1Professor, Dept. of Obstetrics and Gynaecology, Dr. D.Y. Patil Medical College and Hospital, Pune, Maharashtra
2Junior Resident, Dept. of Obstetrics and Gynaecology, Dr. D.Y. Patil Medical College and Hospital, Pune, Maharashtra
3Associate Professor, Dept. of Obstetrics and Gynaecology, Dr. D.Y. Patil Medical College and Hospital, Pune, Maharashtra
PIH complicates 6–10% of all pregnancies. It contributes mainly to maternal and fetal complications. Patients with PIH are at a greater risk of abruptio placenta, cerebrovascular events, organ failure and DIC. Fetuses are at a greater risk of IUGR, preterm birth, small for gestational age and IUD.
250 patients with PIH were studied. Pregnant women with 90mm hg or more with or without proteinuria diagnosed after 20 weeks were included. A predesigned semi-structured questionnaire was prepared based on review of literature on PIH and its maternal & fetal outcomes.
In this study, 6% cases were 18 years of age, 37% were 18–24 years, 44% were 25–28 years, 10% were 29–35 years and 3% more than 35 years. In the present study, 44% had edema and 56% had no edema. 42% had proteinuria out of which 66.7% had 1+, 23.3% had 2+ and 9.5% had 3+. 58% had no proteinuria. Normal vaginal delivery was seen in 56% cases, 10% had instrumental delivery among these 6% had forceps assisted and 20% had vacuum delivery. In this study, 8.8% required neonatal resuscitation, 91.2% did not require neonatal resuscitation. 10% of the neonates had NICU admission and 90% did not require any NICU admission.
Preterm birth and IUGR are the most commonly encountered perinatal outcomes in PIH. Low birth weight is the most common neonatal outcome. Proper ANC with early diagnosis of PIH could significantly reduce its perinatal, natal, and maternal outcomes in patients.
PIH, IUGR, Preterm labour, HELLP syndrome
