scholarly journals Role of Usual Healthcare Combined with Telemedicine in the Management of High-Risk Pregnancy in Hangzhou, China

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Xu-Hong Zhu ◽  
Jing Tao ◽  
Li-Yuan Jiang ◽  
Zhi-Feng Zhang
Keyword(s):  
Risk Factor ◽  
High Risk ◽  
Maternal Health ◽  
Pregnant Women ◽  
High Risk Pregnancy ◽  
Risk Scores ◽  
Public Health Services ◽  
Risk Pregnancy ◽  
High Risk Factor

Background. Maternal health is an important part of basic public health services in China’s medical reform. Effective management is an important guarantee of maternal health. Telemedicine has been widely used in maternal health management. Objective. This study explores the role of usual healthcare combined with telemedicine in the management of high-risk pregnancy. Methods. The study was a retrospective. Data were obtained from Hangzhou Maternity Hospital between October 2012 and September 2016, including 93465 pregnant women who were in usual high-risk pregnancy management (usual group) and 134884 pregnant women who were in telemedicine combined with usual high-risk pregnancy management (telemedicine group). The differences in high-risk scores and pregnancy outcomes between the usual and the telemedicine groups were compared. Results. The high-risk factors were analyzed, and the results showed that the first fixed high-risk factor was scar uterus and the first dynamic high-risk factor was hepatitis B. Comparing the data of two groups, the number of prenatal visits increased significantly in the telemedicine group (p value <0.05). Although the critical proportion of high-risk women was 2.13% in the usual group and 5.88% in the telemedicine group, respectively (p value <0.01), maternal mortality decreased in the telemedicine group (p value <0.05). Conclusion. The combination of telemedicine and usual healthcare can urge the pregnant women to carry out antenatal visits on time, which is one of the important factors to improve the outcome of high-risk pregnancy.

The role of antioxidants in high risk pregnancy

GYNECOLOGY ◽  
2014 ◽  
Vol 16 (1) ◽  
pp. 86-92
Author(s):  
I.V. Bakhareva ◽  
Keyword(s):  
High Risk ◽  
High Risk Pregnancy ◽  
Risk Pregnancy

Role of Colour Doppler in High Risk Pregnancy

2021 ◽  
Vol 6 (2) ◽  
pp. 185-191
Author(s):  
Hiral Parekh ◽  
Sneha Chaudhari
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Perinatal Outcome ◽  
Umbilical Artery ◽  
High Risk Pregnancy ◽  
Colour Doppler ◽  
High Risk Factors ◽  
Risk Pregnancy ◽  
A Prospective Study

This was a prospective study conducted in pregnant patients with high risk factors who got admitted in the Department of Obstetrics and Gynaecology at Care Hospital, Jamnagar during the period from May 2018 to September 2020. Background: High-risk pregnancies causes many adverse perinatal outcomes. Doppler ultrasound is a non-invasive technique to study the feto-maternal circulation to guide the clinical management. Objective: This study aims at evaluating the role of colour Doppler in high-risk pregnancies and their perinatal outcome. Materials and Methods: This was a prospective study carried out for 29 months in the Department of Radiology with antenatal women in the age group of 18-35 years with singleton pregnancy of gestational age of <28 weeks to >35 weeks having high-risk factors considered in study. The risk factors considered were pregnancy induced hypertension (PIH), gestational diabetes, anemia, oligohydramnios, polyhydramnios and IUGR. Doppler study of umbilical artery and fetal middle cerebral artery (MCA) arteries was done and amniotic fluid index (AFI) was measured. Parameters in the form of resistive index, pulsatility index, and systolic/diastolic ratio were taken. obstetric history was taken with regular interval follow up. Results: The study was carried out with 50 patients. High-risk pregnancy was more common in the age group of 21-25 years. The most common high-risk factor in pregnancy was oligohydramnios which accounted for 30% of cases. Out of 50 high-risk pregnancies, 5 (10 %) of cases resulted in intrauterine growth restriction (IUGR). Out of 50 high-risk cases, in 36 cases, umbilical artery findings were abnormal. 3 patients had intrauterine death (IUD) and 27 patients had poor perinatal outcome. Umbilical artery abnormality showed significant sensitivity and negative predictive value for adverse (poor + IUD) perinatal. Correlation was seen between high risk pregnancy and need of emergency caesarean section and induction and associated adverse perinatal outcome. Conclusion: Combination of different arterial waveform study enhance the diagnostic accuracy in identifying those intrauterine growth restricted foetuses that were at risk. Keywords: Colour Doppler, high risk pregnancy, perinatal outcome.

scholarly journals Vulnerability of high-risk pregnancy in the perception of pregnant women and their families

Rev Rene ◽  
2019 ◽  
Vol 20 ◽  
pp. e40207
Author(s):  
Viviane Cazetta de Lima Vieira ◽  
Mayckel da Silva Barreto ◽  
Verônica Francisqueti Marquete ◽  
Rebeca Rosa de Souza ◽  
Mayara Maria Johann Batista Fischer ◽  
...  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
High Risk Pregnancy ◽  
Risk Pregnancy

The experiences of maternity in front of hospitalization in high risk pregnances

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Ciciliotti da Silva ◽  
B Heintze Ferreira ◽  
D Fraga Santos ◽  
F Fernandes ◽  
Bersot Magalhães ◽  
...  
Keyword(s):  
Public Health ◽  
High Risk ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
High Risk Pregnancy ◽  
Structured Interviews ◽  
The Public ◽  
Prenatal Consultation ◽  
Risk Pregnancy ◽  
Specialized Care

Abstract Introduction The pregnancy-puerperal cycle is defined as a moment that involves physical, psychological and social changes. There are pregnancies that require specialized care and attention due to the presence of risk factors that may be prior to pregnancy and / or that may be associated with the pregnancy condition itself, which characterize them as high-risk pregnancies. Currently, prenatal care with risk stratification is the main care strategy for pregnant women, once the risk classification is identified, it is possible to promote interventions according to the health needs of each pregnant woman. For this, the risk assessment is carried out at each prenatal consultation, so that, depending on the course of pregnancy, hospitalization becomes necessary. The diagnosis of high-risk pregnancies accompanied by hospitalization has impacts on the woman's life, such as loss of autonomy, a sense of failure and the incidence of greater care and interventions by the health team and the family that can configure practices to control their bodies. Objective This work aims to identify the hospitalization process during high-risk pregnancy as a space for the production of projects, resistance and protagonism through the protocols and regulations that configure the hospital context. Methodology This is an exploratory analysis of a qualitative approach in public health. A reference maternity hospital in high-risk pregnancy located in a teaching hospital in Greater Vitória was chosen. It will be used to define sampling for convenience. The data will be collected through semi-structured interviews and on-site observations by the researcher. The data analysis methodology used will be content analysis. Expected Results It is expected to understand the various practices of protagonism and resistance that permeate the care of hospitalized pregnant women. Key messages This work has an impact on the improvement of the maternal and child care network of the public health system in Brazil. This work allows to evaluate the quality of the assistance provided in the public maternity.

scholarly journals Role of second trimester uterine artery doppler for the prediction of preeclampsia in high risk pregnancy

2019 ◽  
Vol 8 (3) ◽  
pp. 906
Author(s):  
Madhuri Thakur ◽  
Reeti Mehra
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Uterine Artery ◽  
High Risk Pregnancy ◽  
Second Trimester ◽  
Uterine Artery Doppler ◽  
Risk Pregnancy ◽  
Doppler Study ◽  
Doppler Indices

Background: The uterine artery Doppler has potentials for screening for complications of impaired placentation. The purpose of study was to assess the role of uterine artery color Doppler waveform analysis in second trimester for the prediction of preeclampsia in a high-risk pregnancy between 18-24 weeks of gestation.Methods: 100 women with moderate or high-risk factors for developing preeclampsia reporting to Obstetrics and Gynaecology department of Government Medical College and Hospital, Sector 32, Chandigarh were enrolled for present study. Transabdominal uterine artery doppler measurements was done at 18-24weeks of gestation in these patients. Doppler . The Doppler indices generated automatically from the machine , the Pulsatility Index (PI), Resistance Index (RI) , presence or absence of diastolic notch and S/D Ratio were recorded, and average was calculated.Results: Out of 100 patients there were 46 primigravidas with no additional risk factors, 22 pateints with two or more risk factors and there were no patients who had three or more risk factors in present study population. Preeclampsia is seen more commonly in primigravida and primigravida is considered as moderate risk factor for preeclampsia. It was found that an elevated second trimester uterine artery RI was significantly associated with developing preeclampsia later in pregnancy. The sensitivity and specificity of uterine artery Doppler velocimetry were found to be 84% and 55% respectively. Receiver operator characteristics (ROC) curves were created to demonstrate the prognostic value of RI and PI of uterine artery doppler indices at 18-24 weeks of gestation for the development preeclampsia. In addition, there were statistically significant positive correlations between mean RI of uterine artery doppler study and patients who developed preeclampsia. With a sensitivity of 84.21% it could identify 31% of the cases of preeclampsia at a false positive rate of 44.4%.Conclusions: Uterine artery doppler study can be used as a predictor of moderate strength for preeclampsia.

scholarly journals Risk status of pregnant women in rural areas of Belagavi: a cross sectional study

2019 ◽  
Vol 6 (6) ◽  
pp. 2350
Author(s):  
Katherine J. Bernard ◽  
Sulakshana Baliga
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Cross Sectional ◽  
Risk Status ◽  
Factors Associated ◽  
Risk Pregnancy ◽  
Status Assessment

Background: ‘High-risk’ pregnancies account for a significant proportion of perinatal morbidity and mortality worldwide. Simple prenatal scoring systems can be used to assess risk status of pregnancy and inform subsequent management. Their use in rural areas and low-resource settings could be of particular benefit. This study employed pregnancy risk status assessment in one such area of rural India. The objectives of the study were to estimate the prevalence of low, moderate and high-risk pregnancy among women in a rural area of Belagavi and to identify factors associated with high-risk pregnancy status.Methods: This community-based cross-sectional study was undertaken among 105 pregnant women of all trimesters presenting to antenatal clinics in the Kinaye area of Belagavi, Karnataka, during July 2018. Information on risk factors and socio-demographic details were collected using a questionnaire, and individual risk scores calculated through a scoring system. This was used to estimate prevalence of low, moderate and high-risk status among participants, and subsequently compared against selected variables to identify factors associated with high risk pregnancy status.Results: Prevalence of high-risk pregnancy among participants was 31.4%, moderate-risk 30.5%, low-risk 29.5% and ‘no risk’ 8.6%. Maternal undernutrition was an important factor associated with high-risk pregnancy.Conclusions: This study highlights the need for early identification and appropriate management of such cases, in order to prevent adverse perinatal outcomes. The prenatal scoring system used in this study offers a simple method for risk status assessment in pregnant women of all trimesters, suited for use in antenatal clinics in rural areas of India.

scholarly journals IBM PENDAMPINGAN IBU HAMIL RESIKO TINGGI OLEH KADER POSYANDU DI WILAYAH PUSKESMAS PURWOYOSO

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Chusnul Zulaika ◽  
Dewi Sari R ◽  
Mirtaria K
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Good Health ◽  
High Risk Pregnancy ◽  
Maternal Deaths ◽  
Central Java ◽  
Risk Pregnancy ◽  
Husband Support ◽  
Alternative Solutions ◽  
Central Java Province

Kehamilan normal bisa memiliki risiko, semua ibu hamil  perlu perawatan agar ibu dan janin tetap dalam keadaan sehat. Sedangkan kehamilan yang resiko tinggi akan menghadapi berbagai permasalahan yang dapat mengganggu proses persalinan. Kehamilan dengan masalah dikelompokkan kehamilan risiko tinggi yaitu keadaan yang dapat mempengaruhi optimalisasi ibu maupun janin (Manuaba,2003). Kehamilan risiko tinggi adalah kehamilan dengan satu lebih  faktor risiko baik ibu maupun janinnya yang memberi dampak kurang menguntungkan baik ibu maupun janinnya (Rochjati, 2003). Apabila setiap abnormalitas dicurigai berdasarkan atas riwayat atau pemeriksaan fisik, maka pasien dirujuk ke pemeriksa dengan keahlian dalam ultrasonografi (Tucker, 2004).Di Provinsi Jawa Tengah pada tahun 2015 terdapat 619 kasus kematian ibu. Kota Semarang menduduki peringkat ke 2 setelah kabupaten Brebes dengan jumlah kematian ibu di Kota Semarang  terdapat 35 kasus. Di Puskesmas Purwoyoso pada tahun 2015 terdapat 1 kasus kematian ibu. Sedangkan jumlah ibu hamil resiko tinggi di Puskesmas Purwoyoso pada tahun 2015 terdapat 595 ibu hamil.Untuk mencari alternatif solusi pemecahan masalah di atas, maka diadakan peningkatan pengetahuan tentang pendampingan ibu hamil resiko tinggi di Puskesmas Purwoyoso dengan tujuan untuk meningkatkan pengetahuan para kader tentang kehamilan resiko tinggi. Setelah dilakukan penyuluhan didapatkan hasil pengetahuan dan kesadaran para kader untuk melaksanakan pendampingan meningkat.Diharapkan setelah dilakukan pengabdian penulis menyarankan para kader, keluarga dan suami mendukung ibu hamil untuk melakukan pemeriksaan kehamilan di bidan ataupun di puskesmas.Kata kunci        : IBM ; Kader ; Pendampingan ibu hamil resiko tinggi IBM HIGH RISK PREGNANCY ASSISTANCE BY POSYANDU CARDER IN PURWOYOSO PUSKESMAS REGIONNormal pregnancy can have a risk, all pregnant women need care so that mother and fetus remain in good health. While high-risk pregnancies will face a variety of problems that can interfere with labor. Pregnancy with the problem grouped high-risk pregnancies is a condition that can affect the optimization of mother and fetus (Manuaba, 2003). A high-risk pregnancy is a pregnancy with one more risk factor for both mother and fetus that has an adverse impact on both the mother and the fetus (Rochjati, 2003). If any abnormality is suspected based on a history or physical examination, the patient is referred to an examiner with expertise in ultrasonography (Tucker, 2004).In Central Java Province in 2015 there were 619 cases of maternal deaths. Semarang City is ranked second after Brebes district with the number of maternal deaths in Semarang city there are 35 cases. At Puskesmas Purwoyoso in 2015 there is 1 case of maternal mortality. While the number of high risk pregnant women at Purwoyoso Puskesmas in 2015 there are 595 pregnant women.To find alternative solutions to the above solutions, there is an increased knowledge about high risk pregnant women in Purwoyoso Puskesmas in order to increase the knowledge of cadres about high risk pregnancy. After the counseling obtained the knowledge and awareness of the cadres to carry out mentoring increased.It is hoped that after the dedication of the writer suggest that cadres, family and husband support pregnant mother to conduct pregnancy examination in midwife or at puskesmasKey words             : IBM; Cadres; High risk pregnancy assistance

scholarly journals Comparison of Pregnancy Outcome in Non-Risk and High-Risk Antenatal Mothers

JMS SKIMS ◽  
2014 ◽  
Vol 17 (1) ◽  
pp. 16-19
Author(s):  
Chandra Metgud
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Pregnant Women ◽  
Pregnancy Outcome ◽  
Rural Areas ◽  
Risk Group ◽  
Common Factor ◽  
High Risk Pregnancy ◽  
Family Needs ◽  
Risk Pregnancy

Objectives: 1. To know the incidence of high risk pregnancy. 2. To study the pregnancy outcome in Non-risk and High-risk antenatal mothers. Study Design: Longitudinal study. Setting: Shindolli Village of Belgaum District. Participants: All women in this village who were pregnant at the start of the study and who became pregnant during the study period. Sample Size: 125. Statistical Analysis: Percentages and Chi-square Test. Results: The incidence of High risk pregnancy was noted in 51(40.80%) pregnant women. The various risk factors noted were: primigravida 18 years, grand multipara, pre-eclampsia, bad obstetric history, severe anaemia etc. Among 125 pregnancy outcome, 69(93.24%) pregnant women in the non-risk group had good outcome compared to 34(66.67%) in the high risk group. The outcome of the pregnancy was significantly associated with presence of risk factors. Conclusion: The high-risk pregnancies are due to early marriages and child bearing at an early age. In rural areas early marriages are perpetuated by tradition, belief and family needs to reduce expenditures. A high percentage of anaemia in the pregnant women was due to the fact that, majority of them belonged to low social classes which affect their dietary intake and purchasing power adversely. Another common factor noted in rural area was grand multiparity, due to the need for male child. JMS 2014;17(1):16-19

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