Effect of pregnancy induced hypertension on maternal and fetal outcomes
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 1
Abstract
Introduction: PIH complicates 6-10% of all pregnancies. It contributes mainly to maternal and fetal complications. Patients with PIH are at a greater risk of abruptio placenta, cerebrovascular events, organ failure and DIC. Fetuses are at a greater risk of IUGR, preterm birth, small for gestational age and IUD. Materials and Methods: 250 patients with PIH were studied. Pregnant women with 90mm hg or more with or without proteinuria diagnosed after 20 weeks were included. A predesigned semi-structured questionnaire was prepared based on review of literature on PIH and its maternal & fetal outcomes. Observation & Results: In this study, 6% cases were 18 years of age, 37% were 18-24 years, 44% were 25-28 years, 10% were 29-35 years and 3% more than 35 years. In the present study, 44% had edema and 56% had no edema. 42% had proteinuria out of which 66.7% had 1+, 23.3% had 2+ and 9.5% had 3+. 58% had no proteinuria. Normal vaginal delivery was seen in 56% cases, 10% had instrumental delivery among these 6% had forceps assisted and 20% had vacuum delivery. In this study, 8.8% required neonatal resuscitation, 91.2% did not require neonatal resuscitation. 10% of the neonates had NICU admission and 90% did not require any NICU admission. Conclusion: Preterm birth and IUGR are the most commonly encountered perinatal outcomes in PIH. Low birth weight is the most common neonatal outcome. Proper ANC with early diagnosis of PIH could significantly reduce its perinatal, natal, and maternal outcomes in patients.
Authors and Affiliations
C. S. Madkar Madkar, Garima Sinha, Shankar Burute, Mangal S. Puri, Pankaj Prakash Salvi
Keywords
Related Articles
- EP ID EP472905
- DOI 10.18231/2394-2754.2018.0005
- Views 90
- Downloads 0
Comparison of single step versus double step screening for GDM
Introduction: There is a lot of debate over what type of screening is needed to be done for GDM, especially with India being touted as the diabetes capital of the world. Materials and Methods: A total of 240 consecutive...
Clinical and Etiological Study of Maternal Near-Miss at a Tertiary Referral Hospital of Central India
Background: Analyzing the maternal near miss provides a good opportunity for assessing the factors responsible for maternal mortality in that area. Objective: To study the clinicoetiological profile of severe maternal mo...
Uterine cavity assessment prior to in vitro fertilization: comparison of 3D transvaginal ultrasonography accuracy versus office hysteroscopy
Objective: To compare accuracy of 3-D transvaginal sonography (TVS) versus office hysteroscopy (OH) in the evaluation of uterine cavity abnormalities in infertile women undergoing IVF procedures. OH considered as gold st...
Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity
Introduction Abnormal uterine bleeding AUB is a common complaint affecting majority of pre and postmenopausal women Endometirum is a dynamic tissue and is affected by a wide range of histopathological lesions The causes...
Effect of pregnancy induced hypertension on maternal and fetal outcomes
Introduction: PIH complicates 6-10% of all pregnancies. It contributes mainly to maternal and fetal complications. Patients with PIH are at a greater risk of abruptio placenta, cerebrovascular events, organ failure and D...