“Comparative Study of Ultrasonic Placental Grading in Hypertensive Disorder in Pregnancy with Normal Pregnancy”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Aim: To compare ultrasonic placental grading in hypertension in pregnancy with normotensive pregnancy and correlate with foetal outcome. Material And Method: In this prospective study 200 pregnant patients were selected from indoor and outdoor Dept. of Obstetrics & Gynaecology. 100 pregnant patients with pre-eclampsia were selected as study group and 100 normotensive pregnant patients as control group. Result: In the study group 3%, 54% and 43% women had placental grades I, II & III respectively as against 8%, 61% and 31% of the control group women respectively. Preterm delivery <37 weeks gestational age was 28% in study group and 15% in control group. However grade III changes in <37 weeks gestational age in study group was 23.3% and 9.7% in control group. In >37 weeks gestational age grade III placental changes was 76.7% in study group and 90.3% in control group. Spontaneous delivery was higher in control group 71% compared to study group 50% which is statistically significant. Induced delivery and caesarean section was more in study group compared to control group. Birth asphyxia was observed in all placental grades in study group. Conclusion: Earlier knowledge of placental grade can decrease the risk of perinatal death by timely intervention. It can also predict pregnancy induced hypertension so proper intervention can be made.
Authors and Affiliations
Dr. Anubha Vidyarthi, Dr. Atima Bharti, Dr. Suresh Kumar Toppo, Dr. Santwana Kumari
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