American Journal of Public Health Research
ISSN (Print): 2327-669X ISSN (Online): 2327-6703 Website: http://www.sciepub.com/journal/ajphr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Public Health Research. 2015, 3(4A), 35-40
DOI: 10.12691/ajphr-3-4A-7
Open AccessResearch Article

Neonatal Outcome of Expectant Mothers at Risk: A Community Level Study in Nepal

Asis De1, , Abhijit De2, Ninel Aruni Wijesekera3, Bikas Pandey4, Brijesh Sathian1, Rebecca Finnegan5 and K. Seshagiri Rao4

1Manipal College of Medical Sciences, Pokhara 33701, Nepal

2Park Clinic, Kolkata 700017, India

3Medical Officer, Auckland, New Zealand

4Manipal Teaching Hospital, Pokhara, 3370, Nepal

5Mater Misericordiae University Hospital, Dublin, Ireland

Pub. Date: June 16, 2015
(This article belongs to the Special Issue Maternal and Child Health)

Cite this paper:
Asis De, Abhijit De, Ninel Aruni Wijesekera, Bikas Pandey, Brijesh Sathian, Rebecca Finnegan and K. Seshagiri Rao. Neonatal Outcome of Expectant Mothers at Risk: A Community Level Study in Nepal. American Journal of Public Health Research. 2015; 3(4A):35-40. doi: 10.12691/ajphr-3-4A-7

Abstract

Neonatal mortality is still high in Nepal with U5MR 54 and IMR 46 per 1000 live births. 1 out of 22 Nepali child dies before age 1 year and 1 in 19 dies before he or she turns 5 years. In a low resource country like Nepal if expectant mothers are screened for risk factors and extra care given within existing resources for those who need more, there will be an impact on their risk status and on the outcome of pregnancy. In this study 187 expectant mothers were grouped into low and high risk categories using simple scoring system and their neonatal outcome was observed. Neonatal Death and Low Birth Weight (LBW) were undesirable outcome. At risk mothers can be identified with a simple risk scoring system at community level and timely intervention has definite impact on neonatal outcome.

Keywords:
at risk expectant mother neonatal outcome Nepal

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Nepal Demographic and Health Survey 2006: Population Division, Ministry of Health and Population, Govt. of Nepal & New Era, Kathmandu; 2006.
 
[2]  Nepal Millennium Development Goals Progress Report 2013: Govt. of Nepal and UN Country Team Nepal; 2013; 46-53.
 
[3]  Annual Report Department of Health Services 2012-13; Govt. of Nepal, Ministry of Health; Kathmandu. 2014.
 
[4]  Annual Report 2012-2013; UN Women-New York, 2014.
 
[5]  I. C. M. R. Bulletin: Risk approach to antenatal and intrapartum care, 1985; 15 (1).
 
[6]  WHO: Towards a better future maternal and child health. 1980.
 
[7]  WHO: Inter regional seminar on the organization of maternal and child health services at the grass roots level. MCH/CP/82/1 7. WHO Public Health papers :The risk approach in health care with special reference to maternal and child health including family planning WHO Public Health papers 1984; No 76.
 
[8]  Shea P. Prenatal high risk scoring how family doctors use it; Can. Fam. Physician 1978; Vol. 24.
 
[9]  Greenwood A Met al. A prospective survey of outcome of pregnancy in a rural area of the Gambia; Bulletin of the World Health Organization. 1987; 65 (5); 635-643.
 
[10]  .Nesbitt RE, Aubry RH. High-risk Obstetrics II Value of semi objective grading system in identifying the vulnerable group. American J. Obstet. Gynec. 1969; 103 (7); 972-985.
 
[11]  Coopland AT, Pebble LJ, Baskett TF, Rollwagen R, Simpson A, Parker E. A simplified ante partum high-risk pregnancy scoring form: statistical analysis of 5459 cases. Can Med Assoc. J. 1977; 116 (9): 999-1001.
 
[12]  Hobel C J, Hyvarinen MA, Okade DM et al. Prenatal and intrapartum high risk screening prediction of the high risk neonate American Journal of Obstetrics and Gynaecology, 1973; 117 (1): 1-9.
 
[13]  Morrison I, CarterL. A simplified intrapartum numerical scoring system. The prediction of high risk in labour American Journal of obstetrics and Gynaecology. 1980; 138 (2): 175-180.
 
[14]  Tei A, Oiyama H, Okawa S, Saito M. Clinical application of Hobel's high-risk pregnancy scoring system. Bull Tokyo Med Dent Univ. 1989; 35 (4): 81-88.
 
[15]  Bottomley C, Van Belle V, Kirk E, Van Huffel S, Timmerman D, Bourne T. Accurate prediction of pregnancy viability by means of a simple scoring system. Hum Reprod. 2013; 28 (1): 68-76.
 
[16]  Kuru A, Sogukpinar N, Akman L, Kazandi M. The determination of high-risk pregnancy: the use of antenatal scoring system. ClinExpObstet Gynecol. 2013; 40 (3): 381-383.
 
[17]  Koong D, Evans S, Mayes C, McDonald S, Newnham J. A scoring system for the prediction of successful delivery in low-risk birthing units. Obstet Gynecol. 1997; 89 (5 Pt 1): 654-659.
 
[18]  Sharma PR. A hand Book of Paediatric Problems; 4th Ed, Health Learning materials Centre (A WHO Collaborating Centre); Institute of Medicine, Tribhuvan University, Kathmandu. 1998; 252-253.
 
[19]  FirdiMMA, ManglaA. High Risk Factors anticipating requirement of Resuscitation in Recent Advances in Paediatrics-16; Editor Suraj Gupta; Jaypee Brothers Medical Publishers (P) Ltd. 1st Ed, 2006; 323-324.
 
[20]  NesblttRELJr, Aubry RH, Edward M et al. Corrected hormone excretion patterns and cytohormone variations in normal and complicated pregnancies. American Journal of Obstetrics and Gynaecalogy. 1965; 93: 702-704.
 
[21]  AubryR,NesbittR. High risk obstetrics. Perinatal Outcome in relation to broadened approach to obstetric care for patients at special risk; American Journal of Obstetrics and Gynaecology, 1969; 105 (2); 241-247.
 
[22]  Goodwin JW, Dunne JT, Thomas BW. Antepartum Identification of the fetus at risk. Quoted in Canadian Medical Association. 1989; 109: 458.
 
[23]  Sternbera ZK. Identification and Quantification high risk factors affecting faetus and new born. Paper presented at the consultation on Identification or assessment of high risk for Development of Intervention Strategies in Maternal and Child care including Family Planning, Geneva, 1974; 10: 2-11.
 
[24]  Grella P, Fede T. Pregnancy and Obstetrical risk in the second obstetrical and gynecological clinic of the University of Padua. Quoted in Annotated Bibliography WHOI MCH/RA/81.1981; Sr No 100.
 
[25]  Manuel J, Septien G. Studyand evaluation of the materno¬≠fetal risk before labour. Quoted in Annotated Bibliography WHO/MCH/RA/81.1981; Sr No 108.
 
[26]  Mercier G, Desjardins P. Evaluation of risk during regnancy. Quoted in Annotated Bibliography WHOIMCH/RA/81. 1981; Sr. No 109.
 
[27]  WiIsonE, SiII H. Identification of High-Risk Pregnancy by a Scoring System. New Zealand Medical Journal. 1973; 78 (503): 437-440.
 
[28]  Haeri AD. A scoring system for identifying pregnant patients with a high risk of perinatalmortality. The Journal of Obstetric and Gynaecology of the British Common Wealth. 1974; 81 (7): 535-538.
 
[29]  Sokol R et al. Clinical Application of High Risk Scoring on Obstetric Service. American Journal of Obstetric and Gynaecology. 1977; 128 (6): 652-661.
 
[30]  Sokol R etal. Maternal FoetalRisk Assessment: Clinical Guide to monitoring; Clinical Obstetrics and Gynaecology. 1979; 22 (3); 547-560.
 
[31]  Edward EL, Barrada I, Tatreau R et al. A simplified ante partum risk scoring system. Obstetric Gynaecology. 1979; 54 (2): 237-240.
 
[32]  Morrison I, Oslan J. Perinatal Mortality and Ante partum Risk Scoring. Obstetrics and Gynaecology. 1979; 53 (3): 362-366.
 
[33]  WHO. Offset PublicationNo. 39. Risk Approach for Maternal and ChiId Health Care. offset publication 1978; No 3.
 
[34]  Stepp E. Manual of High Risk Pregnancy and Delivery; Gilbert. 4th Ed. MOSBY; Elsevier, 2007.
 
[35]  Fernando Arias. Practical Guide to High Risk Pregnacy and Delivery; 2nd Ed. MOSBY Year Book, 1993: 413-429.
 
[36]  Guha DK. Neonatology Principles and Practice; 1st Ed; Jaypee Brothers Medical Publishers (P) Ltd. 1995; 129-146.
 
[37]  Mavalankar DV, Trivedi CR, Gray RH. Levels and risk factors for perinatal mortality in Ahmedabad; Bull. World Health Organization. 1991; 69 (4): 435-42.
 
[38]  Majoko F, Nystr√∂m L, Munjanja S, Lindmark G. Usefulness of risk scoring at booking for antenatal care in predicting adverse pregnancy outcome in a rural African setting. J Obstet Gynaecol. 2002; 22 (6): 604-609.