Pregnancy-related emergencies: Profile and outcome

Autor:	Pushpalata Kumari, Sruthi Yalamanchili, Darpanarayan Hazra, Kundavaram Paul Prabhakar Abhilash, Reshma M George, Ankita Chowdary Nekkanti, Santosh T Samuel
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	medicine.medical_specialty Abdominal pain Population lcsh:Medicine 030209 endocrinology & metabolism Community service pregnancy-related emergencies 03 medical and health sciences 0302 clinical medicine medicine 030212 general & internal medicine education Pregnancy education.field_of_study Obstetrics Vaginal delivery business.industry lcsh:R nonobstetric emergency visit in pregnancy Retrospective cohort study Emergency department medicine.disease abortions Vomiting Original Article pregnancy medicine.symptom bleeding pv business
Zdroj:	Journal of Family Medicine and Primary Care, Vol 9, Iss 9, Pp 4618-4622 (2020) Journal of Family Medicine and Primary Care
ISSN:	2249-4863
Popis:	Background: National efforts to reduce maternal mortality with respect to community services have primarily focused on upgrading transportation infrastructure and formalizing training for care providers. There is, however, a paucity of baseline data on the profile and outcomes of pregnant women presenting to the Emergency Department (ED) in India. Methods: This retrospective study enrolled all pregnant women presenting to a large tertiary medical care center in India, between November 2016 and November 2017. Results: There were 696 ED visits by pregnant women during the study period. The mean age was 26.85 (SD: 4.88) years. Pregnant women in the first trimester contributed to 50.8% of all visits, and 54% being multigravida. The most common presenting complaints were bleeding/spotting per vaginum (PV) (38.2%) and abdominal pain (37.6%) followed by fever (21.6%) and vomiting (21.5%). Obstetric causes contributed to 53.2% of the ED visits, while nonobstetric causes amounted to 43.2%. Over a third (39.7%) required hospital admission. Of these patients, 73% delivered in CMC with live births amounting to 62.3% while 3.5% ended in fetal deaths. The miscarriages rate was as high as 28%. More than half (51.1%) of the deliveries were by normal vaginal delivery. There were no maternal deaths during the time of admission. Conclusions: Our study sheds new light on the profile of emergency visits among pregnant patients and their relationship to the outcome of pregnancy. First trimester visits were most common with complaints of bleeding PV and abdominal pain. This could explain the high rate of miscarriages among this population.
Databáze:	OpenAIRE
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