of selected risk factors for high risk pregnancy (HRP) among women in Sousse region. All pregnant women (beyond 28 weeks gestation) giving birth in 4 public maternity hospitals between 15 February 2005 and 15 August 2005 and who had at least 1 risk factor were enrolled. Data were collected within 24 hours of birth from obstetric and antenatal records and by interview. Of 4660 pregnant women, 1194 (25.6%) had at least 1 risk factor and were considered at-risk pregnancies. Mean age of the at-risk women was 31.3 (SD 5.4) years, 73% were urban residents, 38% had secondary education or higher and 75% were housewives. The mean number of risk factors was 1.5 per woman. The majority of women (59.3%) had 1 risk factor and 30.4% had 2. The mean number of prenatal visits was 4, 68.6% were seen by an obstetrician and 43% used the private sector. Certain factors were inadequately screened: age > 35 years, parity > 4, previous low birth weight and neonatal death, excessive fundal height and anaemia.

Epidemiological Profile of High-Risk Pregnancies in Lubumbashi: Case of the Provincial Hospital Janson Sendwe

“…We recorded 1667 risk factors among 524 with a risk pregnancy, an average of 3.2 risk factors per woman, much higher result than that of Bouafia Tunisia [10]. In this study we found that 92.0% of women had at least one risk factor.…”

Prevalence and profile of adverse drug reactions in high-risk pregnancy: a cohort study

“…High-risk pregnancy is characterized by a high incidence of complications to the mother and/or the fetus during labor or in the postpartum which require specialized care [1]. The frequency of high-risk pregnancy ranges from 25.6 to 63.5% [2–8] with about 216 maternal deaths per 100,000 births [9]. The leading causes of death include cardiovascular disease, preeclampsia or eclampsia, haemorrhage, venous thromboembolism, and amniotic embolism [10].…”

“…The leading causes of death include cardiovascular disease, preeclampsia or eclampsia, haemorrhage, venous thromboembolism, and amniotic embolism [10]. Non-singleton pregnancies, diabetes mellitus, arterial hypertension and pre-eclampsia [2, 7, 9] are risk factors for complicated pregnancies, especially in the third trimester, and harm to newborns [3]. The third trimester of pregnancy is associated with worsening of pre-existing chronic comorbidities, obstetric complications, and drug administration [11].…”

The seven-year epidemiological study of legal abortion caused by heart disease, blood disorders, diabetes and hypertension as referred to forensic medicine centers in Fars Province

“…The classification of high-risk pregnancies include maternal underlying disease, socioeconomic factors, the history of risk factors in previous pregnancies and the risk factors associated with the current pregnancy that may occur during it [17]. The prevalence of high-risk pregnancies varies from country to country, for example, in northern India, it is 31.4% [18] and in Tunisia -59.5% [19]. Moreover, it is reported that the prevalence of high-risk pregnancies varies in different regions of Iran [20].…”