Monitta, M (2022) Maternal and Perinatal Outcomes in Hypertensive Disorders of Pregnancy. Masters thesis, Christian Medical College, Vellore.
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Abstract
INTRODUCTION: Hypertension is one of the common medical complications of pregnancy and is a major cause for maternal and perinatal morbidity and mortality. AIMS OF THE STUDY: To study the maternal and perinatal outcomes in hypertensive disorders of pregnancy. OBJECTIVES: Primary Objective: 1. To study the mode of delivery in women with hypertensive disorders of pregnancy Secondary Objectives: 1. To study the maternal complications in pregnancy complicated by hypertensive disorders. 2. To study the perinatal outcomes in women with hypertensive disorders in pregnancy. 3. To study the adverse perinatal outcomes in the babies born to mothers with hypertensive disorders in pregnancy METHODOLOGY: Booked pregnant women diagnosed with hypertensive disorders of pregnancy who got admitted in obstetric wards or in labor room in Christian Medical College, Vellore were included in the study after getting informed written consent. They were observed for development of any complication during their hospital stay (before, during and after delivery/expulsion). Details including mode of delivery, gestational age at delivery, blood loss at delivery, maternal complications and perinatal outcomes including birth weight, Apgar scores, perinatal complications were noted. RESULTS: The majority (93%) of the women in the study population were in the age group between 19 and 35 years and primigravidas accounted to 64.2 %. The majority of women (78.7%) required antihypertensives for the control of blood pressure during their antenatal period. The induction rate was high accounting to 71.7% with the majority of induction being related to hypertension. The mode of delivery was by cesarean section for 51.7% of the women with the commonest indication being non reassuring fetal status, deteriorating maternal condition and failed induction. Postpartum hemorrhage was the most common complication encountered followed by eclampsia, placental abruption and HELLP syndrome. Among the neonatal complications, low birth weight (41.9%) was the commonest followed by preterm (30.7%). CONCLUSION: The induction rate was high in women with hypertensive disorder of pregnancy, with the majority of the induction being related to hypertension and the cesarean section rate was also high. Adequate awareness and education among the high risk women is essential. Early diagnosis, regular antenatal checkup, early initiation of antihypertensive agents and timely delivery may significantly improve the maternal and perinatal outcome.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221916412 |
| Uncontrolled Keywords: | Hypertensive disorders of pregnancy, Preeclampsia, Eclampsia. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 18 May 2021 16:26 |
| Last Modified: | 27 Nov 2023 03:22 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/17025 |
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