A STUDY AND ANALYSIS OF ADVERSE PERINATAL OUTCOME IN THIRD TRIMESTER

B. P Das, Tanma Saikia Das, Dipanjali Barman

Abstract


Objective:  To assess  adverse perinatal outcomes and associated factors in third trimester pregnancy in Gauhati Medical  College and Hospital.

Methods:  An institutional based cross sectional study was conducted in Gauhati Medical College and Hospital from 1st June 2018 to 31st May 2019. Of all the deliveries that took place at the hospital, 400 cases were selected by random sampling who fulfilled the inclusion and exclusion criteria. The data collected in the study were analysed statistically using descriptive statistics. The data were entered  MS excel spread sheets and analysis were carried out by Fischer’s exact test and chi square test.  Graph padinstat was used for analysing data. Results were tabulated and analysed statistically using SPSS version 21.0.

Results:  A total of 400 mothers delivered participated in this study which yields 100% response rate. The study finding showed that the proportion of adverse perinatal outcome among study participants was  25%. Out of 400 deliveries 2.2% very low birth weights, 5.75% birth asphyxia, 5.75% preterm, 8% hyperbilirubinaemia, 0.25% meconium aspiration syndrome and 2.75% perinatal deaths.  Mothers who did not have antenatal check up were more likely to have adverse perinatal outcome as compared to mothers with proper ante natal check ups. Similarly teenage and advanced maternal age associated with more adverse perinatal outcome as compared with adult pregnancies. The presence of any form of pregnancy complications to current pregnancy were more likely to results in adverse pregnancy outcome as compared to no pregnancy complication.

Conclusions and recommendation:  The proportion of adverse perinatal outcome among study participants was quite high.  Lack of proper antenatal care, haemoglobin level, pregnancy complication, maternal age were predictors of adverse perinatal outcome. Having proper antenatal check up is determinant factor identified as preventive factor to adverse perinatal outcome. So, by increasing antenatal check up, prevention and treatment of chronic medical illness and improving quality of maternal health services   proportion of adverse perinatal outcome can be reduce.


Keywords


adverse perinatal outcome, perinatal mortality, third trimester pregnancy

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References


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