Study of Hypertensive Disorders in Pregnancy and Its Outcome in Neonates
Background: A hypertensive (HTN) disorder of pregnancy is a multi-factorial disorder and seriously endangers the safety of fetus during pregnancy.
Methods: 150 HTN pregnant women were selected for study and followed them till delivery and 6–8 weeks post-delivery, routine Blood examination, complete blood count, CT, BT, and serum electrolyte ultrasound (USG) was done. Fetal monitoring included DFMC, FHR, NST umbilical, and cerebral Doppler, USG to assess the fetal serial growth, AFI, BPP, placental location, and maturity.
Results: Types of delivery – 97 (64.6%) lower segment cesarean section, 39 (26%) normal vaginal delivery, 5 (3.3%) forceps, 9 (6%) consanguinity, 30 (20%) had <140 systolic, 90 diastolic blood pressure (BP), 80 (53.3%) had 140–159 systolic, 90–190 diastolic BP, 40 (26.6%) had >160 systolic, and >110 diastolic BP. The gestational ages of neonates were – 21 (14%) were <32 weeks, 40 (26.6%) were 32–36 weeks, and 89 (59.3%) were 37–42 weeks. Birth weight of neonates 70 (46.6%) had low birth weight (LBW), 17 (11.3%) had very LBW, 33 (22%) had normal weight, 30 (20%) had intrauterine growth restriction, 118 (78.6%) were alive, and 32 (21.3%) neonatal deaths were noted.
Conclusion: Eclampsia is still common and serious complications of pregnancy. Proper antenatal care, detection of preeclampsia with early management and timely referral of high risk patients would reduce of the maternal and perinatal morbidity and mortality.
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