Fetomaternal Outcome in Hypertensive Disorder of Pregnancy in a Tertiary Care in India: A Prospective Observational Study | Chapter 1 | Research Developments in Medicine and Medical Science Vol. 1

 The purpose of the study search out evaluate the foetal and motherly outcomes in tertiary care gestation affected by hypertensive disorders. The study aims to search both motherly and foetal morbidity, containing low Apgar scores, meconium aspiration condition, NICU admissions, and fatalities. Maternal morbidity contains complications, clinic stays, and mortality. Pre-eclampsia persists to be the main cause of pregnancy-accompanying hypertension, which influences 12–22% of pregnancies and complicates 10% of bureaucracy. It is defined as the unexpected onset of proteinuria and elevated ancestry pressure (BP) in a previously normotensive girl after 20 weeks of gestation (BP 140/90 and 0.3 g protein in 24 h urine sample). . This was a prospective observational study administered in the department of obstetrics and gynecology at Rohilkhand healing college and nursing home, Bareilly between 1st November 2018 and 31st October 2019. Hypertension guide pregnancy, whether it is pre- existent or grown during pregnancy, is individual of the most ordinary condition encountered by obstetricians. From 100 subjects, pre-eclampsia and pre-eclampsia superimposed on chronic HTN was between 53% and 3% patients. Eclampsia and gestational HTN was in 37% and 7% of cases. Birth weight >2.5 kg was between 52% and 2.01–2.5 kg was in 36% patients. In our study, 12.7% of neonates wanted NICU admission at birth. Majority of subjects had unbooked deliveries. About half of the patients in the study were of term gestation. Majority of patients had danger LSCS (72%) followed by willing vaginal delivery (28%). Deranged LFT was the most ordinary abnormal motherly investigation (38%). Stillbirths was in 29% at which point 21% old IUD and 8 % stillbirth. There were 71% live births.

Author(s) Details:

Sweety Raj,
Department of Obstetrics and Gynaecology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India.

Disha Bansal,
Department of Obstetrics and Gynaecology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India.

Kanchan Dalmia,
Department of Obstetrics and Gynaecology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India.

Priya Jaiswal,
Department of Obstetrics and Gynaecology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India.


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