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Maternal and Perinatal Outcome in Hypertensive Disorders of Pregnancy - A Retrospective Study


Affiliations
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India
 

Background: It was a retrospective observational study to know demographic factors, maternal and perinatal outcome in patients of hypertensive disorders of pregnancy admitted in a medical college and tertiary health care center. Introduction: Hypertensive disorders of pregnancy are one of the important cause of maternal morbidity and mortality in India. Hypertensive Disorders of Pregnancy (HDP) account for nearly 18% of all maternal deaths worldwide. Delivery at early gestational age in patients of HDP is associated with high perinatal morbidity and mortality resulting from prematurity. Method: Total number of 120 cases of hypertensive disorders of pregnancy admitted in our hospital was included in the study after satisfying inclusion and exclusion criteria. We studied demographic factors as well as maternal and perinatal outcome. Results: Majority of the patients i.e. 40% were in the age group of 21-30 yrs. 61% of patients were primi gravida and 25% of patients were second gravida. Maximum number of patients had gestational age ≥ 32 weeks at the time of delivery. 26.6% patients, 73.4% patient’s and 12.5% patients were diagnosed as gestational hypertension, preeclampsia and eclampsia respectively. There was high incidence of HELLP and eclampsia in 12.5% each, DIC in (5%), APH in (4.1%), renal complications in (3.3%) and CNS complication were seen in 0.8%. 67.5% patients were delivered by vaginal route, 32.50% patients required LSCS. Majority of patients i.e., 60% underwent preterm delivery, 34% delivered at term. Maternal mortality occurred in 8 patients (6.67%). HELLP and DIC were the leading causes of death. 70% patients had good perinatal outcome. There were 25.83% still births and 4.17% neonatal deaths. Conclusion: Hypertensive disorders of pregnancy are associated with increased maternal and perinatal morbidity and mortality. Good antenatal care, health education, early diagnosis, early referral to higher center and multidisciplinary approach will reduce morbidity and mortality in mother and baby.

Keywords

Eclampsia, Hypertensive Disorder of Pregnancy, Pre-Eclampsia, Prematurity.
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  • Pairu J, Bharati KN, George K. Maternal and perinatal outcome in pregnancy induced hypertension and preeclampsia. Int J Repord Contracept Obstet Gyanecol. 2016; 5:2166–70. https://doi.org/10.18203/2320-1770.ijrcog20162085
  • Hiralal DCK. Dutta’s Textbook of Obstetrics. 9th ed; 2018. p. 207–8.
  • Cunningham FG, Williams JW. Williams Obstetrics. 24th ed. New York: McGraw-Hill Medical; 2010. p. 728–30.
  • Endeshaw G, Berhan Y. Perinatal outcome in women with hypertensive disorders of pregnancy: A retrospective cohort study. International Scholarly Research Notices. 2015; 2015:1–8. https://doi.org/10.1155/2015/208043 PMid:27347505 PMCid:PMC4897150
  • Olamijulo JA, Olaleye O. Perinatal mortality in Lagos University teaching hospital: A five year review. Nigerian Quarterly Journal of Hospital Medicine. 2011 Oct; 21(4):255. PMid:23175887
  • Singhal SR, Deepika, Anshu, Nanda S. Maternal and perinatal outcome in severe pre-eclampsia and eclampsia. Journal of SAFOG with DVD. 2009 Sep; 25–28.
  • Parmar MR, Pradhyuman V. Effect of pregnancy induced hypertension on maternal and perinatal outcome at tertiary care center; in Ahmedabad, Gujarat, India. International Journal of Reproduction, Contraception, Obstetrics and Gynaecology. 2017 Oct; 6(10):4661–5. https://doi.org/10.18203/23201770.ijrcog20174460
  • Sridevi P, Rajamma CK. Maternal and perinatal mortality and morbidity in hypertensive disorder complicating pregnancy. International Journal of Scientific Study. 2016 Feb; 3(11):206–8.

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  • Maternal and Perinatal Outcome in Hypertensive Disorders of Pregnancy - A Retrospective Study

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Authors

Padmaja Joshi
Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Manasi Kathaley
Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Swapnali Borade
Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Rucha Dashrathi
Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India

Abstract


Background: It was a retrospective observational study to know demographic factors, maternal and perinatal outcome in patients of hypertensive disorders of pregnancy admitted in a medical college and tertiary health care center. Introduction: Hypertensive disorders of pregnancy are one of the important cause of maternal morbidity and mortality in India. Hypertensive Disorders of Pregnancy (HDP) account for nearly 18% of all maternal deaths worldwide. Delivery at early gestational age in patients of HDP is associated with high perinatal morbidity and mortality resulting from prematurity. Method: Total number of 120 cases of hypertensive disorders of pregnancy admitted in our hospital was included in the study after satisfying inclusion and exclusion criteria. We studied demographic factors as well as maternal and perinatal outcome. Results: Majority of the patients i.e. 40% were in the age group of 21-30 yrs. 61% of patients were primi gravida and 25% of patients were second gravida. Maximum number of patients had gestational age ≥ 32 weeks at the time of delivery. 26.6% patients, 73.4% patient’s and 12.5% patients were diagnosed as gestational hypertension, preeclampsia and eclampsia respectively. There was high incidence of HELLP and eclampsia in 12.5% each, DIC in (5%), APH in (4.1%), renal complications in (3.3%) and CNS complication were seen in 0.8%. 67.5% patients were delivered by vaginal route, 32.50% patients required LSCS. Majority of patients i.e., 60% underwent preterm delivery, 34% delivered at term. Maternal mortality occurred in 8 patients (6.67%). HELLP and DIC were the leading causes of death. 70% patients had good perinatal outcome. There were 25.83% still births and 4.17% neonatal deaths. Conclusion: Hypertensive disorders of pregnancy are associated with increased maternal and perinatal morbidity and mortality. Good antenatal care, health education, early diagnosis, early referral to higher center and multidisciplinary approach will reduce morbidity and mortality in mother and baby.

Keywords


Eclampsia, Hypertensive Disorder of Pregnancy, Pre-Eclampsia, Prematurity.

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DOI: https://doi.org/10.18311/mvpjms%2F2018%2Fv5%2Fi1%2F20882