Abstract

A STUDY ON THE INCIDENCE OF PREGNANCY INDUCED HYPERTENSION AMONG ANTE NATAL MOTHERS, ITS MANAGEMENT AND IMPACT ON THE NEONATES: A HOSPITAL BASED STUDY

Rajasree S.*, M. P. Narmadha, Vineetha S. and Dawn V. J.

ABSTRACT

Hypertensive disorders during pregnancy are a leading cause of maternal death in the world and are important causes of neonatal morbidity and mortality. Pregnancy induced hypertension is defined as a blood pressure of 140/90 mm Hg on two occasion 4–6 hour apart or single reading of diastolic blood pressure of >110 mm Hg. Pre-eclampsia (PE) is defined as hypertension together with proteinuria developing after 20 weeks of pregnancy up to 6 weeks post partum in previously normotensive, non-proteinuric women. The aim of this study was to determine the incidence and management of pregnancy induced hypertension and its neonatal outcome. It was a cross-sectional comparative study and was carried out in department of Obstetrics and Gynecology unit of valluvanad hospital from 1st January 2015 to 30th June 2015. The study population included all cases presenting with gestational hypertension after 20 weeks gestation and controls (Normotensive mothers). A total of 27 cases of hypertensive mothers were recorded in study period and were matched for age, gestational age and parity with 125 controls. Neonatal outcome data showed no perinatal mortality. The major adverse outcomes were intrauterine growth retardation (IUGR), decreased apgar score, low birth weight and pre-term birth. Pregnancy induced hypertension has great implication on adverse neonatal outcome. The various complications seen are low Apgar score, IUGR, low birth weight and preterm birth.

Keywords: Pregnancy induced hypertension, pre-eclampsia, neonatal outcome, IUGR, APGAR score, low birth weight, pre-term birth.