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Study Papers | Obstetrics and Gynecology | India | Volume 12 Issue 3, March 2023 | Popularity: 5 / 10

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To Study the Prevalence of Hypertension Disorders in Pregnancy and their Feto-Maternal Outcomes in Tertiary Care Centre

Dr. M. Lakshmi Sindhuja, Dr. Kingam Sushma, Dr. Annapoorna

Abstract: Background: In areas with limited resources, hypertensive disorders of pregnancy are frequent and constitute one of the three deadly triads-along with bleeding and infection-that considerably increase the risk to both the mother and the fetus. The purpose of this study was to establish the prevalence of hypertensive disorders during pregnancy and their impact on feto-maternal outcomes. Aim: To study the prevalence of hypertensive disorders in pregnancy and their feto-maternal outcomes. Objective: 1) To study the prevalence of hypertensive disorders in pregnancy in tertiary care center. 2) To assess the feto-maternal outcomes of hypertensive disorders during pregnancy in tertiary care center. 3) To describe the incidence and trends of hypertensive disorders of pregnancy and adverse pregnancy outcomes in recent years. Methods: The prospectivecross-sectional study was conducted in a tertiary care hospital from May 1 2022 to Dec 1 2022 in department of Obstetrics & Gynaecology, with informed consent from patients. All consecutive patients who presented to Department of OBGY in a tertiary care hospital, Rajahmundry. were screened for hypertension disorder and included in their study and subjected to thorough history and general examination followed by investigations like complete blood picture, complete urine examination, liver and renal function tests, fundus examination of both eyes using ophthalmoscope, Ultrasonographic evaluation of foetus. Fetal evaluations like low birth weight, APGAR, NICU admission. All the results were in tabulated and analysed by using SPSS version 22 software. Chi-square test was used to predict the significance. Results: A total of 80 female patients were included in the study, of which the mean age was 25.43 + 5.04, with minimum age of 18yrs and maximum being 36yrs. The mean POG of study participants was 35.63 + 2.36. Out of 80 patients, 14 (17.5%) are of chronic hypertension group, gestational hypertension and pre-eclampsia has 28 (35%) in each group, while the rest 10 (12.5%) were in eclampsia group. All the results were in tabulated and analysed by using SPSS version 22 software. Chi-square test was used to predict the significance. Conclusion: Maternal and fetal outcomes of pregnancy are complicated by the high frequency of hypertensive disorders of pregnancy in the research area. Antenatal surveillance needs to be increased to enable early detection, strict follow-up, and prompt intervention in seriously afflicted pregnancies in order to prevent its detrimental consequences on both feto and mother outcomes of pregnancy.

Keywords: preeclampsia-eclampsia, gestational hypertension, chronic hypertension, HEELP syndrome

Edition: Volume 12 Issue 3, March 2023

Pages: 840 - 845

DOI: https://www.doi.org/10.21275/SR23309114513

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