1Assistant Professor, Department of Community Medicine, The Oxford Medical College Hospital and, Research Centre, Bangalore, Karnataka, India
2Fellow in Preventive Oncology, Dept of Preventive Oncology, Tata Memorial Hospital, Parel, Mumbai
*Author for Correspondence: Dr. Vandana Khargekar, Shanta Durga Sadan, Opp. Daivajna Bhavan, Vidyanagar, Hubli - 580031 Karnataka, India. E-mail- vandanakhargekar@yahoo.co.in, Mob: +919886371527
Online published on 26 April, 2016.
Hypertension is one of the common complications met with in pregnancy and contributes significantly to maternal and perinatal mortality and morbidities such as eclampsia, accidental haemorrhage, preterm labour, postpartum haemorrhage, shock, fetal hazards like intrauterine death, intrauterine growth retardation, asphyxia and prematurity.
PIH is classified into I) Gestational hypertension II) Pre-eclampsia III) Eclampsia IV) Chronic hypertension.
Incidence of Pre-eclampsia in hospital practices is 5- 15% and the etiology is unknown. The identification of this clinical entity by regular antenatal checkups and effective management plays significant role in outcome of pregnancy, both for mother and baby.
To study the socio-demographic profile of mothers with PIH
To study the prevalence of different types of PIH(gestational hypertension, pre-eclampsia, eclampsia)
To study the maternal and fetal outcomes
A longitudinal study was conducted among mothers with PIH admitted to 3 hospitals attached to J.J.M. Medical College, Davangere (Bapuji, Women and Child hospital and C.G. Hospital) for 6 months from 1-5-2012 to 30-10-2012 using a pretested, semi-structured questionnaire and clinical examination. Data was analysed using SPSS with frequency distribution, chi-square.
Out of 163 cases studied, 51.5% were in age group of 21-25yrs, 74.2% belonged to rural areas, 77.9% housewives, 63.1% lived in joint families and 41% were in SE class III. 13.5% were Gestational hypertension, 77.3% pre-eclampsia and 9.2% eclampsia. 17.8% preterm deliveries, 15.9% IUGR, 13.5% perinatal mortality and 26.3% NICU admissions.
75.8% were in the gestational age of 33–36 weeks among whom around 78% were pre-eclamptics. Irrespective of the type of PIH 60% went for normal delivery. 56% of the babies were born preterm in case of eclamptic mothers and in eclamptics around 69% were primigravida. Maximum perinatal morbidity and mortality was seen in eclampsia followed by pre-eclampsia.
Preeclampsia, eclampsia, gestational hypertension, perinatal, mortality, morbidity
