Profile for Risky Pregnancy among Antenatal Attendees in Mansoura City

Abstract

Background :Risk pregnancy is considered a major public health challenge and an important factor attributing to maternal mortality. Complications of risky pregnancy is not limited to antenatal period, it can extend to intra & postpartum period. Identification of risk pregnancy is a crucial preventive strategy to avoid an adverse maternal and neonatal outcome. Aim of this study : is to identify prevalence and associated factors of risky pregnancy among antenatal attendees in Mansoura city. Subjects and Method : cross sectional study design was used on 196 pregnant women who chosen by convenient sample technique. Setting: The study was conducted at all governmental hospitals in Mansoura City, Egypt including: The antenatal clinics of Obstetric and Gynecological specialty Center at Mansoura University Hospitals, Old General Hospital, New General Hospital and Health Insurance Hospital. Tool of data collection : Data were collected by using Dutta and Das high risk scoring tool Results : majority of the studied women (94.4%) were exposed to some degree of risk. Age, education, occupation, lower family income, number of children, socioeconomic level, chronic diabetes and hypertension, bad reproductive and obstetric history, anemia, bleeding, hyperemesis gravidirum and preterm rupture of membrane were significantly associated with risk pregnancy. Conclusion and Recommendations: The study inferred that the predominance of risk pregnancy was high in Mansoura city; socio-demographic characteristic, medical history and bad reproductive history were associated with risk pregnancy. Educational programs and campaigns particularly for provincial regions are recommended to improve mindfulness regarding risk pregnancy and other associated co-factors.