A Comparative Study of Maternal Outcome in Booked and Unbooked Pregnancy Induced Hypertension Mothers in a Tertiary Care Hospital, Rajahmundry

PIH is pregnancy specific, finding of Hypertension without proteinuria on atleast two occasions with six hours apart after 20 wks of gestation. It is one of the commonest disorders associated with increased risk of maternal and fetal complications, and is one of the main public health problems.

The study was carried out with following objectives: 1) To compare the sociodemographic profile of booked and unbooked PIH patients. 2) To compare the Maternal outcome in Booked and Unbooked Pregnancy induced hypertension cases.

This was a retrospective, cross-sectional, record-based study conducted in a tertiary care hospital. Information regarding demographic details, maternal and labour outcome parameters were recorded in a prestructured proforma and compared in booked and unbooked PIH patients delivered at GSL Medical College & General Hospital, Rajahmundry.

In rural population there was a significant difference, Unbooked constituting 65% and booked of 35%. Majority (80%) of unbooked cases were illiterates. PIH was more common among primigravida in both the groups which was statistically significant (p=0.03). Gestational age was significantly lower in Unbooked (p=0.01). It was observed that severe PIH and complications were more in Unbooked than Booked cases.

The results were presented in means and percentages. Chi-square test was used for comparing the groups. For all statistical analysis p<0.05 was considered statistically significant.

Pregnancy induced hypertension is a major worldwide health problem seen associated with pregnancy especially among young primigravidas, who remain unbooked during pregnancy. Maternal morbidity and mortality can be reduced by strengthening antenatal services, encouraging population, early recognition and institutional management.