Perinatal outcome and social background of social high-risk pregnant women in our hospital

• Published in: Journal of Japan Society of Perinatal and Neonatal Medicine Vol. 60; no. 1; pp. 20 - 27
• Main Authors: Obata, Shintaro, Sanada, Michio, Yamanouchi, Miki, Hanawa, Shinsuke, Sato, Shiro, Unno, Yoichi, Nishikata, Noriko
• Format: Journal Article
• Language: Japanese
• Published: Japan Society of Perinatal and Neonatal Medicine 2024; 一般社団法人 日本周産期・新生児医学会
• Subjects: immigrant; pregnancy; social risk
• ISSN: 1348-964X; 2435-4996
• DOI: 10.34456/jjspnm.60.1_20

We investigated the perinatal outcome and social background of social high-risk pregnant women（SHW）who received treatment at our hospital. Among 3,193 deliveries that occurred at our hospital between 2017 and 2022, we included 602 specific pregnant women and 2,591 general pregnant women（GPW）. We evaluated social risk factors and perinatal outcome. The factors we considered included multiple factors（41.5%）, mental illness（22.3%）, foreign nationality（17.1%）, unmarried status（7.1%）, economic deprivation（2.5%）, lack of support（1.8%）, being widowed or not yet receiving medical care（2.0%）, being young（aged below 20）（1.7%）, livelihood protection（1%）, adoption（0.3%）, intellectual disability（0.2%）, Domestic Violence（0.2%）, and giving birth without visiting antenatal clinics（0.2%）. Perinatal outcome were not significantly different between the number of cases with umbilical Artery pH < 7.1 and Apgar score. The perinatal outcomes of SHW are comparable to those of GPW. However, addressing the needs of SHW necessitated multidisciplinary collaboration.