Fetomaternal Outcome in Patients having Non-Communicable Diseases

Abstract

Objective   To find out the fetomaternal outcome in patients having non-communicable diseases.
Methodology: This observational study was conducted in Department of Obstetrics and Gynecology, Hayatabad Medical Complex, from January 2024 –June 2024. After informed written consent patients were selected through non-probability convenient sampling technique. Antenatal patients having period of gestation ≥28 weeks and having non-communicable diseases were included in the study. Patients were then followed for fetomaternal outcome including; mode of delivery, postpartum hemorrhage and maternal mortality, low APGAR score (<7), neonatal intensive care unit (NICU) admission, prematurity and intra uterine fetal death. SPSS vs. 23 was used to analyze the data.
Results: A total of 150 patients were included in the study. Incidence of non-communicable diseases was 7.07%. Majority of the patients were between 20- 40 years of age group with mean age 27.66 years and SD ± 5.59. Most of the patients (77.32%) were either multi or grand multigravida. Majority of the women were having period of gestation more than 37 weeks (74%). Hypertensive disorders (74.16%) were the most common non-communicable disease. Post-partum hemorrhage (11.3%)  was the most common maternal complication in patients having non- communicable diseases, while low APGAR score(10%)   and NICU (8.6%) admission were the most common neonatal complications.
Conclusion: Hypertensive disorders were the most common non-communicable disease during pregnancy. High cesarean section rate, prematurity and low APGAR score were the most common fetomaternal complications due to non-communicable diseases.