3. DEFINITION:
High risk pregnancy is defined as
one which complicated by factor
or factors that adversely affects
the pregnancy outcome.
4. The cases are assessed at the initial antenatal
examination. This examination may be
performed in a big institution or a
peripheral health centre. In few areas, the
initial screening may be done by properly
trained personnel.
11. RISK FACTORS SCORE
1. AGE LESS THAN 18 years
or more than 35 years
1
2. Maternal height less than
145cm
1
3. Primi or multi more than 5 1
4. Bad obstetrical history 2
5. History of neonatal
jaundice or Rh ABO
incompactibilty
2
12. 6. Weight less than 45 kg
or more than 90kg
1
7. History of low birth
weight
1
8. Previous uterine surgery 2
9. History of APH and PPH 2
10.History of manual
removal of placenta
2
13. 11. Anaemia (less than
6 gm%)
3
12. Febrile ailment in
pregnancy
1
13. Pregnancy
associated with
hypertension
2
14. Medical condition
with pregnancy
2
15. Bleeding P/V (APH,
Abortion)
2
16. Abnormal 2
14. 17. Maturity less than 37
weeks or more than 45
weeks
2
18. PROM 2
19. Fetal distress 2
20. Prolonged labor twenty
hours
2
21. Uterine size less than
period of gestation
2
22. Dai handling/ outside
interference
2 or 3
21. Definition
SCREENING OF HIGH RISK CASES
INITIAL SCREENING
COMPLICATIONS OF LABOUR
HIGH RISK SCORING OF PREGNANCIES
MANAGEMENT OF HIGH RISK CASES
MANAGEMENT OF LABOUR
