Characteristics of High-Risk Pregnancy in Sanglah General Hospital 2011-2014
Ryan Saktika Mulyana
Obstetrician and Gynaecologist, Teaching Staff, Materno-Fetal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Bali. Email: ryanmul87@gmail.com
Anak Agung Ngurah Jaya Kusuma
Obstetrician and Gynaecologist, Teaching Staff, Materno-Fetal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Bali
I Nyoman Hariyasa Sanjaya
Obstetrician and Gynaecologist, Teaching Staff, Materno-Fetal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Bali
Endang Sri Widiyanti
Obstetrician and Gynaecologist, Teaching Staff, Materno-Fetal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Bali
Background: Pregnant women with a high-risk pregnancy are women with increased risk in pregnancy or childbirth. There is no readily available data available about the characteristics of the high-risk pregnancy in Bali. Objective: Our study aimed to provide a data, to be the base of Sanglah General Hospital resource planning to reduce maternal mortality and morbidity. Method: This was an observational study using medical records of high risk pregnancy patients at Sanglah General Hospital from 2011 to 2014. Inclusion criteria were the patients with complete medical record and exclusion criteria are patient whose medical report incomplete. There was no missing data in this study.Result Over the 4 year study period at Sanglah, there were 1027 high-risk deliveries in 2011, 1590 in 2012, 1590 in 2013, and 948 in 2014. In the 4 years, there were 748 with age ≥ 35 years. The majority were in the age group of 26-30 years. As many as 2932 were multiparous. Overall, 3082 were multigravida and only 197 were grandemultipara. There were 1406 preterm (<37 week). By onset and mode of delivery, 2027 (41.50%) had a caesarean section, There were 9 (0.18%) Breech deliveries and Neonatal outcomes were recorded, showing that 296 (6.29%) had moderate asphyxia and 2189 (4.63%) had severe asphyxia. The multiple pregnancy was 197 (3.82%) twin pregnancies and 5 (0.1%) cases of triplets. The largest group of obstetrics complications in Sanglah hospital was premature rupture of membrane 1652 cases (30.99%). The most common medical disorder of pregnant women at our hospital was anemia, 353 cases (45.43%). The most prevalent congenital anomalies were multiple congenital abnormalities, as many as 18 infants (20.22%).
Conclusion: There were a significant number of high-risk pregnancies delivered at Sanglah, with nearly 46.85% being high risk deliveries. Characteristics of these high risk pregnancies can be used to plan appropriate care to reduce the maternal mortality rate.
