Volume : V, Issue : I, January - 2016

MATERNAL & FETAL OUTCOME IN CASES OF HYPERTENSION IN PREGNANCY

Dr. Mittal H Parmar

Abstract :

AIMS AND OBJECTIVES : To study the epidemiological factors ,complications, maternal and fetal outcome in hypertension in pregnancy. METHODS: the present study comprise of 100 cases of antenatal women who presented with hypertension in pregnancy in our tertiary care center, civil hospital, ahmedabad ,from January to march 2015. Detail information regarding demographic data, antenatal history, obstetrics and menstrual history were taken, and close follow up were noted regarding mode of delivery ,treatment received , maternal and perinatal outcome & complications. 65% of patients were gestational hypertension, 39 % were pre –eclampsia and eclampsia syndrome , 1% chronic hypertension, and 7% of patients had comorbid condition like diabetes (4%) and renal disorder(7%). In present study 54 cases were deliverd full term out of which 27 cases had vaginal delivey and 27 cases were underwent caesarean section. 46 cases were deliverd preterm out of which 33cases had vaginal delivery and 13 cases underwent caesarean section . Induction was done in 41 cases out of which 20 cases were full term and 21 cases were preterm. In which 32 cases underewent successful induction and 9 cases needed caesarean section due to induction failure. Maternal mortality was which included post partum hemorrhge, post partum convulsion, perinatal cardiomyopathy, post partum psychosis, PRES(26%).Perinatal morbidity comprising of low birth weight (21%) out of which intrauterine growth restriction (9%). 30% baby had NICU stay. maternal mortality was 2%. perinatal mortality was 18% out if which 13% were still birth. CONCLUSION : Hypertension disorder complicates 15 % of all pregnancy and is associated with maternal and fetal outcome .It is an acute obstetrics emergency in which switch treatment and prompt decision making is required to get best maternal and outcome. The incidence is less in developed countries due to improved antenatal care, lack of knowledge, antenatal care, late referral and transport is responsible for high incidences in developing countries .Education, proper antenatal check up is needed for early diagnosis of hypertension and its prevention .

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR. MITTAL H PARMAR Maternal & Fetal Outcome in Cases of Hypertension in Pregnancy International Journal of Scientific Research, Vol : 5, Issue : 1 January 2016

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