Trial reportPloS one2020
High-risk pregnancies and their association with severe maternal morbidity in Nepal: A prospective cohort study.
Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- The effect of individual counseling based on the GATHER principles on perceived stress and empowerment of the mothers with high-risk pregnancies: an experimental study.BMC psychiatry · 2022Trial
- High-risk pregnancy prediction using Taguchi-optimized machine learning methods and TOPSIS-based model selection.Scientific reports · 2026Article
- Decomposition analysis and spatial change of age disparities in antenatal care utilisation among women with high-risk pregnancies in Nigeria.BMC pregnancy and childbirth · 2026Article
- Article
- Bridging Knowledge Gaps: Prenatal Education Acquisition and Its Determinants Among Expectant Mothers in Northwestern China.International journal of women's health · 2026Article
- Census block based loglinear regression analysis of health and social determinants of maternal mortality in Indonesia 2010-2021.Scientific reports · 2025Article
- Living in a Constant State of Fear: Phenomenological Study on Experiences of Women with High-Risk Pregnancy Waiting for Childbirth in Mpumalanga Province, South Africa.International journal of environmental research and public health · 2025Article
- The dyadic associations among self-efficacy, dyadic coping, and health-related quality of life between high-risk pregnant women and spouses: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Risk factors for small for gestational age as defined by a birthweight z-score below minus one: A prospective observational study.Medical research archives · 2024Article
- Prevalence and Risk Factors of Prenatal and Postnatal Depressive Symptoms in Babol Pregnancy Mental Health Registry: A Cross-Sectional Study.International journal of fertility & sterility · 2024Article
- Feasibility of continuous smart health monitoring in pregnant population: A mixed-method approach.PLOS digital health · 2024Article
- High Risk Pregnancy and its Outcome in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2024Article
- Article
- Article
- High-risk pregnancy in India: Prevalence and contributing risk factors - a national survey-based analysis.Journal of global health · 2023Article
- Phenotyping the autonomic nervous system in pregnancy using remote sensors: potential for complication prediction.Frontiers in physiology · 2023Article
- Social representations of pregnant women about high-risk pregnancy: repercussions for prenatal care.Revista da Escola de Enfermagem da U S P · 2023Article
- A Retrospective Assessment of Thrombophilia in Pregnant Women with First and Second Trimester Pregnancy Loss.International journal of environmental research and public health · 2022Observational
- Increment of Maternal Mortality Among Admissions for Childbirth in Low-risk Pregnant Women in Brazil: Effect of COVID-19 Pandemic?Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022Article
- Pregnancy outcome among high-risk pregnant women in the rural area of Belagavi.Journal of family medicine and primary care · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe early identification of pregnant women at risk of developing complications at birth is fundamental to antenatal care and an important strategy in preventing maternal death. This study aimed to determine the prevalence of high-risk pregnancies and explore the association between risk stratification and severe maternal morbidity.
methodsThis hospital-based prospective cohort study included 346 pregnant women between 28-32 gestational weeks who were followed up after childbirth at Koshi Hospital in Nepal. The Malaysian antenatal risk stratification approach, which applies four color codes, was used: red and yellow denote high-risk women, while green and white indicate low-risk women based on maternal past and present medical and obstetric risk factors. The World Health Organization criteria were used to identify women with severe maternal morbidity. Multivariate confirmatory logistic regression analysis was performed to adjust for possible confounders (age and mode of birth) and explore the association between risk stratification and severe maternal morbidity.
resultsThe prevalence of high-risk pregnancies was 14.4%. Based on the color-coded risk stratification, 7.5% of the women were categorized red, 6.9% yellow, 72.0% green, and 13.6% white. The women with high-risk pregnancies were 4.2 times more likely to develop severe maternal morbidity conditions during childbirth.
conclusionsAlthough smaller in percentage, the chances of severe maternal morbidity among high-risk pregnancies were higher than those of low-risk pregnancies. This risk scoring approach shows the potential to predict severe maternal morbidity if routine screening is implemented at antenatal care services. Notwithstanding, unpredictable severe maternal morbidity events also occur among low-risk pregnant women, thus all pregnant women require vigilance and quality obstetrics care but high-risk pregnant women require specialized care and referral.
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