A Descriptive study of residual hypertension and biochemical changes following post-partum period of pre-eclampsia & eclampsia presenting women
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 5
Abstract
Hypertensive disorders of pregnancy poses a challenge for the treating doctors. They usually resolve after delivery but sometime may persists. The objective of this study is to find out residual hypertension & biochemical changes in postpartum period in Pre-eclampsian & Eclampsian patients. This study was a hospital based case control analytical type of observational study conducted in Dept. of Obs. & Gynae, SMS Medical College, and Jaipur from August 2014 to august 2015. Women delivering at S.M.S. Medical College and Attached Group of Hospitals, Jaipur were selected for the study. After considering the inclusion and exclusion criteria all the subjects were recruited in the study and well informed written consent was taken from all patients. They were subjected to detailed history taking, complete general physical examination, systemic examination and obstetric examination was done, all routine investigations blood biochemistry were done. Four readings of BP and blood biochemistry were taken at admission, 24 hrs post-delivery, and 1 week and 42 days postpartum, and the results were analysed. Analysis was carried out on data for 230 patients. The mean age of patients were 24.49 ± 3.53 with most of the patients being primigravidae. The postpartum period was uneventful with no significant difference in mode of delivery. 30.43% patients showed presence of residual hypertension at 42 days of postpartum with mean SBP of 127.05 ± 11.04. The mean rise in Hb form basal value was 0.22 ± 2.42 while TLC showed a fall from its basal value with a mean of 7.5 ± 4.44. The mean change in serum urea and serum creatinine from basal to 42 days was 10.60 ±7.30 and 0.40±0.21. The mean change in serum direct and indirect bilirubin from basal to 42 days was 0.25±0.32 and 0.32±0.40. All the above changes were statistically. Pre-eclamptic and eclamptic women have significant amount of residual hypertension. Marked biochemical changes occur in postpartum period, most of the deranged parameters get normalized within 42 days. Estimation of blood pressure and blood biochemistry is an easy tool for assessment of postpartum hypertension and its management which can be done even in rural settings, and thus can have a significant impact on maternal and perinatal outcome. Keywords: Eclampsia, Pre-Eclampsia, BP
Authors and Affiliations
Aruna Bamaniya, Dr Lata Rajoria, Dr Oby Nagar, Dr Anju Sharma
Keywords
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