Comparison of Delays and Its Impact among Women who Delivered Normally versus Those Women who Needed Admission to the Obstetrics ICU of a Tertiary Care Hospital in Gujarat, India : A Case Control Study
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Date
2025-05
Journal Title
Journal ISSN
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Publisher
Indian Medical Association
Abstract
Background : Outcome of pregnancy may not always favorable for both mother and baby. Early recognition and effective response related to these complications is a boon to contend the unpredictable results of pregnancy. So, the present study was conducted to assess the delays in birth preparedness and its impact on delivery outcomes. Materials and Methods : A hospital-based case control study was conducted in a Tertiary Care Hospital. Participants were selected from postpartum delivery ward and obstetric ICU of the hospital. For cases 179 women were selected who required to get admitted in obstetric ICU during pregnancy and delivered whereas 179 women who had normal childbirth in hospital were selected for control group. Then both the group were interviewed and compared the delay present among them and its impact on delivery outcome. Result : Around 131(73%) cases and 120(67%) controls were found to have delays present at any level. Delivery outcomes shows 15(11%) intrauterine fetal deaths among cases and only 2(1%) in control group. Conclusion : Adverse maternal outcomes were seen in delays during pregnancy suggesting that timely and proper management are more helpful to mitigate them. More attention is required on the aspect of birth preparedness and complication readiness to reduce maternal mortality and morbidity.
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Keywords
Birth preparedness, Delays, Pregnancy, Maternal mortality.
Citation
M V, P SV, S M, C LT, R R, C SJ, P JH. Comparison of Delays and Its Impact among Women who Delivered Normally versus Those Women who Needed Admission to the Obstetrics ICU of a Tertiary Care Hospital in Gujarat, India : A Case Control Study. Journal of The Indian Medical Association. 2025 May; 123(5): 17-21