Abstract

A rural tertiary teaching hospital-based study of Hypertensive disorders of pregnancy and perinatal outcome

Author(s): Reeta Agarwal, C Rekha, Pranhita and Rizwana

Hypertension is one of the most common pregnancy problems affecting about 10% of all pregnancies worldwide and is an important cause of perinatal and maternal morbidity and mortality affecting women’s health. We did a retrospective control test to assess the prevalence of hypertensive disorders in pregnancy and to assess the outcome before delivery at our medical college and hospital between July 2015 and June 2017. For all cases, demographics of women and adverse pregnancy outcomes such as IUGR, oligohydramnios disorder, PPH, DIC, HELLP syndrome, preterm birth and neonatal data such as sex, birth weight, NICU admission, APGAR score were compared and recorded with the control group with pressure Normal blood with no associated medical complications. The prevalence of PIH in our study was 20%, which corresponds to the incidence of preeclampsia observed in the study by G.B.Doddamani was about 10%. Complications were found to be higher in PIH compared to normal ANC patients. Most of the half reported by LSCS (56.1%) was found to be statistically significant (p = 0.000) compared to reviews (37.9%). Labor was induced in 60.8% of cases, of which 60.3% were required for LSCS emergency due to fetal distress. Based on our results being younger and different, the incidence is greater with greater complications. Neonates require more NICU treatment as a result of preterm LBW, birth, and IUGR. It can be concluded from our study that the most common complications found were PPH, HELLP syndrome, fetus, and LSCS, were preterm birth, abortion, LBW, IUD, sepsis, LBW, etc. The unpleasant effect of hypertension in pregnancy justifies the need for routine prenatal care, detection, and early treatment of hypertension at younger ages of pregnancy and postpartum follow-up.