Characteristics of High-Risk Pregnancy in Sanglah General Hospital 2011-2014

Background: Pregnant women with a high-risk pregnancy are women with increased risk in pregnancy or childbirth. There is no readily available data available about the characteristics of the high-risk pregnancy in Bali. Objective: Our study aimed to provide a data, to be the base of Sanglah General Hospital resource planning to reduce maternal mortality and morbidity. Method: This was an observational study using medical records of high risk pregnancy patients at Sanglah General Hospital from 2011 to 2014. Result: Over the 4 year study period at Sanglah, there were 1027 high-risk deliveries in 2011, 1590 in 2012, 1590 in 2013, and 948 in 2014. In 4 years, there were 748 patients 35 years and older. The majority were in the age group of 26-30 year. There were 2932 multiparous. Overall, 3082 were multigravida and 197 were grandemultipara. There were 1406 preterm labours. By onset and mode of delivery, 2027 (41.50%) had a caesarean section, 9 (0.18%) breech deliveries. The neonatal outcome was 296 (6.29%) moderate asphyxia, 2189 (4.63%) severe asphyxia. The were 197 (3.82%) twin pregnancies and 5 (0.1%) cases of triplets. The largest group of obstetrics complications in Sanglah hospital was premature rupture of membrane (1652 cases or 30.99%). The most common medical disorder of pregnant women at our hospital was anemia (353 cases or 45.43%). The most prevalent congenital anomalies were multiple congenital abnormalities (18 infants or 20.22%). Conclusion: There was a high number of high-risk pregnancies delivered at Sanglah, which 46.85% of it being a high risk delivery. The characteristics of the high-risk pregnancies can be used to plan an appropriate care to reduce the maternal mortality rate.