Maternal &amp; Perinatal outcome in Hypertensive Disorders of Pregnancy in a Tertiary Care Hospital in Northern India

Sharma, Charu; Gupta, Smriti; Tyagi, Mamta; Mani, Poonam; Dhingra, Jasneet; Rana, Ritu

doi:10.15406/ogij.2017.06.00229

Cited by 10 publications

(12 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, the perinatal mortality rate was 16.9% because of HDP which is similar as reported by other authors from 12.4% to 20.4%[ 3 17 18 19 20 21 ] Types of HDP seen in our study are similar to the findings of Sharma et al . who observed 6.92% HDP with PE contributing to 50.2%, E – 35.7%, GH – 12.5%, and CH – 1.6%.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Perinatal outcome in pregnancies associated with hypertension: A prospective cohort study in a rural tertiary care teaching hospital of North India

Verma

Chugh²,

Sood

et al. 2021

Indian J Community Med

View full text Add to dashboard Cite

Objective: The objective of the study is to know type of hypertension affecting pregnant women and impact on perinatal outcome. Subject and Methods: This is a prospective cohort study; 120 women with hypertensive disorders of pregnancy (HDP) at gestation ≥28 weeks who delivered in our institute were enrolled. Sociodemography, gestational age, mode of delivery, APGAR, birth weight, fetal growth restriction (FGR), and perinatal outcome were recorded. Mean ± standard deviation or proportions, analysis of variance, Chi-square test, and odds ratio were used for statistical analysis. Results: Preeclampsia (PE) was most prevalent hypertensive disorder of pregnancy (44.2%), followed by eclampsia (27.50%), gestational hypertension (23.3%), and chronic hypertension (CH) (5.0%). In PE group, 61.8% had FGR, 65.5% newborns were preterm, 74.6% had low birth weight, and 54.1% needed neonatal intensive care unit (NICU) admission. In eclampsia group, 42.9% had fetal growth restriction, 65.7% preterm, 80% low birth weight, and 78.6% NICU admission. PE women delivered more fetal growth-restricted babies with odd ratio of 2.37 (95% confidence interval [CI]: 1.15, 4.9) and at lower gestation with odd ratio of 2.00 (95% CI: 0.95, 4.21). Eclampsia group had more newborn with low APGAR 1 min, NICU admissions, and those requiring ventilator with odds ratio of 3.10 (95% CI: 1.37, 7.03), 4.48 (95% CI: 1.64, 12.24), and 4.09 (95% CI: 1.6, 10.46), respectively. Perinatal mortality was 10, 9, and 2 in eclampsia, PE, and gestational hypertension groups, respectively, with overall rate of 16.9%. PE and eclampsia comprised 71.70% of HDP but contributed 90.5% of all perinatal deaths. Conclusion: Preeclampsia-eclampsia is associated with increased risk of adverse perinatal outcomes as compared to gestational and CH, necessitating screening, vigilant antenatal care, timely intervention, and referral.

show abstract

Section: Discussionsupporting

confidence: 92%

“…[ 16 ] Different studies done in India show HDP as a leading cause of adverse perinatal outcome and mortality. [ 17 18 19 ]…”

Section: Discussionmentioning

confidence: 99%

Perinatal outcome in pregnancies associated with hypertension: A prospective cohort study in a rural tertiary care teaching hospital of North India

Verma

Chugh²,

Sood

et al. 2021

Indian J Community Med

View full text Add to dashboard Cite

show abstract

“…80% respondents had gestational hypertension, 16% had preeclampsia, two percent had eclampsia and remaining two had chronic hypertension. Slightly different fi ndings were observed in a study conducted in a tertiary hospital of India in which it was mentioned that among hypertensive disorders, 50.2% were pre eclampsia, 35.7% eclampsia, 12.5% were gestational hypertension and rest was chronic hypertension 12 .…”

Section: Resultsmentioning

confidence: 93%

Maternal and Perinatal Outcome of Hypertensive Disorders of Pregnancy In a Tertiary Hospital of Kathmandu

Paudel

Shrestha

Parajuli

2018

J. Kathmandu Med. Coll.

View full text Add to dashboard Cite

Background: Hypertensive disorders of pregnancy are considered to be a major worldwide health problem causing an increased risk of perinatal and maternal morbidity and mortality. Hypertensive disorders are the most common medical disorders encountered during pregnancy. Objective: This study aimed to assess the maternal and perinatal outcome of hypertensive disorders in pregnancy. Methods: A hospital based prospective study was conducted in Obstetrics ward of Kathmandu Medical College Teaching Hospital. Total one hundred pregnant women admitted in antenatal ward with the diagnosis of hypertensive disorders in pregnancy were included in the study. A structured questionnaire was designed and data collection was done through one-to-one interview technique during the period of December 2015 to January 2017. The collected data were analyzed by using Statistical Package for Social Science version 20. Results: Among 100 hypertensive disorders; 80% respondents had gestational hypertension, 16% had preeclampsia and two percent had eclampsia. Of total, 52% respondents had normal vaginal delivery followed by 46% caesarian section. One respondent had ante-partum hemorrhage, 11% had post-partum hemorrhage and one had developed hemolysis, elevated liver enzymes low platelets counts syndrome. Fortunately, no maternal mortality was occurred. Regarding perinatal outcome, 17% babies were born preterm, 13% babies had low birth weight and seven percent babies had birth asphyxia. Total fi ve were stillbirths and one percent had early neonatal death. Conclusion: Maternal outcome was good except few morbidities but perinatal outcome was found to be adverse. Proper management of hypertensive disorders is required to reduce perinatal morbidities and mortalities.

show abstract

“…In a study by Sharma C et al Incidence of PPH was seen in 0.4% of cases and maternal mortality in 0.9% cases. 11 The foetal outcome was noted in the form of preterm deliveries, Apgar score, intrauterine growth restriction, low birth weight, the need for neonatal resuscitation, admission to neonatal intensive care unit and intrauterine foetal demise. In our study Incidence of preterm delivery noted in 5.10%, intrauterine growth restriction found in 5.80% of births, low birth weight in 18.56%, intrauterine foetal death in 0.46% and still births in 1.86%.…”

Section: Discussionmentioning

confidence: 99%

Study of Prevalence of Hypertensive Disorders of Pregnancy and Their Maternal and Perinatal Outcome at Government Victoria Hospital, Visakhapatnam

Sailaja¹,

Kumari²,

Devi³

et al. 2019

jebmh

View full text Add to dashboard Cite

BACKGROUND Hypertensive disorders of pregnancy are one of the important causes for adverse maternal and foetal outcome. A proper understanding of this medical disorder in pregnancy is essential to reduce the maternal and foetal complications associated with it. We wanted to analyse the incidence of hypertensive disorder complicating pregnancies among pregnant women attending antenatal care at Government Victoria Hospital, Visakhapatnam, and study the maternal and perinatal outcome in terms of morbidity and mortality among these women. METHODS It is a prospective and observational study. The study was performed among a total of 6411 pregnant women who have delivered at Government Victoria Hospital from July 2018 to June 2019. A total number of 431 pregnant women with hypertensive disorders complicating pregnancy were analyzed and the outcome of the hypertensive disorders in terms of maternal and perinatal morbidity and mortality were studied. Data was collected regarding antenatal care-booked and unbooked cases, age, parity, gestational age, mode of delivery and maternal complications. Perinatal outcome including birth weight, NICU admissions and perinatal deaths were recorded. Data was analysed and tabulated using SPSS version 24. RESULTS The total number of deliveries during this period was 6411 and 431 women had hypertension complicating pregnancy giving an incidence of 6.72%. Normal vaginal deliveries were seen in 187 cases (43.38%) and instrumental delivery in 17 cases (3.96%). The caesarian section rate was 52.66%. The number of cases with postpartum hemorrhage was 8 cases (1.86%). Placental abruption was in 4 cases (0.93%). Pulmonary oedema in 2 cases (0.46%), Thromboembolism in 1 case (0.23%), Postpartum cardiomyopathy in 1 case (0.23%) seen. There were two maternal deaths, one due to pulmonary embolism and one due to cardiomyopathy. The number of cases with birth weight less than 2 Kg were 74 cases (14.17%). Growth restriction was 25 cases (5.80%). NICU admission was required for 87 cases (20.19%). Early neonatal deaths occurred in 22 cases (5.10%). Number of still births in 8 cases (1.86%). Number of intrauterine deaths in 2 cases (0.46%). CONCLUSIONS Hypertension in pregnancy is associated with adverse maternal and perinatal outcome. Good antenatal care and early referral can reduce complications.

show abstract

Maternal & Perinatal outcome in Hypertensive Disorders of Pregnancy in a Tertiary Care Hospital in Northern India

Cited by 10 publications

References 11 publications

Perinatal outcome in pregnancies associated with hypertension: A prospective cohort study in a rural tertiary care teaching hospital of North India

Perinatal outcome in pregnancies associated with hypertension: A prospective cohort study in a rural tertiary care teaching hospital of North India

Maternal and Perinatal Outcome of Hypertensive Disorders of Pregnancy In a Tertiary Hospital of Kathmandu

Study of Prevalence of Hypertensive Disorders of Pregnancy and Their Maternal and Perinatal Outcome at Government Victoria Hospital, Visakhapatnam

Contact Info

Product

Resources

About