DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20203066

A study of hypertensive disorders of pregnancy and the fetal outcome in a tertiary care hospital: a prospective study

Sangamesh S. Mathapati, Aruna M. Biradar, Laxmi S. Sangolli, Nidhi A. Mangalwadi, Gamini B. S., Sridevi H. S.

Abstract


Background: Pregnancy induced hypertension is one of the major causes of feto maternal morbidity and mortality in pregnancy. The exact cause of PIH is unknown certain factors are known to increase the risk of PIH such as risk factor includes that young women with first pregnancy.

Methods: The objective of this study was to assess the socio-demographic and clinico-pathological profile of the patients with hypertensive disorders of pregnancy and its associated fetal outcomes. A prospective study was conducted in department of obstetrics and gynecology Shri B. M. Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura Karnataka from 15th July to 15th December 2018. All women admitted to labour ward with diagnosis of hypertensive disorders of pregnancy were included in the study after ruling out the exclusion criteria and thorough history, examination and laboratory evaluation were done and followed till delivery.

Results: A total of 123 pregnant women with hypertensive disorder of pregnancy were enrolled in the study. Most of the participants were in the age group of 20 to 30 years. The PIH was seen mostly in primigravida, lower socioeconomic status and with lower educational levels. Emergency LSCS is the most common mode of delivery.

Conclusions: The hypertensive disorder in pregnancy affects the majorly younger age group. It is most commonly seen in low socio-economic and uneducated population. Hence, there should be provided with proper antenatal care, early detection of hypertensive disorders for better feto-maternal outcome.


Keywords


Pregnancy, Educational status, Foetal outcome, Pregnancy induced hypertension, Socio-economic status

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References


Chaim SRP, Oliveira SMJV, Kimura AF. Pregnancy-induced hypertension and the neonatal outcome. Acta Paul Enferm. 2008;21(1):53-8.

Vigil-De Gracia P, Montufar-Rueda C. Expectant management of severe preeclampsia and preeclampsia superimposed on chronic hypertension between 24 and 34 weeks' gestation. Ruiz J Eur J Obstet Gynecol Reprod Biol. 2003;107(1):24-7.

Kuklina EV, Ayala C, Callaghan WM. Hypertensive disorders and severe obstetric morbidity in the United States. Obstet Gynecol. 2009;113(6):1299-306.

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

Khosravi S, Dabiran S, Lotfi M, Asnavandy M. Study of the prevalence of hypertension and complications of hypertensive disorders in pregnancy. Open J Prevent Med. 2014;4:860-7.

Gandhi MR, Jani PS, Patel UM, Kakani CR, Thakor NC, Gupta N. Perinatal outcome in pregnancy induced hypertension cases at GMERS Medical College, Dharpur-Patan, North Gujarat region, India: a prospective study. Int J Adv Med. 2015;2:152-5.

Parmar MT, Solanki HM, Gosalia VV. Study of risk factors of perinatal death in pregnancy induced hypertension. National J Community Med. 2012;3:703-7.

Patel R, Baria H, Patel HR, Nayak S. A study on pregnancy induced hypertension and foetal outcome among patient with PIH at tertiary care hospital, Valsad. Int J Community Med Public Health. 2017;4:4277-81.

Mostafa HM, Youssef AE, Samia SM, Dina M. Effect of socioeconomic status on preeclampsia cross sectional study. Med J Cairo Univer. 2018;86:4227-34.

Singh V, Srivastava M. Associated risk factors with pregnancy-induced hypertension: a hospital-based KAP study. Int J Med Public Health. 2015;5:59-62.