High risk scoring for prediction of pregnancy outcome: a prospective study

Abstract

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.

Prenatal risk score in high risk pregnancy cases and perinatal outcome: a study from South India

“…Similar were findings of Jain S et al, where low risk group mothers had 50% lower incidence of high risk neonates (41.3%) as compared to high risk group mothers who had 84.4% of high risk neonates. 1 All the perinatal deaths (4 cases) in the present study were in high risk group, with none in low risk group. This was in line with findings observed by Jain S et al, where perinatal mortality rate was 198.8 and 614.5 in low and high risk groups respectively showing increased perinatal mortality with increased maternal high risk score.…”

“…This was in line with findings observed by Jain S et al, where perinatal mortality rate was 198.8 and 614.5 in low and high risk groups respectively showing increased perinatal mortality with increased maternal high risk score. 1 However, it was noted that the perinatal death rate of women at low risk intended to deliver in primary care was higher than that of women at high risk delivering in secondary care. 7 It is observed in other study, that the women with one or more risk factors were 17.1 times more likely to lose their baby during the perinatal period than those with no risk.…”

“…2 Risk scoring system may be defined as a formalized method of recognizing, documenting and cumulating antepartum, intrapartum and neonatal risk factors in order to predict complications for the fetus and new born. 1 The perinatal mortality rate has often been used as an index of the level of development in a community. It not only reflects the socioeconomic status, educational level and cultural background of the mother but also comments on the quality of medical care provided to the mother and her neonate.…”

“…Identification of patients at risk for these complicated pregnancies with poor outcome is fundamental to antenatal care. 1 A high risk pregnancy may be identified by using a scoring system such as the system developed by Coopland AT. 2 Risk scoring system may be defined as a formalized method of recognizing, documenting and cumulating antepartum, intrapartum and neonatal risk factors in order to predict complications for the fetus and new born.…”

Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study

“…The percentage of mothers in risk categories ranges from as high as 59% in highrisk category to 31% in no risk category to as low as 7.9 % in high-risk category to as low as 25%. [9,10] In another study conducted by Reddaiah and Kapoor, [11] 9.6% of pregnant females had one or more risk factors. Same ICMR antenatal score was employed by Lala and Talsania [7] in classifying pregnant women, and they classified 0.73% women in a severe risk category and 18.34% women in no risk category.…”