ABSTRACT
Background: High-risk pregnancies are associated with increased maternal and fetal morbidity and mortality. Understanding the perinatal outcomes of high-risk pregnancies is crucial for improving maternal and neonatal care. This study aims to investigate the perinatal outcomes of high-risk pregnancies within the context of a tertiary care hospital.
Aim: The primary aim of this study is to assess the perinatal outcomes of high-risk pregnancies, including preterm births, low birth weight, neonatal complications, and maternal outcomes, in a tertiary care hospital. We aim to identify risk factors associated with adverse outcomes and to evaluate the effectiveness of interventions provided at the hospital.
Methods: A retrospective cohort study conducted at Avicenna medical college from November 2022 to November 2023, which included 110 pregnant women that were identified as high-risk. Data collected from medical records and analyzed to determine perinatal outcomes. Descriptive statistics and logistic regression  employed to assess associations between risk factors and adverse perinatal outcomes.
Results: The study found that high-risk pregnancies in the tertiary care hospital were associated with a higher incidence of preterm births, low birth weight infants, and neonatal complications compared to low- risk pregnancies. Maternal complications such as gestational diabetes and hypertensive disorders were also more prevalent. Risk factors such as maternal age, multiple pregnancies, and medical conditions played a significant role in adverse outcomes. The hospital’s interventions, including specialized monitoring and multidisciplinary care, showed a positive impact on perinatal outcomes.
Conclusion: High-risk pregnancies in a tertiary care hospital setting are associated with an increased risk of adverse perinatal outcomes and maternal complications. Identifying and managing risk factors is crucial in improving outcomes for both mothers and infants. The multidisciplinary approach and specialized care provided by the hospital demonstrate the importance of a comprehensive healthcare system for high-risk pregnancies. These findings highlight the need for targeted interventions and continued research to enhance perinatal care and reduce adverse outcomes in high-risk pregnancies.
Keywords: high-risk pregnancies, perinatal outcomes, tertiary care hospital, preterm birth, low birth weight, neonatal complications, maternal complications, risk factors, specialized care, multidisciplinary approach.