Obstetric Morbidity Pattern in a Tertiary Care Centre in South Karnataka

Author(s): Poornima Maravanthe1 , Abirami Gobinathan2

BACKGROUND India is on track to achieve SDG target of MMR below 70 by 2030. To reach the target, maternal morbidity has to be identified on time and treated effectively. We wanted to determine the pattern of obstetric morbidity in a tertiary care hospital. METHODS A prospective study was conducted in 400 inpatients, in OBG department in a tertiary care hospital. Data regarding demographic details, presenting complaints, gestational age, obstetric history, diagnosis, investigations were collected. Statistical analysis was done and obstetric morbidity pattern determined. RESULTS Of the 400 patients included in our study, majority (41.5%) was between 20 to 25 years, with 84.3% being more than 36 weeks. There were 243 booked cases and 157 emergency cases, with majority being primigravidas (47.52%). 50.96% of obstetric morbidity was contributed by preeclampsia, 3.46% by imminent eclampsia, 4.8% by antepartum eclampsia, 9.62% by antepartum haemorrhage, 10.58% by postpartum haemorrhage, 1.92% by puerperal sepsis, another 1.92% by diabetic ketoacidosis, 3.85% by HELLP syndrome, 1.92% by postpartum eclampsia and 0.96% by DIC. CONCLUSIONS Our study concluded that major cause of obstetric morbidity was hypertensive disorders of pregnancy followed by obstetric haemorrhage.