Medical disorders in pregnancy and pregnancy outcome: a retrospective analysis

Sushruta Shriastava, Nivedita Malik


Background: Medical disorders, including hypertensive diseases, diabetes, thyroid disorders may exist prior to pregnancy or may manifest themselves for the first time during pregnancy.

Methods: This retrospective study was conducted at the Department of Obstetrics and Gynecology of tertiary care hospital by reviewing all medical records of pregnant patients with medical disorders admitted for delivery from January 2016 to December 2016. Data collected was analysed using simple statistical measures like percentage and proportion.

Results: Most common medical disorder was pregnancy induced hypertension and its complication seen in 43% of the females; followed by anaemia and hypothyroidism seen in 20% females respectively. Maximum perinatal morbidity was seen in females suffering with hypertensive disorders (53.4%), with 17(41.8%) IUGR and 6 (11.6%) intra uterine demise respectively. Following PIH, higher rate of perinatal morbidity was seen in anaemic females (50% IUGR).

Conclusions: A detailed history taking and evaluation of all pregnant females at the first visit, regular antenatal follow-ups, investigations will help us to detect the pre-existing medical disorders or the pregnancy associated medical disorders in time. If the condition is detected early, it is easy to treat with very little detrimental effects to the mother and foetus.


Pregnancy, Perinatal morbidity, Retrospective study

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Duley L. The global impact of pre-eclampsia and eclampsia. Semin Perinatol. 2009;33:130-7.

American College of Obstetricians and Gynecologists (ACOG). Practice bulletin No.33: Diagnosis and management of preeclampsia and eclampsia. Obstet Gynecol. 2002;99:159-67.

Hobel CJ, Hyvarinen MA, Okada DM, Oh W. Prenatal and intrapartum high-risk screening: I. Prediction of the high-risk neonate. Am J Obstet Gynecol. 1973;117(1):1-9.

Jain S, Anand S, Aherwar R. High risk scoring for prediction of pregnancy outcome: a prospective study. Int J Reprod Contracept Obstet Gynecol. 2014;3:516-22.

Zareen N, Naqvi S, Majid N, Fatima H. Perinatal outcome in high risk pregnancies; J Coll Physicians Surg Pak. 2009;19(7):432-5.

Adu-Bonsaffoh K, Ntumy MY, Obed SA, Seffah JD. Perinatal outcomes of hypertensive disorders in pregnancy at a tertiary hospital in Ghana. BMC Pregnancy Childbirth. 2017;(1):388.

World Health Organization. Worldwide prevalence of anaemia 1993-2005: WHO global database on anaemia. Available at Published 2008. Accessed on December 08,2014.

Bora R, Sable C, Wolfson J, Boro K, Rao R. Prevalence of anaemia in pregnant women and its effect on neonatal outcomes in Northeast India. J Matern Fetal Neonatal Med. 2014;27(9):887-91.

Child health (Chapter 09). In: The National Family Health Survey. Third Edition. 2005-6. Published 2007. Accessed on December 08, 2014.

Lone FW, Qureshi RN, Emanuel F. Maternal anaemia and its impact on perinatal outcome. Trop Med Int Health. 2004;9(4):486-90.