STUDY OF THE MATERNAL AND FETAL OUTCOME IN PREGNANCIES COMPLICATED WITH HYPERTENSIVE DISORDERS OF PREGNANCY: A STUDY AT MGM HOSPITAL AND RESEARCH CENTRE, PATNA.
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Keywords
Hypertension, Maternal outcome, Foetal outcome, Low birth weight, Eclampsia, Severe pre-eclampsia.
Abstract
Hypertension is the most common medical disorder encountered during pregnancy, occurring in 5-10% of pregnancies. Women with hypertensive disorders of pregnancy (HDP) are all at increased risk of complications antenatally and in the puerperium.
Objective: This study aims to determine the maternal and perinatal outcomes of hospitalized pregnant cases with hypertension.
Methods: This was a 18 months prospective cross sectional study conducted in MGM Hospital and Research centre,Patna . Maternal and Perinatal outcomes were compared among the HDP groups and results were analysed and tabulated by SPSS version, using chi square method.
Results: 42.5% of the patients had Gestational Hypertension. 32.5% of the patients had Preeclampsia. 11.5% of the patients had Chronic Hypertension In Pregnancy. 8.0% of the patients had PECH. 5.5% of the patients had Eclampsia, PECH had the largest proportion of Maternal Morbidity like PPH and Acute renal failure, and Eclampsia had the largest proportion of Maternal Morbidity( Placental Abruption, Pulmonary Edema, HELLP ,DIC). Maternal Mortality was observed in 1 (0.5%) Patients of eclampsia probably due to intracerebral haemorrhages. Eclampsia had the largest proportion of APGAR Score Category at 5 minutes: <7 and Gestational Hypertension had the largest proportion of APGAR Score Category at 5 minutes: ≥7. Eclampsia had the largest proportion of Neonatal Outcome as NICU Admission and IUD, Neonates 1.2% of the patients in the group of Gestational Hypertension had Died. 6.2% of the patients in the group of Preeclampsia had Died. 9.1% of the patients in the group of Eclampsia had Died.
Conclusion: A substantial burden of maternal and perinatal morbidity and mortality is associated with hypertensive disorders of pregnancy, more so in eclampsia and severe preeclampsia group as compared to gestational hypertension and mild pre-eclampsia.
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Dr Shikha Singh
Junior Resident, Department Of Obstetrics and Gynaecology, MGM Hospital and Research Centre, Patna
Dr Jyoti kumari
Senior Resident, Department Of Obstetrics and Gynecology, Himalya Medical College and Hospital, Paliganj, Patna.
Dr Renu Yadav
Senior Resident, Department Of Obstetrics and Gynecology, Laxmi chandravanshi Medical College And Hospital, Palamu.
Dr Raj Kumari
Senior Consultant, Department of obstetrics and Gynecology, MGM Hospital and Research Centre, Patna.