Published: 2019-02-26

Hypertensive disorders of pregnancy: a clinical study in a rural tertiary care centre of western Uttar Pradesh, India

Neelam Swaroop, Mamta Singh, Kalpana Kumari, Vandana Verma


Background: The aim of study was to find out the frequency and clinical outcome in hypertensive disorder of pregnancy (HDP) in a rural tertiary care centre. Hypertensive disorder of pregnancy is a commonest medical disorder which constitutes about 12-22% of all pregnancies and it is a major cause of maternal morbidity as well as mortality world wide.

Methods: It is a retrospective hospital-based study to find out the clinical outcome in different hypertensive disorder of pregnancy in a rural tertiary care centre of western Uttar Pradesh.

Results: Present study showed the prevalence of HDP was 4.01% among the study population. Most of the patients were primipara ,unbooked and less than 25 years of age. The most common HDP was mild preeclampsia  and HELLP was its commonest  complication.

Conclusions: Hypertensive disorder of pregnancy (HDP) is still a major cause of maternal mortality and morbidity. Authors intend to aware the pregnant women regarding high risk factors of pregnancy and motivate them for regular antenatal care so that  complications of  hypertensive disorders can be  managed timely.


Eclampsia, HDP, HELLP, Preeclampsia

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Lo Jo, Mission JF, Caughey AB. Hypertensive disease of pregnancy and maternal mortality. Curr Opin Obstet Gynecol.2013;25(2):124-32.

Report of the national high blood pressure education program working group on high blood pressure in pregnancy. Am J Obstet Gynecol. 2000;183(1):S1-22.

Arora R, Ganguli RP, Swain S, Oumachigui A, Rajaram P. Determinants of maternal mortality in eclampsia in India. Aus NZ J Obstet Gynaecol. 1994;34(5):537-9.

MacGillivray I. Some observations on the incidence of pre-eclampsia. J Obstet Gynecol Br Emp. 1958;65(4):536-9.

Majhi AK, Chakraborty PS, Mukhopadhaya A. Eclampsia present scenario in a referral medical college hospital. J Obstet Gynecol India. 2001;51:143-7.

Coppage KH, Polzin WJ. Severe pre-eclampsia and delivery outcomes: is immediate caesarean delivery beneficial? Am J Obstet Gynecol. 2002;186(5):921-3.

Pal KA, Saine AS, Dillion SP. HELLP syndrome associated with moderate to severe preeclampsia/eclampsia. J Obstet Gynecol India 2003;53(2):165-9.

Buchbinder A, Sibai BM, Caritis S, et al. Adverse perinatal outcomes are significantly higher in sever gestational hypertension than in mild preeclampsia. Am J Obstet Gynecol. 2002;186(1):66-71.

Gregg AR. Hypertension in Pregnancy. Obstet Gynecol Clin North Am. 2004;31(2):223-241.

Familoni OB, Adefuye PO, Olunuga TO. Pattern and factors affecting the outcome of pregnancy in hypertensive patients. J Natl Med Association.2004; 96(12):1626-31.

Kapoor M, Agrawal N, Jain PK, Sethi RS, Gupta U, Goyal Latika. Perinatal outcome in hypertensive disorders in pregnancy. J Obstet Gynecol India. 1991;41:162-5.