Hypertension in pregnancy: A community-based study

Mehta, Bharti; Kumar, Vijay; Chawla, Sumit; Sachdeva, Sandeep; Mahopatra, Debjyoti

doi:10.4103/0970-0218.164403

Cited by 51 publications

(53 citation statements)

References 7 publications

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“…Blood pressure was collected at two different internals of two different positions of pregnant women. 25 Sachdeva et al, conducted study in Gujarat, reported 15.0% of the incidence of pregnancy-induced hypertension among women of rural background. 26 Several hospital-based studies in India have reported various prevalence rates which includes 7.49, 5.38, and 8.96% respectively.…”

Section: Discussionmentioning

confidence: 98%

Prevalence of pregnancy induced thyroid disorders, diabetes and hypertension in a tertiary care teaching hospital: an observational study

Mummalaneni¹,

Narasingarao

Myneni³

2019

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONPregnancy induced thyroid disorders, diabetes and hypertension are the common endocrine and cardiovascular disorders seen maternally either in early and late period of pregnancy. Maternal thyroid dysfunction contributes many risk factors which includes increase thyroglobulin levels, renal excretion of iodine due to increased rate of glomerular filtration, alterations in thyroid hormone peripheral metabolism and modifications in iodine transfer to placenta. 1 Iodine requirement increases by 50% during gestation period which can be compensate with synthesis and production of maternal thyroid hormones from gland and 10% increase in gland size is estimated. 2 Pregnancy is a stress factor for thyroid gland which resulting in hypothyroidism with dietary iodine deficiency and very limited thyroidal reserve women. Early pregnancy ABSTRACT Background: Pregnancy induced thyroid disorders, gestational diabetes mellitus (GDM) and gestational hypertension are common problems in women with gestational period. Published literate shows wide range of prevalence in pregnancy induced disorders in other states of India, and as of now the exact prevalence in our study population is not studied. Hence, there present study was aimed to know the prevalence of pregnancy induced disorders in pregnant women in South Indian population. Methods: A total of 120 subjects were followed-up at the time of recruitment to entire gestational period. Standard guidelines were followed for the assessment of thyroid hormone levels, glucose tolerance test (OGTT) and blood pressure values at different intervals and positions. Apart from detailed clinical history has been taken and routine basic and obstetrical investigations were done. Results: Prevalence of thyroid dysfunction (15.0%), gestational diabetes mellitus (11.7%) and gestational hypertension (9.2%) was reported in the present study population. Subclinical hypothyroidism was highest prevalence amount thyroid disorders. Gestational diabetes subjects have mean blood glucose levels of 230.68±17.48 mg/dL with OGTT test. Gestational hypertensive patients had SBP of 152.4±10.8 and DBP of 96.6±6.4; pre-hypertensive subjects had SBP of 134.2±5.48 and DBP of 6.8±4.6 respectively. Conclusions: Our study findings were slightly higher than normal prevalence's which are reported earlier by various authors. We suggested that early screening, diagnosis and treatment are warranted for the prevention of maternal and fetal complications in Indian population.

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Section: Discussionmentioning

confidence: 98%

Prevalence of pregnancy induced thyroid disorders, diabetes and hypertension in a tertiary care teaching hospital: an observational study

Mummalaneni¹,

Narasingarao

Myneni³

2019

Int J Reprod Contracept Obstet Gynecol

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“…High-quality nursing to puerpera with pregnancy hypertension mainly focuses on psychological nursing, ward environment nursing, disease observation, nursing for preeclampsia and eclampsia, and post-delivery nursing [8,9]. This type of care provides comprehensive, systematic, and thorough nursing services to puerpera, thus improving outcomes of puerpera and newborns [10].…”

Section: Discussionmentioning

confidence: 99%

Effects of high-quality nursing on puerpera with pregnancy hypertension

Li¹

2018

biomedicalresearch

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Objective: This paper aims to discuss the clinical effects of high-quality nursing for puerpera with pregnancy hypertension. Methods: A total of 88 puerpera cases with pregnancy hypertension were collected from March 2016 to July 2017. Cases were randomly divided into two groups: control group (n=44) and intervention group (n=44). The control group was provided with conventional nursing, whereas the intervention group was treated with high-quality nursing. Comparisons were made on psychological state, blood pressure levels, incidences of pre-eclampsia and eclampsia, nursing satisfaction, newborn birth weight, and Apgar scores of the two groups. Results: Depression and anxiety scores of intervention group are significantly lower than those of control group (P<0.05). Diastolic pressure level and systolic pressure level of intervention group are far lower than those of the control group (P<0.05). Incidences of pre-eclampsia and eclampsia in the intervention group reached 18.2% and 4.5%, respectively, which are significantly lower than those of the control group (38.6% and 20.5%) (P<0.05). Nursing satisfaction of intervention group total of 97.7%, which is significantly higher than that of the control group (81.8%) (P<0.05). Newborn birth weight and Apgar scores of intervention group are significantly higher than those of control group (P<0.05). Conclusions: High-quality nursing features outstanding clinical effect on puerpera with pregnancy hypertension, improves psychological state and blood pressure level, and increases newborn birth weight effectively. Hence, high-quality nursing is a characteristic of safety and reliability and worthy of clinical promotion and applications.

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“…17,18 Therefore, if these cases were to be excluded, the incidence would fall to 10.0% (n = 33), which is comparable to previously published hospital-based incidence/prevalence rates. 19 It should also be noted that most classifications of pregnancyrelated hypertension exclude pressure recordings taken during labour. 20 In general, PP is considered a surrogate measurement of vascular compliance.…”

Section: Discussionmentioning

confidence: 99%

Arterial Resistance in Late First Trimester as a Predictor of Subsequent Pregnancy-Related Hypertension

Kushtagi

Emani

2016

SQUMJ

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abstract:Objectives: This study aimed to examine the association between indicators of arterial resistance occurring late in the first trimester and the subsequent development of pregnancy-related hypertension. Methods: This study took place between May 2014 and August 2015 and included 329 consecutive women with singleton pregnancies attending the antenatal clinics of a medical college in Karnataka, India, during this period. Pulse pressure (PP) and uterine artery Doppler parameters were recorded between 11-14 gestational weeks. Consequently, women were followed-up until after delivery for subsequent hypertension. Results: Hypertension occurred more frequently if PP was high (17.6% versus 14.4% of pregnancies without high PP; P = 0.713), if a diastolic notch (DN) was present (15.1% versus 12.8% of pregnancies with an absent DN; P = 0.612) and if the resistive index (RI) was raised (22.2% versus 14.3% of pregnancies without raised RI; P = 0.366). A raised pulsatility index (PI) was significantly associated with hypertension (P = 0.013). The risk of hypertension was approximately seven-fold higher if two or more arterial resistance indicators were used, except with a present DN plus a raised RI or a present DN plus high PP. All arterial resistance indicators showed negative predictability (>85.6%) and good specificity (≥95.0%), except for the presence of a DN. A population-specific cut-off PI value of 1.72 had high negative predictability (92.8%) and good sensitivity (70.8%) and specificity (65.1%). Conclusion: Raised PI in the late first trimester was a significant predictor of hypertension later in pregnancy. A combination of arterial resistance indicators may enhance prediction of subsequent hypertension. Keywords

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Hypertension in pregnancy: A community-based study

Cited by 51 publications

References 7 publications

Prevalence of pregnancy induced thyroid disorders, diabetes and hypertension in a tertiary care teaching hospital: an observational study

Prevalence of pregnancy induced thyroid disorders, diabetes and hypertension in a tertiary care teaching hospital: an observational study

Effects of high-quality nursing on puerpera with pregnancy hypertension

Arterial Resistance in Late First Trimester as a Predictor of Subsequent Pregnancy-Related Hypertension

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