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Abstract：
Background High-risk pregnancies are characterized by various factors that pose potential risks to maternal and newborn health outcomes. Early detection of these high-risk pregnancies serves as a crucial initial step in preventing maternal mortality and morbidity, thereby promoting the overall health of both mother and baby. This study sought to assess the occurrence of high-risk pregnancy and investigate the factors associated with it among pregnant women. Methods A descriptive survey was undertaken at the Obstetrics and Gynaecology outpatient department of a District Government Hospital in Tamil Nadu, involving 1889 pregnant women in their second and third trimesters. A structured questionnaire, constructed following the Indian standard criteria outlined by the National Health Portal of India, served as the data collection tool. The survey was conducted in February and March 2022, during which pregnant women were interviewed. Subsequently, the collected data underwent descriptive and inferential statistical analysis. Results Among the 1889 pregnant women surveyed, 29% (n=530) were classified as high-risk pregnancies. Within this group, 34.3% (n=182) were diagnosed with hypothyroidism, while 23.2% (n=123) experienced pregnancy-induced hypertension. Significant associations with high-risk pregnancy were observed for factors such as age, education status, occupation, family income, socioeconomic status, and gravida among the pregnant women. Conclusion Policymakers must urgently implement evidence-based interventions aimed at early detection and treatment of high-risk pregnancies. This proactive approach is essential in preventing maternal mortality and morbidity.
摘要：
背景技术高危妊娠的特征在于对孕产妇和新生儿健康结局构成潜在风险的各种因素。及早发现这些高危妊娠是预防孕产妇死亡率和发病率的关键第一步,从而促进母亲和婴儿的整体健康。这项研究旨在评估高危妊娠的发生，并调查孕妇中与之相关的因素。方法在泰米尔纳德邦地区政府医院妇产科门诊部进行描述性调查，涉及1889名孕妇在他们的第二和第三个三个月。结构化问卷，根据印度国家卫生门户网站概述的印度标准标准构建，作为数据收集工具。该调查于2022年2月和3月进行，在此期间对孕妇进行了采访。随后，对收集的数据进行描述性和推断性统计分析.结果在调查的1889名孕妇中,29%（n=530）被列为高危妊娠。在这个群体中,34.3％（n=182）被诊断为甲状腺功能减退症，而23.2%(n=123)的人经历了妊娠高血压。观察到与高危妊娠的显着关联，如年龄，教育状况,职业,家庭收入,社会经济地位,孕妇中还有Gravida.结论政策制定者必须紧急实施循证干预措施，旨在早期发现和治疗高危妊娠。这种积极的方法对于预防孕产妇死亡率和发病率至关重要。
