ArticleJournal of obstetrics and gynaecology of India2025
Clinical Profile, Risk Factor Stratification and Outcomes of the Fernandez Birth Cohort from India: A Decade of Experience.
Article in Journal of obstetrics and gynaecology of India, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To describe the clinical profile, risk factor stratification and outcomes of 102,683 successive births at a perinatal tertiary referral network in India. Design: Cross-sectional hospital-based study. Setting: Tertiary Perinatal Referral Center Network in India. Sample: 102,683 Births. Methods: This cross-sectional hospital-based study included 102,683 babies birthed by 99,467 women between Jan 2013 and Dec 2023 (11-year period). Women who birthed singletons, twins, triplets or quadruplets were included as cases. The data was collected using an electronic medical record system. Main Outcome Measures: Mode of Birth, Postpartum Haemorrhage, Maternal Deaths, Live Birth Rate, Pre-Term Births, Small for Gestational Age. Results: Overall, 102,683 babies were birthed during the study period. The mean age of the women was 28.3 ± 4.17 years. About half of them (46.6%) were presented during the first trimester. Most of the women had a spontaneous conception (89.14%). One third of the women at presentation were categorized as high risk (34.95%) which increased significantly during pregnancy and birth (75.18%). The most associated co-morbidities were diabetes mellitus (26.4%), thyroid disorders (26.01%) and hypertension (13.27%). The mode of birth included lower segment caesarean Sect. (50%), spontaneous vaginal birth (39.68%) and assisted vaginal birth (9.88%). Post-partum hemorrhage was seen in 7,357 (7.16%) births and atonic (6.16%) was the commonest etiology. The outcomes analyzed were live birth rate (98.86%), pre-term birth rate (16.78%) and small for gestational age (10.84%). Conclusion: High risk pregnancy is a common occurrence in India. It is important to understand the risk factors and monitor the antenatal and postnatal care to ensure good outcomes for the mother and baby.
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