Analytical study of medical complications during pregnancy at SAMC & PGI, Indore

Abstract

Background: Various medical complications may arise during course of pregnancy which may have adverse outcome on maternal morbidity and mortality. Prospective study was conducted for 1 year at tertiary care centre to analyse critically ill obstetrics patients due to medical complications. Results: Out of 100 cases, the age of the patients ranged from 18 to 40 yrs and majority of the patients were between 21 and 28 years of age i.e. 66%. 36 were booked patients. Approximately 37% of the patients admitted to the hospital were primi gravida and 15% patients were post-partum. 26% pregnancies were complicated by medical disorders, out of which 50% were liver disorders including acute viral hepatitis, HELLP and hepatic encephalopathy. 86 cases were discharged as Near-Miss, while there were 5 maternal mortalities of which 2 were due to infective hepatitis. Conclusion: Maternal morbidity and mortality can be minimized significantly by early assessment and aggressive intervention by a multi-disciplinary approach involving obstetricians, intensivists and anesthetists.