ASSESSMENT OF PRESCRIPTION PATTERN IN HIGH-RISK PREGNANCY AT A TERTIARY CARE HOSPITAL
DOI:
https://doi.org/10.22159/ijcpr.2024v16i1.4018Keywords:
High-risk pregnancy, Prescribing indicators, Eclampsia, Oligohydramnios, LSCSAbstract
Objective: Pregnancy is a special physiological condition where drug treatment presents a special concern. The aim of the study is to evaluate the pattern of drug use and WHO prescribing indicators in high-risk pregnancies.
Methods: A prospective observational study was carried out for a period of six months. A self-designed data collection form was used to collect the data from the prescriptions. The collected data was entered and analyzed using Microsoft Excel.
Results: A total of 200 patients were included in this study. Preeclampsia (45, 22.5%) was the most frequently recorded complication, followed by eclampsia (43, 21.5%), anemia (34, 17%), and PIH (32, 16%). Antimicrobial agents (435, 32.5%) were the most frequently prescribed class of drug, followed by hematinics (194, 14.4%). A total of 1,338 drugs were prescribed in 200 patients. The average number of drugs per prescription was 6.69, the percentage of drugs prescribed by generic name was 88.04%, the percentage of drugs prescribed from EDL was 83.10%, the percentage of prescriptions with an antibiotic prescribed was 88%, and the percentage of prescriptions with an injection prescribed was 76%.
Conclusion: During pregnancy, as we see, every complication need treatment and different class of drugs in, which some drugs may cause serious side effect to both mother and fetus. The prescription pattern was suboptimal when compared to the WHO core prescribing indicators' suggested values. Studying drug prescribing patterns in high-risk pregnancies can help improve practices, leading to safer and more effective medication use and, ultimately better health outcomes for both mothers and fetuses.
Downloads
References
Pawar L, MV, Chavan S, MV. A study of prescribing patterns in high-risk pregnancy at a tertiary care hospital. Natl J Physiol Pharm Pharmacol. 2022;12(3):375-80. doi: 10.5455/njppp.2022.12.02073202213022022.
Pradeep MK, Gnanadeep NV, Umesh RD, Pushpa SP. Prevalence of high-risk pregnancy in rural Dharwad. IOSR JDMS. 2015;10:29-32.
Agarwal M, Nayeem M, Safhi MM, A Makeen H, Sumaily J, Gupta N. Prescribing pattern of drugs in the department of obstetrics and gynecology in expecting mothers in Jazan region, KSA. Int J Pharm Pharm Sci. 2014;6(1):658-61.
Makiabadi F, RRR, AKJ. Prescribing pattern of drugs in department of obstetrics and gynecology at a Tertiary Care Teaching Hospital. India: Bangalore. PJMHS. 2021 May 30;15(5):1265-9.
Tigabu B, Negasa M. Drug prescribing pattern among pregnant mothers attending obstetrics and gynecology department in Hiwot Fana Specialized Teaching Hospital, Ethiopia. Arch Pharma Pract. 2014;5(2):78-83. doi: 10.4103/2045-080X.132658.
Patel S, Patel K, Patel H, Gajjar U, Deshpande S, Mathuria A. Evaluation of usage of drugs in pregnancy at private hospitals. IJOPP. 2021 Nov 9;14(4):259-67. doi: 10.5530/ijopp.14.4.53.
Jayasheela M, Chandrakala MP, Krishnaveni T, Tekulapally K. Drug utilization pattern in pregnant women in a tertiary care hospital, Hyderabad, Telangana. J Chem Pharm Res. 2015;7(7):184-8.
Patel KP, Joshi HM, Patel VJ. A study of morbidity and drug utilization pattern in indoor patients of high-risk pregnancy at tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2013;2:372-8. doi: 10.5455/2320-1770.ijrcog20130922.
Sharma R, Kapoor B, Verma U. Drug utilization pattern during pregnancy in North India. Indian J Med Sci. 2006;60(7):277-87. doi: 10.4103/0019-5359.26602, PMID 16864912.
Thomas JE, Paul EP, Geethu C, Pullan CS, Sivakumar T. Assessment of drug use pattern and WHO prescribing indicators in the department of obstetrics and gynaecology prospectively. Human. 2016;6:378-85.
Published
How to Cite
Issue
Section
Copyright (c) 2024 VINEEL B. J., SURAJ KUMAR SINGH J., MOHAMMED ZAKIR
This work is licensed under a Creative Commons Attribution 4.0 International License.
