STUDY OF PREVALENCE OF HYPERTENSIVE DISORDERS OF PREGNANCY AND THEIR MATERNAL AND PERINATAL OUTCOME AT GOVERNMENT VICTORIA HOSPITAL, VISAKHAPATNAM
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 31
Abstract
BACKGROUND Hypertensive disorders of pregnancy are one of the important causes for adverse maternal and foetal outcome. A proper understanding of this medical disorder in pregnancy is essential to reduce the maternal and foetal complications associated with it. We wanted to analyse the incidence of hypertensive disorder complicating pregnancies among pregnant women attending antenatal care at Government Victoria Hospital, Visakhapatnam, and study the maternal and perinatal outcome in terms of morbidity and mortality among these women. METHODS It is a prospective and observational study. The study was performed among a total of 6411 pregnant women who have delivered at Government Victoria Hospital from July 2018 to June 2019. A total number of 431 pregnant women with hypertensive disorders complicating pregnancy were analyzed and the outcome of the hypertensive disorders in terms of maternal and perinatal morbidity and mortality were studied. Data was collected regarding antenatal care-booked and unbooked cases, age, parity, gestational age, mode of delivery and maternal complications. Perinatal outcome including birth weight, NICU admissions and perinatal deaths were recorded. Data was analysed and tabulated using SPSS version 24. RESULTS The total number of deliveries during this period was 6411 and 431 women had hypertension complicating pregnancy giving an incidence of 6.72%. Normal vaginal deliveries were seen in 187 cases (43.38%) and instrumental delivery in 17 cases (3.96%). The caesarian section rate was 52.66%. The number of cases with postpartum hemorrhage was 8 cases (1.86%). Placental abruption was in 4 cases (0.93%). Pulmonary oedema in 2 cases (0.46%), Thromboembolism in 1 case (0.23%), Postpartum cardiomyopathy in 1 case (0.23%) seen. There were two maternal deaths, one due to pulmonary embolism and one due to cardiomyopathy. The number of cases with birth weight less than 2 Kg were 74 cases (14.17%). Growth restriction was 25 cases (5.80%). NICU admission was required for 87 cases (20.19%). Early neonatal deaths occurred in 22 cases (5.10%). Number of still births in 8 cases (1.86%). Number of intrauterine deaths in 2 cases (0.46%). CONCLUSIONS Hypertension in pregnancy is associated with adverse maternal and perinatal outcome. Good antenatal care and early referral can reduce complications.
Authors and Affiliations
Chodavarapu Sailaja, Badam Rajani Kumari, Dongabanti Hemalatha Devi, Badugu V. V. Chandra Satya Vani, Maddela Yamuna
Keywords
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- EP ID EP670395
- DOI 10.18410/jebmh/2019/427
- Views 88
- Downloads 0
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