Pregnancy Induced Hypertension and Feto-Maternal Outcome in a Tertiary Care Hospital in Eastern India: A Prospective Study

Das, Sasmita; Sahu, Manisha; Mohapatra, Sanjukta; Padmavati, VM; Panigrahi, Pradip Kumar

doi:10.7860/jcdr/2018/37432.12288

Cited by 6 publications

(5 citation statements)

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“…Young as well as advanced maternal age has been shown as a risk factor for pregnancy 12 induced hypertension. However, similar to the findings of 13 14 Rani C et al and many other researchers in their study showed that caesarean sec on was the most frequent mode of delivery, which was also the commonest route encountered in our study, with the most common indica on being non progress of labour. In the present study 86 out of 134 pa ents did not present with any complica ons, while 17.9% women had post-partum haemorrhage, to follow was eclampsia which accounted for 13.4% of the cases.…”

Section: Discussionsupporting

confidence: 92%

Feto-maternal Outcome in Pregnancies Complicated by Hypertensive Disorder: A Retrospective Study at a Tertiary Care Centre of Eastern Nepal

Karki¹,

Priyadarshini²,

Pradhan³

2020

Birat J. Health Sci.

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Introduction: Hypertensive disorder of pregnancy is one of the major cause of maternal and fetal morbidity and mortality. Objective: The objective of this study was to estimate the associated maternal and fetal outcome and complications in pregnancies complicated by hypertensive disorders at a tertiary care hospital in eastern Nepal. Methodology: This retrospective cross section observational study included purposely-selected one hundred thirty four pregnant women from April 2019 to April 2020 in the Department of Obstetrics and Gynaecology at Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal. Maternal age, gravidity, period of gestation at presentation, associated maternal comorbidities/ risk factors, mode of delivery, indication for surgery, maternal outcome and complications, fetal outcome was recorded and data was analysed using SPSS version 23 software. Result: Out of the 134 study population,35.8% of the mothers with hypertensive disorders were noted in the age group between 25-29 years and almost two third of the patients were multigravida. 55.2% patients had mild, while 44.8% had severe hypertension. About 83.6% of the hypertensive pregnant mothers delivered preterm between 33 to 36 weeks of gestation. 61.9% mothers underwent cesarean section with the most common indication being non-reassuring fatal heart rate pattern, while 34.3% women delivered vaginally. 86 out of 134 cases did not develop any complications while, postpartum haemorrhage was the most frequently encountered complication seen in 17.9% cases followed by eclampsia encountered in 13.4% patients. The mortality encountered was 0.7%. Neonatal complications were found in 50% cases, 15.7% neonates had low APGAR score and 8.2% had meconium aspiration, while 4.5% intrauterine deaths and 3% neonatal deaths were observed. Conclusion: There is adverse impact of hypertension during pregnancy over maternal and perinatal outcome. Hence, early identification and prompt referral to the well-equipped center is necessary to reduce the associated morbidity and mortality.

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Section: Discussionsupporting

confidence: 92%

Feto-maternal Outcome in Pregnancies Complicated by Hypertensive Disorder: A Retrospective Study at a Tertiary Care Centre of Eastern Nepal

Karki¹,

Priyadarshini²,

Pradhan³

2020

Birat J. Health Sci.

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“…Obesity increases the risk of complications such as pregnancy-induced hypertensive disorders, gestational diabetes, stillbirth, cesarean, preterm deliveries, low birth weight, and etc. [27,41,69,99].…”

Section: Background 21 Pregnancy Complications In Indiamentioning

confidence: 99%

Beyond Health Literacy: Navigating Boundaries and Relationships During High-risk Pregnancies

Bagalkot

Verdezoto

Ghode

et al. 2020

Proceedings of the 11th Nordic Conference on Human-Computer Interaction: Shaping Experiences, Shaping Society

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Few studies in HCI4D have examined the lived experiences of women with pregnancy complications. We conducted a qualitative study with 15 pregnant women to gain an in-depth understanding of the context in which pregnancy takes place and everyday experiences living with complications in rural North-West India. To complement our interviews, we conducted six focus groups with three pregnant women, three community health workers and three members of an NGO. Our study reveals insights about the challenges and experiences of the pregnant women with complications while navigating the physical, spatial, social and emotional aspects of antenatal care as part of complex and contradictory structures and settings of their everyday life. We argue that the design of digital health in support of pregnancy care for the Global South must center around supporting the navigational work done by the pregnant women and their families.We summarize research in two areas including an overview of public health strategies and challenges to improve maternal health in India, and digital health in the Global South, with focus on the Indian context.

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“…Hypertensive pregnancy disorder (HDP) confounds approximately 2.74% of all gestations globally [1][2] . In Pakistan, it varies from 2.1% to 3.5% 3 .…”

Section: Introductionmentioning

confidence: 99%

The Feto-Maternal Outcomes and Incidence of Early-and Late-Onset Preeclampsia

Naeem¹,

Jan²,

Ali³

et al. 2022

PJMHS

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Hypertensive disorders in gestation are categorized as hypertension in pregnancy, chronic hypertension, eclampsia and pre-eclampsia. The World Health Organization states: “There are 529,000 maternal deaths annually worldwide due to pre-eclampsia and eclampsia. This study will help in determining pregnancy outcomes in early vs late-onset pr-eclampsia. Aim: To access the pregnancy outcomes of early and late onset pre-eclampsia. Study Design: A retrospective, descriptive and cross-sectional study Place and Duration: In the Obstetrics and Gynecology department of Allama Iqbal Memorial Teaching Hospital Sialkot and Islamic International Medical College, Rawalpindi for one-year duration form January 2021 to December 2021. Methods: A total 130 were admitted to the gynae ward with pre-diagnosis of pre-eclampsia were included. The cut-off value of the early and late onset PE was thirty-four weeks. Pre-eclampsia analysed < 34 weeks was labeled as early-onset pre-eclampsia and if diagnosed after 34 weeks will be labeled as late-onset pre-eclampsia. Obstetric and perinatal outcomes were assessed with version 21 of the Social Sciences Statistical Package. Results: A total 130 were admitted to the gynae ward with pre-diagnosis of pre-eclampsia were included. The severe pre-eclampsia was observed in 48(36.9%) pregnant women and 82 women (63.1%) had no symptoms of severe pre-eclampsia. In 38 (29.2%) cases; early-onset pre-eclampsia was detected and late-onset PE in 92 (70.7%) cases. The rate of severe PE in early-onset PE has been documented in 22 (57.8%) of 38 cases, and severe PE has been reported in late-onset PE in 29 (31.5%) of 92 cases. Adverse maternal outcomes occurred in 20 cases, including 7 cases of placenta abruptio and 3 cases of eclampsia with seizure disorders. Conclusions: The results indicate that in addition to intensive fetal monitoring in women with early-onset pre-eclampsia, attention should be paid to neurological, cardiopulmonary, and haematological parameters. Keywords: late onset, early onset; pregnancy outcome and preeclampsia.

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Pregnancy Induced Hypertension and Feto-Maternal Outcome in a Tertiary Care Hospital in Eastern India: A Prospective Study

Cited by 6 publications

References 0 publications

Feto-maternal Outcome in Pregnancies Complicated by Hypertensive Disorder: A Retrospective Study at a Tertiary Care Centre of Eastern Nepal

Feto-maternal Outcome in Pregnancies Complicated by Hypertensive Disorder: A Retrospective Study at a Tertiary Care Centre of Eastern Nepal

Beyond Health Literacy: Navigating Boundaries and Relationships During High-risk Pregnancies

The Feto-Maternal Outcomes and Incidence of Early-and Late-Onset Preeclampsia

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