Indian journal of public health · 2026
Impact of High-risk Pregnancy on Maternal and Child Health Outcomes - Evidence from Rural Ballabgarh.
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Singh Tejbeer, Daniel Roy Arokiam, Salve Harshal Ramesh, Kumar Rakesh, Misra Puneet, Yadav Kapil
Аннотация
BACKGROUND: High-risk pregnancies have been found to be associated with various adverse maternal or neonatal outcomes such as having a low-birth-weight (LBW) newborn, stillbirth and pre-term delivery, cesarean section (CS), stillbirths, and infant deaths.
OBJECTIVES: To estimate the burden of high-risk pregnancy and its association with pregnancy and birth outcomes.
MATERIALS AND METHODS: Retrospective cohort study conducted in rural Haryana among pregnant women registered in health management information system from January 2020 to December 2022, i.e., 3 years. The calculated sample size was 6928. There were two groups of pregnant women, one without high-risk factors (nonexposed) and another with high-risk factors during the course of the pregnancy (exposed). They were followed up till termination of pregnancy or childbirth and their outcomes were recorded.
RESULTS: We included 6402 participants in the study. The mean (standard deviation) age of the pregnant women was 27.5 years (4.2 years). The prevalence of high-risk pregnancy was 37.0%. History of (H/o) abortion was significantly associated with stillbirth (odds ratio [OR]-3.89, 95% confidence interval [CI]-1.19-12.75). H/o CS was significantly associated with having LBW newborn (OR-1.42, 95% CI-1.08-1.87), preterm delivery (OR-1.78, 95% CI-1.41-2.25), and CS (OR-15.78, 95% CI-12.40-20.09). Twins/multiple gestation was significantly associated with having LBW newborn (OR-5.72, 95% CI-2.36-13.91), preterm birth (OR-6.61, 95% CI-2.68-16.26), and CS (OR-3.56, 95% CI-1.45-8.75).
CONCLUSION: More focused intervention targeting maternal nutrition is needed at all the levels of health care. Uniform criteria for classifying high-risk pregnancies are need of the hour, which can be assisted by this study.
OBJECTIVES: To estimate the burden of high-risk pregnancy and its association with pregnancy and birth outcomes.
MATERIALS AND METHODS: Retrospective cohort study conducted in rural Haryana among pregnant women registered in health management information system from January 2020 to December 2022, i.e., 3 years. The calculated sample size was 6928. There were two groups of pregnant women, one without high-risk factors (nonexposed) and another with high-risk factors during the course of the pregnancy (exposed). They were followed up till termination of pregnancy or childbirth and their outcomes were recorded.
RESULTS: We included 6402 participants in the study. The mean (standard deviation) age of the pregnant women was 27.5 years (4.2 years). The prevalence of high-risk pregnancy was 37.0%. History of (H/o) abortion was significantly associated with stillbirth (odds ratio [OR]-3.89, 95% confidence interval [CI]-1.19-12.75). H/o CS was significantly associated with having LBW newborn (OR-1.42, 95% CI-1.08-1.87), preterm delivery (OR-1.78, 95% CI-1.41-2.25), and CS (OR-15.78, 95% CI-12.40-20.09). Twins/multiple gestation was significantly associated with having LBW newborn (OR-5.72, 95% CI-2.36-13.91), preterm birth (OR-6.61, 95% CI-2.68-16.26), and CS (OR-3.56, 95% CI-1.45-8.75).
CONCLUSION: More focused intervention targeting maternal nutrition is needed at all the levels of health care. Uniform criteria for classifying high-risk pregnancies are need of the hour, which can be assisted by this study.