High Risk Pregnancy
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 5
Abstract
Motherhood is a natural phenomenon, but safe motherhood is fraught with many complications related to of pregnancy and child birth. A “high risk pregnancy”(HRP) is one in which the maternal environment or past reproductive performance presents a significant risk to fetal wellbeing , such as premature birth, small for date infant, full term with low reservoir or still births and early neonatal deaths. Identification of patients at risk for these complicated pregnancies with poor outcome is fundamental to antenatal care. A woman is considered to have a high risk pregnancy when health concerns exist that may threaten the natural course of the development or birth of the baby, or that pose a risk to the mother. In such cases the mother may need special care, more investigations and possibly medication to ensure that she can carry the baby safely through to delivery. While pregnancy is a natural condition, it can be complicated even in healthy woman’s body because of changes in blood volume, hormone balance, pressure, the physical burden of pregnancy etc. Underlying medical conditions can add even more stress while complications caused by pregnancy itself (such as preeclampsia or gestational diabetes) can turn a normal pregnancy into a high risk pregnancy. A pre-pregnancy visit with a health care provider is especially important for a woman who has a medical problem. Women form the centre of the family and their health is of prime importance to the wellbeing of the whole family .Women’s health is of cardinal importance to the health of the society. In the last decade, considerable attention has been paid to the health of women in their reproductive age by the health care providers and public health experts. The slogans like “Pregnancy is Special, Let’s keep it safe” have widely been perpetuated throughout the world. The United Nations Population Fund (UNFPA) estimated that 2,89,000 women died of pregnancy or child birth related causes in 2013.High risk pregnancy causes almost 20% of the total burden of disease for women in developing countries. In India pregnancy related deaths of women have declined over the years. The number of maternal deaths per year has come down from approximately 1,00,000 deaths (1991-01) to 44,000 deaths in 2011-13. Though more than 50% of reduction has registered in the approximate number of maternal deaths in the last two decades, the present status shows that even now, 120, women die of causes associated with pregnancy, in a day, in India. The life time risk , defined as the probability that one woman of reproductive age (15- 49) will die due to child birth or puerperium (6 weeks after delivery) assuming that chance of death is uniformly distributed across the entire reproductive span is 0.4% in India. MDG 5 stipulates that the MMR level be reduced by3/4th between 1990 and 2015. In 1990 the estimated MMR was 437 per 1,00,000 live births. As per the latest Office of Registrar General of India (ORGI) estimates the MMR status is still 167 in 2011-13, it’s a slow moving indicator.
Authors and Affiliations
Surya Malik, Sushma Sinha
Keywords
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- EP ID EP573864
- DOI 10.26717/BJSTR.2017.01.000438
- Views 165
- Downloads 0
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