Background: Hypertension is the most common medical disorder encountered during pregnancy, occurring in 6-8% of pregnancies. Women with hypertensive disorders of pregnancy (HDP) are all at increased risk of complications antenatally and in the puerperium.Objective: This study aimed to determine the maternal and perinatal outcomes of hospitalized pregnant cases with hypertension.Methods: This was a 3 years retrospective study conducted in a tertiary care centre of Northern India from July 2011 to June 2014. Maternal and Perinatal outcomes were compared among the HDP groups and results were analysed and tabulated by SPSS version, using chi square method.Results: Out of 2,989 deliveries during the defined period, the incidence of women presenting with HDP was 6.92% (n=207). Of these 50.2% (104/207) were pre eclampsia, 35.7% (74/207) eclampsia, 12.5% (26/207) were gestational hypertension and rest were chronic hypertension. The mean age of women presenting with HDP was 25.42 ±4.64 years. Co-morbid conditions like Gestational diabetes mellitus (GDM) was seen in 1.4% (3/207), twin pregnancy was seen in 5.79% (12/207) and obesity was seen in 7.24% (15/207) cases of HDP. There were 2 maternal deaths and 7 neonatal deaths. Maternal complications like acute renal failure (ARF), congestive heart failure (CHF), acute respiratory distress syndrome (ARDS) & disseminated intravascular coagulation (DIC) were seen more commonly in severe pre-eclampsia group. 62.8% babies (130/207) were premature. Poor neonatal outcome was higher in eclampsia group followed by severe pre-eclampsia group.
Conclusion:A substantial burden of maternal and perinatal morbidity and mortality is associated with hypertensive disorders of pregnancy, more so in eclampsia and severe pre-eclampsia group as compared to gestational hypertension and mild preeclampsia.