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  3. 2.Frequency of Risk Factors of Severe Obstetric Morbidity
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2.Frequency of Risk Factors of Severe Obstetric Morbidity

Erum Nawaz, Gulfishan Haq, Farah Deeba, Namia Nazir, Anush Rais and
Sanam Chachar

ABSTRACT

Objective: To study the frequency and factors responsible for Severe Obstetric Morbidity (SOM) presenting at Civil Hospital, Karachi.

Study Design: Descriptive Cross-Sectional Study.

Place and Duration of Study: This study was conducted at the Department of Obstetrics & Gynecology (Unit III)-Civil Hospital, Karachi from September 16, 2021to March 15, 2022.

Materials and Methods: All patients who fulfilled the inclusion criteria and visited to Civil Hospital, Karachi were included in the study. Informed consent was taken after explaining the procedure, risks, and benefits of the study. All risk factors of SOM (severe pre-eclampsia, eclampsia, HELLP syndrome, severe hemorrhage, and severe sepsis) were assessed by a questionnaire filled by patients used to record basic bio data, sociodemographic details, disease particulars and inferences obtained from clinical evaluation and ultra-sonography findings. Study data was entered in pre-designed proforma.

Results: Mean ± SD of age was 27.76±5.091 years. Severe obstetric morbidity was found in 153 (70.5%) patients among them pre-eclampsia was noted in 81 (37.3%) patients, eclampsia in 102 (47.0%), HELLP syndrome in 64 (29.5%), severe hemorrhage 30 (13.8%) while severe sepsis was noted in 85 (39.2%) patients.

Conclusion: It is to be concluded that study demonstrate high proportion of severe obstetric morbidity and eclampsia was noted as most common responsible of SOM followed by severe sepsis and pre-eclampsia. Further large-scale work is recommended for validation of current findings.

Key Words: Severe maternal morbidity, hemorrhage, intensive Care, obstetric

Citation of article: Nawaz E, Haq G, Deeba F, Nazir N, Rais A, Chachar S. Frequency of Risk Factors of Severe Obstetric Morbidity. Med Forum 2023;34(1):8-11.