Maternal and Fetal Outcomes in Hypertensive Disorders Of Pregnancy in a Tertiary Care Hospital- A Prospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
INTRODUCTION: Hypertensive disorders complicate 5-10% of all pregnancies, often associated with maternal and fetal mortality and morbidity. This study is aimed at knowing the effect of hypertensive disorders of pregnancy on maternal and fetal outcome. METHODS: Prospective observational study conducted at Government Maternity hospital Tirupati, from November 2017 to October 2018 among 302 subjects. RESULTS: Incidence of hypertensive disorders in this institute was 8.91%.Out of 302 subjects with hypertensive disorders of pregnancy, 83(27.4%) had preterm delivery, 128(42.38%) low birth weight babies, 47(15.56%) babies with low APGAR, 75( 24.83%) were IUGR babies. There were 14(4.63%) neonatal deaths and 62(20.5%) NICU admissions. 12(3.97%) subjects had placental abruption, 4(1.32%) had HELLP syndrome, 1(0.33%) had Postpartum hemorrhage and 2(0.66%) had acute renal failure. There were no cases of pulmonary edema and no maternal deaths. CONCLUSION: Early identification of hypertensive disorders of pregnancy, prompt and timely intervention, and fetal surveillance are needed to reduce adverse maternal and fetal outcomes.
Authors and Affiliations
Sowmya . S, Sukanya Seshasai
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