Table 4.
Comprehensive antenatal risk assessment score card
| 1. Current Pregnancy Risk Factors | Score | 2. Antenatal Care Factors | Score | 4. Social Factors | Score | |||
|---|---|---|---|---|---|---|---|---|
| 1 | Primigravida | 1 | 27 | Does not have MCP card | 2 | 50 | Single mother | 1 |
| 2 | Unwanted pregnancy | 1 | 28 | Registration of pregnancy >12 weeks | 1 | 51 | Teenage marriage | 1 |
| 3 | Unplanned pregnancy | 1 | 29 | No pre-conceptional folic acid taken | 1 | 52 | Consanguineous marriage | 1 |
| 4 | Teenage pregnancy(<19years) | 1 | 30 | < 4 ANCs in pregnancy | 2 | 53 | Domestic violence | 1 |
| 5 | Maternal age (>35 years) | 1 | 31 | < 100 IFAs consumed in pregnancy | 1 | 54 | Alcohol consumption by husband | 1 |
| 6 | Grand multipara | 1 | 32 | < 2 doses / No booster of TT injection | 1 | 55 | No personal income | 1 |
| 7 | Conceived by assisted reproduction | 1 | 33 | Routine blood investigations not done | 1 | 56 | Occupation with standing labor | 2 |
| 8 | Maternal anaemia (<11 g%) | 2 | 34 | Obstetric ultrasound not done | 1 | 57 | Working >32 weeks gestation | 2 |
| 9 | Gestational diabetes | 1 | 58 | Low socio-economic status | 2 | |||
| 10 | Hypertensive disorders | 4 | 3. Previous obstetric History | 59 | Family has debts | 1 | ||
| 11 | Antepartum haemorrhage | 1 | 35 | Last childbirth less than 3 years ago | 1 | 60 | Unemployed partner | 1 |
| 12 | Hypo/hyperthyroid | 1 | 36 | Recurrent miscarriages (≥2) | 1 | 61 | Illiterate or no formal education | 1 |
| 13 | STI/RTI | 1 | 37 | Previous child with congenital anomaly | 1 | 62 | Semi pucca or kuchcha housing | 1 |
| 14 | Any TORCH infection | 1 | 38 | History of preterm birth (<37 weeks) | 1 | 63 | Overcrowding | 1 |
| 15 | Heart disease in pregnancy | 1 | 39 | History of birth asphyxia | 1 | 64 | Lack of separate kitchen | 1 |
| 16 | TB in pregnancy | 1 | 40 | History of low birth weight babies | 1 | 65 | Lack of sanitary latrine | 1 |
| 17 | Current psychiatric illness | 1 | 41 | History of stillbirths/intrauterine death | 1 | 66 | Lack of safe drinking water | 1 |
| 18 | Self-medication in 1st trimester | 1 | 42 | History of instrumental delivery | 1 | |||
| 19 | Short stature (<140 cm) | 1 | 43 | History of Caesarean section | 1 | 5. Lifestyle Factors | ||
| 20 | Weight gain of >500g /week | 1 | 44 | History of gestational diabetes | 1 | 67 | Chewing tobacco during pregnancy | 2 |
| 21 | Mal presentation of the foetus | 1 | 45 | History of PIH/(pre)eclampsia/ HELLP | 1 | 68 | Smoking during pregnancy | 1 |
| 22 | Multiple gestation | 1 | 46 | History of Antepartum haemorrhage | 1 | 69 | Passive smoking in pregnancy | 1 |
| 23 | Small for gestational age by scan | 4 | 47 | History of MRP/PPH | 1 | 70 | Alcohol consumption during pregnancy | 1 |
| 24 | Structural abnormalities seen in scan | 1 | 48 | Rh incompatibility | 1 | 71 | Sleep for <8 hours a day | 1 |
| 25 | Organ abnormality detected by scan | 1 | 49 | History of puerperal sepsis | 1 | 72 | BMI <18 kg/m2 (at first visit) | 1 |
| 26 | Polyhydramnios/Oligohydramnios | 1 | 73 | BMI >30 kg/m2 (at first visit) | 1 | |||
| TOTAL ANTENATAL RISK ASSESSMENT SCORE = (Score of 4 or higher indicates High Risk Pregnancy) |
74 | Multiple sexual partners | 1 | |||||