Clinico-Epidemiological Profile of Women with High-Risk Pregnancies Attending Pradhan Mantri Surakshit Matritva Clinic in A Rural Block of Purba Bardhaman District, West Bengal

Arif  Hossain; Raston Mondal; Pramit Goswami; Deepta Dutta; Pranita Taraphdar; Suman Sannigrahi; Soumik Dandapat

doi:10.55489/njcm.151220244697

Authors

Arif Hossain Burdwan Medical College and Hospital, Bardhaman, West Bengal, India https://orcid.org/0009-0000-1129-6845
Raston Mondal Burdwan Medical College and Hospital, Bardhaman, West Bengal, India https://orcid.org/0000-0002-2556-2283
Pramit Goswami Burdwan Medical College and Hospital, Bardhaman, West Bengal, India https://orcid.org/0009-0009-4153-9137
Deepta Dutta Burdwan Medical College and Hospital, Bardhaman, West Bengal, India
Pranita Taraphdar Burdwan Medical College and Hospital, Bardhaman, West Bengal, India
Suman Sannigrahi Burdwan Medical College and Hospital, Bardhaman, West Bengal, India https://orcid.org/0009-0007-6300-2934
Soumik Dandapat Burdwan Medical College and Hospital, Bardhaman, West Bengal, India https://orcid.org/0009-0001-2323-1173

DOI:

https://doi.org/10.55489/njcm.151220244697

Keywords:

Antenatal care, High-risk Pregnancy, Maternal mortality, Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

Abstract

Background: High-risk pregnancies (HRPs) significantly contribute to maternal and neonatal morbidity and mortality in India. However, many pregnancies remain unclassified as high-risk. To address this, the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) was launched to improve the quality and coverage of antenatal care (ANC). This study aimed to estimate the proportion of HRPs and their correlates among PMSMA beneficiaries in a rural block of Purba-Bardhaman district, West Bengal.

Methodology: A cross-sectional study was conducted over six-month period at Pradhan-Mantri- Surakshit-Matritva (PMSM) Clinic among 190 women were selected by simple random sampling. Data were collected by reviewing records as well as from selected study subjects using a pre-designed schedule and analysed using Jamovi v-2.4.8.

Results: Data analysis revealed that 65.3% of pregnancies were high-risk, with 75% of these involving a single high-risk factor and 25% having multiple factors. The leading contributors were hypothyroidism (19.6%), previous Caesarean-section (14.2%), and pregnancy-induced hypertension (13.7%). Statistically significant associations were found between HRPs and caste, occupation, and ANC-registration status.

Conclusions: The findings highlight the importance of improving antenatal care by enhancing screening and interventions. Future research and healthcare policies should focus on comprehensive strategies to identify and manage risks, improving maternal and infant health outcomes.

References

Kumar A, Sharma S, Sindwani P, Jakhu P, Pandey SM, Diksha. Study of profile and factors associated with high-risk pregnancies among PMSMA beneficiaries visiting block Barwala, District Hisar of Haryana. Int J Community Med Public Health 2022;9:1464-8. DOI: https://doi.org/10.18203/2394-6040.ijcmph20220714

Ministry of Health and Family Welfare (Maternal Health Division). Guidance Note for Extended PMSMA for tracking High Risk Pregnancies (HRPs). Government of India; 2023. Available at: https://www.nhm.gov.in/New_Update-2022-23/MH/GUIDELINES-%20MH/Guidance_Note-Extended_PMSMA_for_tracking_HRPs.pdf Accessed on: January 10th, 2024

Maternal health. UNICEF India. Available at: https://www.unicef.org/india/what-we-do/maternal-health Accessed on: January 10th, 2024

Park K. Text Book of Preventive and Social Medicine, Chapter 09, Preventive Medicine in Obstetrics, Paediatrics and Geriatrics. 26th Ed. Jabalpur, Bhanot Publishers. 2021. p 608.

Seema P, Sangeetha S, Phukan P. A retrospective study on high-risk pregnancy and their outcome in a teaching hospital in South India. Medica Innovat. 2014;3(1):122-6.

Mufti S, Mufti S. Identification of high-risk pregnancy by a scoring system and its correlation with perinatal outcome. Indian J Pract Doctor. 2008;5(1):1-7. DOI: https://doi.org/10.4236/oalib.1104162

Vijay BK, Amandeep K, Sumit C, Manisha M. Prevalence and correlates of high-risk pregnancy in rural Haryana: a community-based study. IJBAMS. 2013;3(2):212-7.

Ministry of Health and Family Welfare (Maternal Health Division). Pradhan Mantri Surakshit Matritva Abhiyan, Operational framework. Nirman Bhawan, New Delhi, India. Available at: https://pmsma.mohfw.gov.in/wp-content/uploads/2016/09/Pradhan_Mantri_Surakshit_Matritva_Abhiyan.pdf

Dahiya S, Anand S, Rani V, Gautam S, Nanda S. A study of high-risk factors in ante-natal women at a tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2020 Jun 25;9(7):2959. DOI: https://doi.org/10.18203/2320-1770.ijrcog20202740

Muhammed OA, Khalil NA, Omara MA, Khattab MA. Risky pregnancy among women attending a rural, family healthcare unit. Menoufia Med J 2017;30:1093-7. DOI: https://doi.org/10.4103/mmj.mmj_3_17

Kashani E, Hassanzad A, Ameri MA. The rate of the prevalence of high-risk pregnancies and the results on pregnant mothers and the effect on parameters after the birth. Adv Environ Biol 2012; 6: 1319-1324. DOI: https://doi.org/10.4236/oalib.1103224

Ka M, Venkatesh U, Kapoor R. Clinico-epidemiological profile of women with high-risk pregnancy utilizing antenatal services in a rural primary health center in India. J Rural Med. 2023 Jan;18(1):15-20. DOI: https://doi.org/10.2185/jrm.2022-018 PMid:36700125 PMCid:PMC9832307

Kalaivani.S, Saradhambal. M and Revathy. D ; Prevalence of high risk pregnancy - a descriptive study. Int. J. of Adv. Res. 4 (Sep). 1220-1224. DOI: https://doi.org/10.21474/IJAR01/1605

Kumar MP, Gnanadeep TNV, Dixit UR, et al. Prevalence of high risk pregnancy in rural Dharwad. IOSR J Dent Med Sci. 2015; 14: 2279-2861.

Bharati KV, Kaur A, Chawla S, et al. Prevalence and correlates of high risk pregnancy in rural Haryana: a community based study. Int J Basic Appl Med Sci. 2013; 3: 212-217.

Jaideep KC, Prashant D, Girija A. Prevalence of high risk among pregnant women attending antenatal clinic in rural field practice area of Jawaharlal Nehru Medical College, Belgavi, Karnataka, India. Int J Community Med Public Health 2017; 4: 1257. DOI: https://doi.org/10.18203/2394-6040.ijcmph20171359

Unnikrishnan AG, Kalra S, Sahay RK, et al. Prevalence of hypothyroidism in adults: an epidemiological study in eight cities of India. Indian J Endocrinol Metab 2013; 17: 647-652. DOI: https://doi.org/10.4103/2230-8210.113755 PMid:23961480 PMCid:PMC3743364

Dhanwal DK, Prasad S, Agarwal AK, et al. High prevalence of subclinical hypothyroidism during first trimester of pregnancy in North India. Indian J Endocrinol Metab 2013; 17: 281-284. DOI: https://doi.org/10.4103/2230-8210.109712 PMid:23776903 PMCid:PMC3683205

Pillai NS, Bennet J. Prevalence of hypothyroidism amongst pregnant women: a study done in rural set up. Int J Reprod Contracept Obstet Gynecol 2018; 7: 1586. DOI: https://doi.org/10.18203/2320-1770.ijrcog20181360

Singh KP, Singh HA, Kamei H, Devi LM. Prevalence of Hypothyroidism among Pregnant Women in the Sub Mountain State of Manipur. Int J Sci Stud 2015;5(5):143-146.

Mandal P, Mandal J. Pregnancy outcome study between Pradhan Mantri Surakshit Matriva Abhiyan service utilization group and Pradhan Mantri Surakshit Matriva Abhiyan service non-utilization group: a comparative study. Int J Reprod Contracept Obstet Gynecol 2021;10:2651-5. DOI: https://doi.org/10.18203/2320-1770.ijrcog20212645