Abstract

As maternal mortality remains unacceptably high with about 830 women dying from pregnancy and childbirth related complications over the aging rates world everyday (WHO). Majority 99 % occur in developing countries. Therefore, we conducted a retrospective cross-sectional study to know the Fetomaternal outcome of high-risk obstetrics cases in our region. The objective is to know the Fetomaternal outcome of high-risk obstetrics cases in an upcoming new medical college of Kumaon region. Material and Methods: It is a retrospective cross-sectional study done at a new tertiary care center, from the records of a year i.e from 1/1/2022 to 31/12/2022. 140 high risk obstetrics cases after 32 weeks of pregnancy, according to Pradhan Mantra Surakshit Matritva Abhiyan, were included and their maternal and fetal outcome was observed. Results: Among 140 ANC cases reviewed, majority belonged to unbooked cases (62.85%), majority were between 20-25 yrs of age(52.85%), mostly were multigravida( 58.5%) and term(53.5%), majority high risk were pre-eclampsia (20%), previous cesarean (18.57%), severe anemia (12.14%), APH (11.42%). 68.5% underwent emergency LSCS,32.14 % needed ICU admission,40% required BT,29.28% experienced PPH for which 23.55 % required conservative surgical management for PPH whereas 5.71 % required emergency hysterectomy. In case of fetal outcome, only 17.11% were <1.5 kg, NICU required in 25.36%, 1.42% had SB. Conclusion: Early detection of high risk pregnancy , emphasis on correction of anemia and timely referral from the periphery should be given importance to improve feto maternal outcome. Keywords: Fetomaternal outcome, high risk obstetrics cases, hilly area, anemia

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