High Risk Pregnancy: A Retrospective Study
Keywords:Antenatal care, Pregnancy, Risk factors, Scoring system, Iraq, Basrah
The records of 408 pregnant women were reviewed to measure staff performance and work efficiency in four maternal and child health centers in Southern Iraq. Under-recording was evident as only 18% of the women were identifed as high risk by the health staff; whereas, the author identified two thirds of the pregnant women (66%) as high risk because of having one or more of the risk factors. The results of the study show the inability of staff to recognize the importance of risk identification and antenatal care continuity. No correlation was found between antenatal care and the place of delivery. The performance of some of the necessary screening tests was poor. Discussion will include further staff training and a new risk scoring system as a means to improve the efficiency of health workers and improve the effectiveness of the risk strategy in antenatal care in that setting.
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