Co-Morbidities in Rural Obstetric Population and the Adverse Pregnancy Outcomes

INTRODUCTION: Pregnancy is a time-limited health state which can co-occur with a wide variety of other health conditions ranging from mild to severe, and which can impact upon both maternal and fetal health and health resources utilisation. Failure to account for maternal comorbidities in pregnancy-related research can lead to biased effect estimates. AIMS & OBJECTIVE: • The aim of this study is to describe the comorbidities in rural obstetric population. • To accurately identify women who are at risk of severe maternal morbidity during labour and 30 days postpartum in real time. MATERIALS AND METHODS: • STUDY DESIGN – Prospective study. • STUDY SAMPLE - all antenatal women of more than(and including) 20 weeks gestation attending OPD in rural PHC • STUDY DURATION – One year. INCLUSION CRITERIA: All antenatal women with gestational age more than (and including) 20wks attending OPD in rural PHC. DATA COLLECTION: • Detailed obstetric and clinical history. • Detailed clinical and obstetric examination. • All ultrasound and basic laboratory parameters. • Laboratory parameters related to co-morbidities if exist. CONCLUSION: Prevalence of adverse birth outcome was found to be significant in the current study involving pregnant mothers from rural population. Presence of Previous History of adverse pregnancy outcome, on ante-natal attendance, presence of chronic disease/s, younger mother and poor Knowledge of preconception care were significant predictor of adverse pregnancy outcome. Therefore it is better to give more attention on expanding preconception and antenatal care. Out of the total study group, 46 patients had GHTN ,while 30 had hypothyroidism, 19 had anemia, 15had GDM, 13 had eclampsia/pre-eclampsia, 13 had PPH while other causes recorded fewer incidence only. Creating awareness about family planning methods type and efficacy for women of reproductive health is mandatory. Services, increasing health education on personal hygiene. Moreover, early detecting and treatment of chronic disease can lead to the reduction of adverse pregnancy outcomes in rural population