To evaluate maternal outcome in hypertensive disorders of pregnancy at tertiary care Centre

Abstract

Method: Registration details of all the patients including their OPD number, name, age, sex were noted. Consent of each patient was taken and details of clinical examination and all the tests report will also be included in to the proforma. A thorough history of each patient including age, parity, duration of pregnancy, obstetric history, family history and any complication she faced in present or past pregnancy. Result: On analyzing the maternal outcome association with in these women. 70% (140/200) reported cases presented no complication. However, significant morbidity was noted in 30% (60/200) cases. There were 4 maternal deaths, one in mild PE and three in both sever PE and eclampsia group, both probably due to intra cerebral hemorrhage. All these maternal complications were observed only in the two groups of severe pre-eclampsia and eclampsia. None of the women with gestational hypertension or mild pre-eclampsia had complications. This difference was statistically significant with p value of 0.001. We found that anaemia was the most commonly associated medical disorder in these women (16.4%). Three women had GDM (Gestational diabetes mellitus) with HDP, of which one presented with gestational hypertension and two developed severe pre-eclampsia in last trimester. Eleven women had twin pregnancies. Conclusion: In our study it has shown that it is more common in younger age group between 18-27 years followed by 28-37 years. it is more common in multigravida that is not supported by various studies but due to increased age preeclampsia superimposed on chronic hypertension. Number of cesarean deliveries are more as compared to vaginal. This study found that hypertensive disorders of pregnancy is most commonly assosciated with poor maternal outcome but in patient management good antenatal care, good critical care unit in collarabaration with multispeciality approach reduces fetomaternal mortality & morbidity to a great extent. From the study conducted it is concluded that severe preeclampsia & eclampsia are more complicated form of hypertensive disorders of pregnancy & poses a great maternal morbidity & mortality.