High-risk pregnancy: assessment of obstetric and perinatal outcomes in a reference maternity hospital in the Rio Caeté Region, Pará

Abstract

Objective: To evaluate the obstetric and perinatal outcomes of pregnant women classified as high risk in a Regional Reference maternity hospital. Methods: Epidemiological, cross-sectional, analytical study with a quantitative approach. Results: The study consisted of 121 parturients diagnosed with high-risk pregnancy at the time of hospital admission. The cesarean section rate was 82.6% among the patients studied. Among the patients studied, 38.8% were stable, 39.7% had pre-eclampsia, 5.8% had postpartum hemorrhage, 4.1% developed eclampsia, 1.7% had HELLP syndrome and 9.9% had hyperglycemia. Of these, 15 patients were admitted to the ICU and 2 evolved to maternal death due to eclampsia and postpartum hemorrhage. In perinatal outcomes, we identified that 91.8% were born alive, 8.2% in fetal death. 27.1% of live births were admitted to the ICU/CCU, of which 27.9% were premature, 25.5% had low birth weight, 12.3% suffered some type of asphyxia at birth, as they had Apgar below 7 in the 5th minute and 3.3% had neonatal death. Conclusion: In view of this finding, we emphasize the importance of advancing the organization of the health service, with gestational risk classification in all prenatal consultations, referral and counter-referral flow, with pregnant women linked to high-risk prenatal care points and safe and timely health transport, in addition to investing in inclusive public policies and reducing social inequalities, favoring improving the education and income of pregnant women and their families.