Risk approach to intrapartum care

Today obstetric practice has been totally revolutionised the advances in technology and their wide spread clinical application to the antenatal care has led to a drastic decrease in maternal and perinatal mortality and morbidity in the western world. But inspite of all the new proceclures at the disposal of an obstetrician undesirable complications stili occur and more so in the developing countries. Almost 10% of such events can be diagnosed and predicted and 48% of these are avoidable. To reduce the undesirable events a risk approach to pregnancy during the antenatal period and during the intrapartum period is recommended. We at our tertiary obstetric çare centre in Agra have evaluated the Risk approach in 1000 obstetric cases and have compared our figures with the primary health care delivery system in İndia. The results have shown a maternal mortality of 1 in 1000, perinatal mortality of 10 in 1000 and a morbidity rate of 5 per 1000 as compared to our national figüre of maternal mortality of 10/1000, 110/1000 perinatal deaths and a morbidity of 150/1000. Today a Risk approach to ali antenatal and intrapartum cases in strangly advisable.