A retrospective study of socio-demographic factors in pregnancy induced hypertension in a tertiary care hospital in eastern India

Abstract

Background:The aim of the study was to study the sociodemographic factors in cases of pregnancy induced hypertension and its associated risk factors in a tertiary care hospital. Method: The present retrospective study was conducted in the Obstetrics and Gynaecology department of IMS & SUM Hospital, Bhubaneswar, Odisha from June 2017 to May 2018. A total of 120 cases of pregnant women with PIH were studied. The sociodemographic data like age, parity, gestational age of presentation, mode of delivery, maternal and perinatal complications were noted from the hospital records and studied. Results: The incidence of PIH was found to be 7.2% in pregnant women attending the IMS& SUM Hospital.52% cases were in the age group of 25-30 years and 27% were in the age group of 19-24 years. In the present study, incidence of PIH was found to be highest among primigravidas (65%) as copmpared to multigravidas (35%).Most cases were delivered by caesarean section (71%) and 29% were delivered vaginally. Out of 120 cases, 10 % of cases were complicated by eclampsia, Severe PIH in 6%, Abruptio placentae in 1.6% and HELLP Syndrome in 0.8% cases. Conclusion: PIH is a very common complication encountered in pregnancy associated with adverse maternal and fetal outcome. The risk ia higher among young primigravidas and in rural population. Better health care facilities and awareness among the pregnant women will help in reducing the incidence of PIH and its associated complications.

Role of Doppler Waveforms in Pregnancy-Induced Hypertension and Its Correlation With Perinatal Outcome

“…Also, PIH was more frequent among first-time mothers, i.e., primigravida (68%) and nulliparous (74%) women. The findings are concordant to a recent study from Odisha suggesting young expectant mothers are at elevated risk of PIH [ 11 ].…”

Study of socio-demographic factors in cases of pregnancy induced hypertension and its associated risk factors in a tertiary care hospital

“…18 In another study by Parmar MR et al, also majority of cases were in age group of 21-25 years. 19 Therefore it can be concluded from these studies that young maternal age is a significant risk factor for developing of PIH. In this country, where girls are married earlier especially in rural populations, therefore the incidence is higher in young age group.…”

“…22 In the present study, majority of delivered cases were term (60%) and (32.5%) had preterm delivery which was quite opposite of study by Parmar MR et al, where only 42% were term and 57% were preterm. 19 Majority of preterm were delivered by caesarean section (61.53%). 19 Eclampsia was the most common complication noted in the present study followed by Abruptio placentae and HELLP syndrome which was quite similar to study by Parmar et al, where also eclampsia was the commonest complication.…”

“…19 Majority of preterm were delivered by caesarean section (61.53%). 19 Eclampsia was the most common complication noted in the present study followed by Abruptio placentae and HELLP syndrome which was quite similar to study by Parmar et al, where also eclampsia was the commonest complication. Similar finding was also seen in a study by Bansal et al 18,23…”

Sociodemographic Characteristics of Pregnancy Induced Hypertension: An Observational Study in the Kolhapur Population

“…(25) Studies by Jena et al and Bangal et al also report similar findings in the eastern and western regions of India respectively. (26,27) . Conflicting trends were reported for Africa where rural women in Nigeria .…”