Comparative Study of Maternal and Perinatal Outcome In Normotensive And Hypertensive Mothers
Comparative Study of Maternal and Perinatal Outcome In Normotensive And Hypertensive Mothers
Keywords:
Caesareansection, maternal, perinatal, pregnancy induced hypertensionAbstract
Background and objectives: Hypertensive disorders of pregnancy are the most common causes of adverse maternal & perinatal outcomes. Such investigations in resource limited settings help to have great design strategies in preventing maternal and perinatal morbidity and mortality. This study will evaluate and compare Feto-Maternal Outcomes in Patients of Hypertensive and Normotensive Pregnancies. Method: This was a prospective study conducted at the tertiary centre. 100 normotensive patients and 100 hypertensive patients were randomly selected. Patients beyond 20 weeks with singleton pregnancy were included andchronic hypertensive cases were excluded from the study. Result: The magnitude of pregnancy related hypertensive disorder was 46% patients were primi in hypertensive group and 32% in normotensive group. 63% hypertensive patients and 32% normotensive patients had delivered between 28-36 weeks of gestation. Perinatal mortality rate was 21% in hypertension and 3%in normotensive patients. Neonatal complications like IUGR, sepsis, RDS and birth asphyxia were 37%, 14%, 15% and 10% in hypertensive patients and 2%, 3%, 4% & 3% in normotensive patients respectively. Incidence of APH 6%, PPH 2%, DIC 7%, HELLP Syndrome 2%, renal failure 2%, respiratory complication 2%in hypertension and APH 1% in normotensive patients. Interpretation and Conclusion: Early diagnosis, proper management and selective termination will improve maternal and perinatal outcome in hypertensive mothers. Termination of pregnancy is the primary treatment for severe Hypertension. [Jimmy c NJIRM 2017; 8(5):19-21]
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