Intrapartum Fetal and Maternal Complications in Low - Risk Pregnancy: Experience of a Tertiary Hospital in Low - Income Countries

Mohamed Alkhatim Alsammani; Khalid Nasralla; Sumeya A. Kheiri; Zaheera Saadia; Mohamed Abdelgadir Shaaeldin; Ali Osman Ali

doi:10.3889/oamjms.2019.463

Authors

Mohamed Alkhatim Alsammani Department of Obstetrics and Gynecology, University of Bahri, Khartoum, Sudan; Obstetrics and Gynecology, College of Medicine, Qassim University, Buriadah, Saudi Arabia
Khalid Nasralla Obstetrics and Gynecology, College of Medicine, Qassim University, Buriadah, Saudi Arabia
Sumeya A. Kheiri Department of Obstetrics and Gynecology, University of Bahri, Khartoum, Sudan
Zaheera Saadia Obstetrics and Gynecology, College of Medicine, Qassim University, Buriadah, Saudi Arabia
Mohamed Abdelgadir Shaaeldin Obstetrics and Gynecology, College of Medicine, Qassim University, Buriadah, Saudi Arabia
Ali Osman Ali Department of Obstetrics and Gynecology, University of Alazhari, Khartoum, Sudan

DOI:

https://doi.org/10.3889/oamjms.2019.463

Keywords:

Low-risk pregnancy, Labor complications, Pregnancy outcomes

Abstract

AIM: To determine the frequencies of intrapartum fetal and maternal complications in women without the identified prenatal risk factor
METHODS: We conducted a prospective cross-sectional investigation from January to June 2017 at Khartoum North Maternity Hospital in women categorised pregnancies as low risk (no prenatal risk factors). We evaluated adverse intrapartum fetal and maternal outcomes.
RESULTS: Among 600 pregnancies, of these, 12.5% (n = 75) developed fetal or / and maternal complications. The Frequency of primary cesarean delivery, forceps, and ventose among low-risk pregnancies in this study were 16%, 3%, and 2% respectively. Other adverse pregnancy outcomes were PPH (5%), Blood transfusion (4.5%), admission to ICU (1.8%), while perineal tear, cesarean hysterectomy, and re-laparotomy have equal weight (0.3%). Among all births, the most common adverse fetal outcomes were birth asphyxia (3.8%), low birth weight (2%), admission to the neonatal intensive care unit (1.8%), and fresh stillborn babies (1.3%).
CONCLUSION: Of all low-risk pregnancies, 12.5% were reported to have serious obstetrics and neonatal complications. This information is essential for evaluating resources in delivery centres and hospitals and to provide equipment and further training of medical personnel to provide optimal quality care and patient safety.