Neonatal outcome in hypertensive disorders of pregnancy in a tertiary neonatal unit in central India

Asha Bhardwaj; Manish Tiwari; V K Bhardwaj

Volume : VIII, Issue : VI, June - 2018

Neonatal outcome in hypertensive disorders of pregnancy in a tertiary neonatal unit in central India

Asha Bhardwaj, Manish Tiwari, V K Bhardwaj

Abstract :

Introduction: Hypertensive disorders of pregnancy are an important cause of maternal and neonatal morbidity and mortality. The objective of this study was to evaluate clinical outcomes inbabies born to hypertensive mothers as compared to normotensive mothers. Materials and methods: This was a prospective case–control study, conducted in a tertiary neonatal unit in central India over a period of one year. Eighty–twosingleton babies of hypertensive pregnancies as cases and 164 singleton babies of normotensive pregnancies as controls were recruited. Baseline clinical and sociodemographic profile of mother was recorded. Clinical outcomes including anthropometric profile of neonates were noted and compared between hypertensive and normotensive pregnancies. Results:Most common hypertensive disorder was preeclampsia (52.44%). Total stillborn among hypertensive mothers were 9 (10.98%) as compared to 2 (1.22%) in normotensive mothers. Neonatal complications like intrauterine growth retardation (44.83% vs 16.67%), respiratory distress syndrome (23.17% vs 3.70%) and meconium aspiration syndrome (13.42% vs 4.42%) are significantly more common in hypertensive pregnancies.Significant correlationwas found between maternal B.P and birth weight, head circumference, chest circumference & ponderal index (P.I), but not with length.Conclusion: Hypertensive disorder of pregnancy remains an important cause of neonatalmortality, morbitiesand reduced anthropometric parameters in central India.