Maternal and Perinatal Outcome in Hypertensive
Disorders in Pregnancy
Volume 1 - Issue 5
Sapna IS1* and Saroja2
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- 1Professor, Dept of OBG, SSIMS& RC, Davangere, Karnataka, India
- 2Postgraduate, Dept of OBG, SSIMS& RC, Davangere, Karnataka, India
*Corresponding author:
Dr Sapna IS, Professor, Dept of OBG, SSIMS& RC, Davangere, Karnataka, India
Received: April 23, 2018; Published:May 01, 2018
DOI: 10.32474/IGWHC.2018.01.000125
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Abstract
Hypertensive disorders of pregnancy still holds major cause of maternal and perinatal morbidity and mortality & the commonest
cause of referral to a tertiary centre.
Objective: study the maternal and foetal outcome in patient with hypertensive disorder in a tertiary centre from june2016 to
may2017 (one year).
Method: Total number of women with severe preeclampsia and eclampsia after 20wks were 146. Women with medical
complications were excluded. Hypertensive women were managed as per existing protocol of the institution, after detailed history,
examination and investigations. Anti-hypertensive of choice was labetalol and oral nefedipine, Mgso4 was used as anti-convulsant.
Result: Out of 146 cases of severe pre-eclampsia and eclampsia, majority 91(62.32%) were between 21-25yrs years of age
and 76(52%) were primigravida. We had 21(14.38%) patients with h/o convulsions and 103(70.5%) with severe pre-eclampsia
of whom 3(2.9%) had convulsions. Headache was most common complaint. Common mode of delivery was caesarean section
106(72.6%) women, majority in view of failed induction or non-progress. Maternal complications were noted 43(29.5%) attributed
to renal dysfunction, postpartum haemorrhage, DIC, placental abruption, HELLP, pulmonary oedema Total 146 cases ,live birth 119
(81%), 24% were required NICU care, 15(10.27%) cases were IUFD, 4(2.73%) babies stillborn.2 (1.36%) neonatal deaths,1(0.68%)
perinatal death.
Conclusion: Maternal and perinatal complications are more in patients with eclampsia. The incidence of eclampsia can be
reduced by regular antenatal care, early recognition and prompt treatment of severe pre-eclampsia.
Background: Hypertensive disorders of pregnancy accounts for the majority of referrals in a tertiary centre as it stands one of
the major causes of maternal and perinatal morbidity and mortality. The objective was to study the maternal and foetal outcome in
patient with hypertensive disorder in a tertiary centre over a period of one year.
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