Obstetric and Neonatal Outcomes of Pregnant Indian Pilgrims: A three-year experience at the Indian Hajj Medical Mission[1]
Summary
Prospective cross-sectional study of 114 pregnant Indian pilgrims screened at Indian Hajj Medical Mission secondary-care hospitals across the 2015-2017 Hajj seasons (definitive obstetric care at Makkah Maternity & Child Hospital). Commonest antenatal complications: respiratory tract infections (51.75%), iron-deficiency anaemia (17.54%), hyperemesis gravidarum (14.04%), hypothyroidism (9.65%), gestational diabetes (5.26%). Outcomes: 20 vaginal deliveries (17.54%), 2 caesareans (1.75%), and 32 ABORTIONS (28.07%); cumulative three-year birth rate 24.60 per 1,000 females. Concludes pregnant pilgrims face high risk of abortion, RTIs, and antenatal/perinatal/neonatal complications that may go unreported or untreated, and should be educated about adverse fetomaternal risk before undertaking Hajj.
So what
The library's first and, in this sweep, only genuine event-obstetrics entry — the pregnant attendee is a real dependent-population subgroup that generic MG planning ignores. The striking number is a 28% abortion rate in the cohort, set against guidelines that already discourage pregnant participation; the respiratory-infection dominance ties the obstetric risk to the same crowding/pandemic axis as the surveillance shelf. For MGMI it seeds the dependent-populations scope proposal (with the geriatric-pilgrim and pediatric pages) and gives the pilgrimage pages a pre-travel-counseling line with evidence behind it. Free PMC full text.
Key findings
- 114 pregnant Indian Hajj pilgrims, 2015-2017 seasons; IHMM hospitals
- Antenatal complications led by respiratory tract infections (51.75%)
- 28.07% abortion rate; 17.54% vaginal deliveries, 1.75% caesarean
- Anaemia 17.5%, hyperemesis 14%, hypothyroidism 9.7%, GDM 5.3%
- First event-obstetrics entry; supports pre-travel counseling + dependent-populations scope
Read the paper
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