Risk profile of pregnant women at community level in Western Region of Nepal

Adopting a risk care approach in a low resource country like Nepal is ideal in lowering maternal mortality and morbidity. Risk profile of pregnant women at community level can be obtained by present risk scoring system by the risk factors present in them. Timely intervention can reduce the risk and have an impact on reducing maternal mortality rate. 187 antenatal cases in Western Region of Nepal were screened with a scoring system and followed up by the outreach medical team of Manipal Teaching Hospital. Most of the cases were from upper lower class socioeconomic scale. With appropriate care conversion of high risk to low risk was 36(78.3%) While 136 (96.5%) low risk cases remained as such. The Relative Risk of unwanted outcome in high risk cases was 5.1, while Attributable Risk was 80.4 and Population Attributable Risk Proportion was 62.5.The study suggests that it is possible to identify at risk mothers with the present risk scoring system during prenatal period at community level. Imparting timely appropriate care with available resources can reduce maternal morbidity and mortality rate.