Maternal And Neonatal Outcome Of Low Risk Pregnancies In Ampang, Selangor

Abstract

Risk stratifications for pregnant women are made based on patients personal history during booking visit at primary health care setup. Pregnant women that are classed as ‘low risk pregnancy’ were treated as normal pregnancy and follow a standard antenatal care. The aim of our study is to observe the demographics of low risk pregnant women in Klinik Kesihatan Ampang, Malaysia and their pregnancy outcomes. The study is part of a prospective cohort study conducted among 47 low risk pregnancies, known as ‘The effect of BPV in the maternal and neonatal outcome’. All participants were followed up until delivery and postpartum data gained from patients and clinic. The sample comprised of 28 primigravidas (59.5%) and 19 multigravidas (40.5%). At the end of the study, 3 subjects (6.4%) developed hypertension and one of them developed severe preeclampsia, 1 subject (2%) developed placenta previa and gestational diabetes mellitus and 3 subjects (6.38%) PPROM. Majority of them delivered via SVD and 36.2% delivered via EMLSCS. 10.6% delivered LBW baby, 8% are premature baby and 14.9% born with low Apgar score. Pregnant women that were classed as low risk pregnancy still at risk of getting obstetric complications as well as the neonates from normal pregnancies. This study contributed to an overview of pregnancy outcome among the low risk pregnant women in Ampang, Malaysia. The findings revealed that a low risk pregnancy does not ensure or predict a normal pregnancy outcome. Considering the various potential negative maternal and neonatal outcomes, this group of mothers should be given thorough medical and social attention as an effort to improve their pregnancy outcome.