The Effectiveness Of Antenatal Risk Screening Service In The Four Referral Hospitals Of Addis Ababa

A prospective hospital based st~~~· ~·!=s de s i gnArl T:n.rnevaluate the effectiveness of ANC - risk sc~ a ening in thernfour referral hospitals of Addis Ababa.rnThe assessment of the effectiveness of the riskrnscreening was performed by employing ANC cardrndeveloped by the Family Health Department, MOH .rnA total of 758 mothers completed the study. 385rnwere high - risks and 373 were low risks.rnAmong the 385 high risk mother, 232 were parous andrn153 were nulliparous. Among the 385 high risk mothers;rnpregnancy related diseases 42%, malpresentation andrnmalposi tion 30 . 6% and age 18.7% and non - pregnancyrnrelated diseases 9.6% were the main risk factorsrnidentified. Fifty six percent were having only one typernof risk factor, 13.3% two and 30.4% three or more riskrnfactor.rn318 (42%) developed bad outcomes. Among these, 225rn( 71%) were identified as high risks during antenatalrnvisit.rnAmong the listed risk factors, current pregnancyrnrelated diseases (LR+6. 89, PVP 77.8%) , non-pregnancyrnrelated diseases (LR+ 5.53, PVP 73.5%), and malpositionrn(LR + 4.76, PVP 71 . 2%) were found to have betterrndiscriminator and predictive powers of bad outcomes bothrnin parous and nulliparous women.rnviirnH~~ight in nulliparous (LR + 3.20, pvp 70 . :

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