A Study of Maternal & Fetal Outcome in Hypertensive Disorders of Pregnancy

Dr Nusarat Inamdar ^{1 M.B.B.S, M.S(OBG), MRCOG(UK)}, Dr Sarah Tareen *^{2 M.B.B.S}

Corresponding Author: Dr Nusarat Inamdar, M.B.B.S, M.S(OBG), MRCOG(UK).

Copy Right: © 2023 Dr Nusarat Inamdar, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received Date: May 15, 2023

Published Date: June 01, 2023

DOI: 10.1027/margy.2023.0230

Abstract

This study is done to analyse the cases of hypertensive disorders & its maternal & fetal, morbidity and mortality in perinatal period.

Maternal outcome in terms of Mortality, and complications in terms of Eclampsia, Pulmonary oedema, Pulmonary embolism, Acute renal failure, Acute left ventricular failure, Intra cerebral hemorrhage and HELLP.

Fetal outcome in terms of Intrauterine death/ still birth /early neonatal death Preterm delivery Intrauterine growth retardation NICU admission and Overall fetal outcome.

Materials and Methods

A Study on maternal and fetal outcome in hypertensive disorders was undertaken at J.S.S.Hospital. A total of 200 cases were studied from Jan 2011 to July 2012, belonging to gestational hypertension, pre-eclampsia (MPE & SPE), chronic hypertension & chronic hypertension with superimposed pre eclampsia were studied after obtaining clearance from ethical committee.

In this study totally 200 cases of hypertension in pregnancy, which accounted for 7.3% of the deliveries conducted.

• Pre-eclampsia cases were totally 103 in which severe were 52(1.89%) and mild were 51(1.86%).
• Gestational hypertension cases were 52 (1.89%)
• Chronic hypertension were 4 (0.15%)
• Chronic hypertension with superimposed pre eclampsia were 10(0.37%).
• Eclampsia were 7(0.26%)
• Imminent Eclampsia 24 (0.876%

Conclusion

According to RCOG 2011 – incidence of pre term birth is around 20-25%, similar to this study.

This clearly proves that severity of the disease is directly related to the maturity of the baby

The early use of antihypertensive drugs, optimum timing of delivery and strict fluid balance, anticonvulsants in case of severe preeclampsia and eclampsia will help to achieve successful outcome.

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