THE SIGNIFICANCE OF BROADENED APPROACH TO RISK PREGNANCY

  • 1 January 1982
    • journal article
    • research article
    • Vol. 71  (5) , 272-276
Abstract
Indications for surveillance during pregnancy were reviewed 2460 randomly selected mothers. Factors necessitating special care were classified as anamnestic (gr [Group] A), those appearing during pregnancy (gr B), or during labor (gr C). The cumulative contribution of different groups of risk factors to the final risk group of 1811 patients was: gr A 37.0%, gr B 58.4% and gr C 4.6%. Offspring of mothers with no risk factors had the most favorable prognosis followed by those belonging to groups C, A and B. Maternal risk was highest in the presence of gr C factors. Gr B factors were recognized far better than group A factors by maternal health center personnel. The performance of hospital personnel in the observation of different types of risk factors was assessed on the basis of intrapartum monitoring frequencies. The highest monitoring frequency was observed in gr 1O followed by gr B, A and C. Clearly definable complications of pregnancy and those occurring during labor are easily observed. These factors alone contributed only an insignificant proportion of adverse outcomes in the mother and child.

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