DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20163113

Maternal and perinatal outcome associated with pregnancy induced hypertension

Vasavi Kolluru, Ramya Y. Harika, Rajesh Kaul

Abstract


Background: Pregnancy Induced hypertension continues to be rampant globally and is associated with high perinatal and maternal mortality and morbidity.

Methods: All patients beyond 20 weeks of pregnancy with pregnancy induced hypertension admitted in Kamineni Institute of Medical Sciences during the one year study period were enrolled in the study. The objective of the study was to analyse the cases of gestational hypertension, pre-eclampsia and eclampsia and their maternal outcome in terms of mode of delivery and complications. Perinatal outcome in relation to birth weight, APGAR and complications was also studied. The mean and standard deviation for socio-demographic variables, risk factors and symptomatology variables were analysed.

Results: Total hypertensive cases accounted for 234 (7.9%) of the total deliveries; out of which gestational hypertension were 63 cases, preeclampsia 146 and eclampsia 25 cases, accounting for ( 2.1%), (4.9%) and (0.9%)  of all deliveries. Commonest maternal complication was HELLP syndrome 8 cases (3.4%) and there was no maternal mortality in our study. Total number of preterm deliveries were 74 (3.47%). Perinatal mortality was seen in 54 cases (23%).  IUGR was the commonest foetal complication 78 cases (33.4%).

Conclusions: Though the incidence of pre-eclampsia and eclampsia is on the decline, still it remains the major contributor to poor maternal and fetal outcome. Regular antenatal check-ups, early diagnosis, prompt multidisciplinary treatment, optimum timing of delivery reduces the incidence of complications and the maternal mortality. Early referral to and management of these cases at centers with advanced neonatal facilities will reduce the perinatal mortality.

Keywords


Gestational hypertension, Pre-eclampsia, Eclampsia

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References


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