European Journal of Biomedical and Pharmaceutical Sciences

MATERNAL AND PERINATAL OUTCOME IN HYPERTENSIVE DISORDERS IN PREGNANCY

Dr. Prema Prabhudev*, Dr. Sapna I. S. and Dr. Saroja

ABSTRACT

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. Hypertensive disorders of pregnancy still holds major cause of maternal and perinatal morbidity and mortality & the commonest cause of referral to a tertiary centre. The objective was to 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. Conculusion: 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.

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