MATERNAL AND PERINATAL OUTCOME IN PREGNANCIES COMPLICATED WITH HYPERTENSIVE DISORDER OF PREGNANCY.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2019, Vol 7, Issue 3
Abstract
Background:Hypertensive disorders in pregnancy remain a major global health issue because of the associated perinatal morbidity and mortality. The outcomes of women with hypertensive disorders in pregnancy in our hospital in rural area of India have not yet been documented. Objective: To determine maternal and perinatal outcome in pregnancies complicated with hypertensive disorder of pregnancy at a tertiary care hospital in rural area of India. Material and methods: A prospective study was undertaken on 200 consecutive women of hypertensive disorder in pregnancies that were managed in the Department of Obstetrics &Gynaecology in our hospital from October 2017 to September 2018. The demographic data, clinical and laboratory findings delivery route, indications of caesarean section, foetal and maternal complications were determined. Results:Out of 200 women, 62.2% were found to have pre-eclampsia, 8% had eclampsia, and 27 % had gestational hypertension and 2.5% had chronic hypertension. Proteinuria was demonstrated in 67.5%, thrombocytopenia in 15.5%, liver dysfunction in 11%, abruptio placenta in 4.5%, HELLP syndrome in 3%, and retinal detachment in 0.5% of women. 46.5% women had caesarean section delivery. There was no maternal mortality. 45% neonates were small for gestational age (SGA), 22.5% needed NICU admission. There were 4.5% still births and 3.5% neonatal deaths. Conclusions:Hypertensive disorder of pregnancy is associated with increased risk of maternal and perinatal adverse outcome. The complications could be reduced by regular antenatal check-up, early identification of hypertension and timely referral and specialist care during labour and after birth.
Authors and Affiliations
Ashok Verma, Meenakshi Verma, Suresh Verma, Priyanka Sharma, Dipen Parekh.
Keywords
Related Articles
- EP ID EP545155
- DOI 10.21474/IJAR01/8778
- Views 44
- Downloads 0
DIFFUSION TENSOR IMAGING OF OPTIC RADIATION IN MULTIPLE SCLEROSIS: CORRELATION WITH VEP.
Purpose: To test the significance of FA and MD of diffusion tensor imaging in differentiating MS patients with normal and delayed VEP Material and Methods: This study was conducted upon 70 patients (aged 18-46 years: mea...
IMAGE STEGANOGRAPHY USING IMPROVED LSB ALGORITHM.
The goal of Steganography is to hide communication. So, a fundamental requirement of this Steganography system is that the hidden message should not be visible to human beings. The other goal of this method is to avoid s...
MATERNAL CHRONIC DISEASES AS RISK FACTOR OF CYANOTIC HEART DEFECTS (FALLOT TETRALOGY & PDA) AMONG CHILDREN IN MALLAWY CITY.
Information about known risk factors for cyanotic congenital heart defects is deficient. This study aimed to investigate the relationship between maternal chronic disease and cyanotic congenital heart disease in offsprin...
EFFECT OF INTER-MANUAL TRAINING OF HAND ON SKILL TRANSFER IN CHILDHOOD STROKE.
Cerebro-vascular disorders are among the top 10 causes of death in children, with rates highest in the first year of life. Childhood stroke is the weakness of one side of the body due to stroke during 3 months to 12 year...
TOTAL PARATHROIDECTOMY WITH AUTOTRANSPLANTATION VERSUS SUBTOTAL PARATHYROIDECTOMY AS DIFFERENT MODALITIES IN MANAGEMENT OF SECONDARY HYPERPARATHYROIDISM.
Background: secondary hyperparathyroidism is a common problem in patients with chronic renal failure. The optimal surgery in management of secondary hyperparathyroidism still controversial. Total parathyroidectomy with a...