E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study

Kiran Bala, Bhavna Sahni, Deepika Dewan, Tejinder Kumar, Rimpi Sangral.

Abstract
Background: In the backdrop of continuing high child and maternal mortality, eight millennium development goals (MDGs) were spelt out by United Nations in 1990 setting targets for reduction in child mortality (MDG-4) by two-thirds and reduction in maternal mortality ratio (MDG-5) by three-quarter by 2015. Knowledge about the biosocial determinants, place of delivery and presence of complications in the present and past pregnancy are important factors to predict pregnancy outcome.

Objectives: To study the epidemiological determinants of pregnancy outcome in the urban slums of Jammu city.

Materials and Methods: A prospective study for 1 year was conducted on pregnant women living in urban slums. Expectant mothers who were registered with Anganwadis in slums and were in their third trimester (>28 weeks of gestation) were enrolled and followed until 7 days after delivery. After collecting preliminary sociodemographic information, each woman was evaluated employing Indian council of medical research antenatal risk scoring system and presence or absence of selected epidemiologic determinants.

Results: Results revealed multifactorial determinants of pregnancy outcome. Among them, individual factors were literacy status and occupation of pregnant women. Health system determinants of pregnancy outcome were delivery by an untrained birth attendant, home delivery, and obstetric complications in the current pregnancy and unfavorable pregnancy outcomes in previous pregnancies.

Conclusion: Our study reiterates the need of combining scoring variables which conventionally include clinical parameters, with epidemiologic determinants to predict the pregnancy outcome so that high-risk pregnancies can be detected and managed accordingly.

Key words: Urban Slums; Indian Council of Medical Research Antenatal Scoring; Prospective Study; Neonatal Morbidity; Neonatal Mortality


 
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Pubmed Style

Bala K, Sahni B, Dewan D, Kumar T, Sangral R. Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study. Int J Med Sci Public Health. 2018; 7(1): 23-28. doi:10.5455/ijmsph.2018.0824313112017


Web Style

Bala K, Sahni B, Dewan D, Kumar T, Sangral R. Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study. http://www.ijmsph.com/?mno=275915 [Access: July 18, 2018]. doi:10.5455/ijmsph.2018.0824313112017


AMA (American Medical Association) Style

Bala K, Sahni B, Dewan D, Kumar T, Sangral R. Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study. Int J Med Sci Public Health. 2018; 7(1): 23-28. doi:10.5455/ijmsph.2018.0824313112017



Vancouver/ICMJE Style

Bala K, Sahni B, Dewan D, Kumar T, Sangral R. Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study. Int J Med Sci Public Health. (2018), [cited July 18, 2018]; 7(1): 23-28. doi:10.5455/ijmsph.2018.0824313112017



Harvard Style

Bala, K., Sahni, B., Dewan, D., Kumar, T. & Sangral, R. (2018) Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study. Int J Med Sci Public Health, 7 (1), 23-28. doi:10.5455/ijmsph.2018.0824313112017



Turabian Style

Bala, Kiran, Bhavna Sahni, Deepika Dewan, Tejinder Kumar, and Rimpi Sangral. 2018. Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study. International Journal of Medical Science and Public Health, 7 (1), 23-28. doi:10.5455/ijmsph.2018.0824313112017



Chicago Style

Bala, Kiran, Bhavna Sahni, Deepika Dewan, Tejinder Kumar, and Rimpi Sangral. "Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study." International Journal of Medical Science and Public Health 7 (2018), 23-28. doi:10.5455/ijmsph.2018.0824313112017



MLA (The Modern Language Association) Style

Bala, Kiran, Bhavna Sahni, Deepika Dewan, Tejinder Kumar, and Rimpi Sangral. "Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study." International Journal of Medical Science and Public Health 7.1 (2018), 23-28. Print. doi:10.5455/ijmsph.2018.0824313112017



APA (American Psychological Association) Style

Bala, K., Sahni, B., Dewan, D., Kumar, T. & Sangral, R. (2018) Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study. International Journal of Medical Science and Public Health, 7 (1), 23-28. doi:10.5455/ijmsph.2018.0824313112017





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