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Objective <p>To describe the clinical profile, risk factor stratification and outcomes of 102,683 successive births at a perinatal tertiary referral network in India.</p> Design <p>Cross-sectional hospital-based study.</p> Setting <p>Tertiary Perinatal Referral Center Network in India.</p> Sample <p>102,683 Births.</p> Methods <p>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.</p> Main Outcome Measures <p>Mode of Birth, Postpartum Haemorrhage, Maternal Deaths, Live Birth Rate, Pre-Term Births, Small for Gestational Age.</p> Results <p>Overall, 102,683 babies were birthed during the study period. The mean age of the women was 28.3 ± 4.17&#xa0;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.&#xa0;(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%).</p> Conclusion <p>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.</p>

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Clinical Profile, Risk Factor Stratification and Outcomes of the Fernandez Birth Cohort from India: A Decade of Experience

  • 期刊论文

  • 发表日期：

    2025年7月26日

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  • Pallavi Chandra Ravula,
  • Nuzhat Aziz,
  • Tarakeswari Surapaneni,
  • Geeta Kolar,
  • Suseela Vavilala,
  • Evita Fernandez

摘要

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.