An epidemiological study of assessment of fetal outcome in hypertensive disorders of pregnancy
Journal Title: IP International Journal of Medical Paediatrics and Oncology - Year 2017, Vol 3, Issue 2
Abstract
Introduction: The maternal health without any nutritional and systemic disorders is essential to provide an optimal in-utero environment for proper growth and development of fetus. Hypertensive disorders of pregnancy(HDP) are one of those conditions which may jeopardize not only the maternal health but also the fetal outcome. Aim of the study: Assessment of fetal outcome in mothers with hypertensive disorders of pregnancy. Results: In the study of 1286 pregnant mothers, 628 mothers having pregnancy induced hypertension (PIH) were taken as cases and 658 mothers without PIH were taken as control group. In the case group, there were 530 live births(LB) (81.9%) out of 647 births, whereas in control group, there were 615 LB (93.2%) out of 660 births. The deadborn(DB) babies in case group were 117(18.1%) whereas in control group, it was only 45 (6.8%). Moreover there were 5 maternal deaths and 3 maternal hysterectomies in case group comparing with no deaths and morbidity in control group. Maximum number of PIH mothers were newly diagnosed 593 (94.4%) and most of the mothers were diagnosed in third trimester only 567(90.3%). PIH was more in primigravida 374(59.6%) when compared to all other gravidas combined. With increasing severity of HDP, DB babies were more in number. Regarding to maturity and gestational age, preterm babies were 171(26.4%) and term small for gestationl age(SGA) were 117(18.1%)- totalling (44.5%) in case group of 647 babies. Conclusion: Both maternal and fetal morbidity and mortality were higher in HDP. Diagnosis of both new and recurrent cases occurred mostly in third trimester. PIH was more common in primigravida. With increasing severity of HDP, DB babies were more in number. Fetal outcome might not be dependent upon mode of treatment and might be due to severity of the disease. Type of delivery did not have much impact on both positive and negative fetal outcome. Preterm babies and term SGA babies were more in case group which will have greater negative impact in future health of the baby. Early diagnosis and treatment of HDP prevents the negative impact of fetal outcome.
Authors and Affiliations
Subburaman Sonraju Vinchu, Rajasekar Srinivasan
Keywords
Related Articles
- EP ID EP300720
- DOI 10.18231/2455-6793.2017.0014
- Views 141
- Downloads 0
An Assessment of Serum Total Sialic Acid in Oral Leukoplakia and Oral Squamous Cell Carcinoma at Nadiad, Gujarat
Background and Objectives: Altered glycosylation of glycoconjugates is among the important molecular changes that accompany malignant transformation. Various studies in the past have shown the direct relation of Total Si...
Role of 2D echo in neonates with perinatal asphyxia and its correlation with cardiac troponin T levels and creatine kinase MB
Objectives: To evaluate myocardial function in neonates with perinatal asphyxia by 2D Echo and cardiac Troponin T levels and creatine kinase MB. Methods: 30 term babies with perinatal asphyxia were selected as cases. The...
Maternal antenatal profile and immediate neonatal outcome in very low birth weight babies
Objective: To find out maternal risk factors associated with VLBW babies and study maternal risk factors associated with morbidity and mortality of VLBW babies. Materials and Method: The study was a prospective cohort an...
Ring enhancing lesions on neuroimaging of childhood symptomatic epilepsy- A clinico-pathological study
Seizures are the most common pediatric neurologic disorders with 4% to 10% of children suffering at least one seizure in the first 16 years of life. More than half of CT scans are found to be abnormal in childhood sympto...
Common Skin Diseases in Pediatric Practice
Skin disease is common cause of outdoor visits in pediatric population. In India, infections and infestations are the most common skin problems. Many of these diseases could be treated by pediatrician itself. Basic knowl...