A study on pregnancy induced hypertension and foetal outcome among patient with PIH at tertiary care hospital, Valsad

Authors

  • Ravikant Patel Department of Community Medicine, GMERS Medical College, Valsad, Gujarat
  • Hinal Baria Department of Community Medicine, GMERS Medical College, Valsad, Gujarat
  • Hinaben R. Patel Department of Obstetrics and Gynecology, GMERS Medical College, Valsad, Gujarat
  • Sunil Nayak Department of Community Medicine, GMERS Medical College, Valsad, Gujarat

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20174843

Keywords:

Pregnancy induce hypertension, Blood pressure, Foetal out come

Abstract

Background: Hypertensive disorders are common complication occurring during pregnancy responsible for maternal and fetal mortality and morbidity. Though the condition is on decline, still stands a public health problem. The aims and objectives of the study were to know the clinical presentation among PIH patients and to find out foetal outcome among patients with PIH.

Methods: A cross-sectional study was conducted over period of 1 year in the department of Obstetrics and Gynecology, tertiary care health facility at GMERS Medical College and Hospital, Valsad. A total of 64 pregnant women with PIH were enrolled in this study with inclusion-exclusion criteria. Necessary information such as Socio-demographic information, detailed clinic and obstetric history, clinical examination, investigations and foetal outcome was note by using preformed performa. Data were entered and analyzed by using MS Excel and Epi Info software.

Results: Majority of PIH mother is belonging to age group of 18-26 years (51.56%), PIH is more prevalent among nulliparous (57.81%). Among PIH mother 48.44% had lower abdominal pain, 18.75% had vomiting/epigastric discomfort followed by headache (12.50%), convulsion (10.94%) etc. 53.12% of PIH mother delivered low birth weight babies, 7.81% are IUGR. 18.75% of babies were required NICU admission with 1.56% of neonatal death.

Conclusions: Pregnancy induced hypertension is a common medical disorder associated with pregnancy. We noted that PIH is more prevalent in younger age groups and nulliparous mothers. PIH lead to a various clinical manifestation some of this may use as early recognition of PIH. PIH also lead to increase adverse foetal outcome. Thus fetal morbidity and mortality can be reduced among PIH patients by early recognition and institutional management. 

Metrics

Metrics Loading ...

References

Ali A, Yunus M, Islam HM. Clinico-Epidemiological Study of Factors Associated with Pregnancy Induced Hypertension. Indian J Community Med. 1998;33(1):25-9.

Gary F. Hypertensive disorders in pregnancy. Cunningham Williams Obstetrics. 22nd edition. New York: Mc Graw Hill publishing division: 2005: 761.

Jye CJ. Challenges of obstetrician in the management of severe preeclampsia. Obs and Gynae Today. 2009;16(8):348-51.

Dadelszen P, Magee L. What matters in preeclampsia are the associated adverse outcomes: the view from Canada. Current Opinion Obstetr Gynaecol. 2008;20:110-5.

National High Blood Pressure Education Program Working group. Report of the National High Blood Pressure Education Program working group on High Blood Pressure in pregnancy. Am J Obstet Gynecol. 2000;183:1-22.

Brown MA, Hague WM, Higgins J. The detection, investigation and management of hypertension in pregnancy: full consensus statement. Aust N Z J Obstet Gynecol. 2000;139-55.

Walker JJ, Gant NF. Hypertension in pregnancy. 1st edition. CRC publisher. 1997: 1.

Dutta DC. Text Book of Obsterics. 4th edition. Calcutta: New Central Book Agency (P) Ltd; 234-241.

Parmar MT, Solanki HM, Gosalia VV. Study of risk factors of perinatal death in pregnancy induced hypertension. National J Community Med. 2012;3:703-7.

Gandhi MR, Jani PS, Patel UM, Kakani CR, Thakor NC, Gupta N. Perinatal outcome in pregnancy induced hypertension cases at GMERS Medical College, Dharpur-Patan, North Gujarat region, India: a prospective study. Int J Adv Med. 2015;2(2):152-5.

Bangal VB, Giri PA, Mahajan AS. Maternal and foetal outcome in pregnancy induced hypertension: a study from rural tertiary care teaching hospital in India. Int J Biomed Res. 2011;2(12):595‐9.

Khosravi S, Dabiran S, Lotfi M, Asnavandy M. Study of the Prevalence of Hypertension and Complications of Hypertensive Disorders in Pregnancy. Open J Prevent Med. 2014;4:860-7.

Muti M, Tshimanga M, Notion GT, Bangure D, Chonzi P. Prevalence of pregnancy induced hypertension and pregnancy outcomes among women seeking maternity services in Harare, Zimbabwe. BioMed Central Cardiovascular Disorders. 2015;111:2-8.

Sajith M, Nimbargi V, Modi A, Sumariya R, Pawar A. Incidence of pregnancy induced hypertension and prescription pattern of antihypertensive drugs in pregnancy. Int J Pharm Sci Res. 2014;5(4):163-70.

Kauntiz AM Hughes JM, Grimes DH, Smith JC, Rochat RW, Kaffrissen ME. Causes of maternal mortality in the United States. Am J Obstetr Gynecol. 1985;65:605-12.

National high blood pressure education program working group, report on high blood pressure in Pregnancy. American J Obstetrics Gynecol. 1990;163:1691-712.

Liu CM, Cheng P, Chang SD. Maternal Complications and Perinatal Outcomes associated with Gestational Hypertension and Severe Preeclamsia in Taiwanese Women. J Formes Med Assoc. 2008;107(2):129-38.

Vigil-De Gracia P, Montufar-Rueda C, Ruiz J. Expectant management of severe preclampsia and preeclampsia superimposed on chronic hypertension between 24 and 34 weeks gestation. Eur J Obstet Gynecol Reprod Biol. 2003;107:24–7.

Barron WM, Murphy MB, Lindheimer MD. In: Management of hypertension during pregnancy. 3rd ed. Raven. Laragh GH, Brenner BM, editors. Volume 2. New York: Hypertension pathophysiology, diagnosis and management; 1990: 1809–1827.

Seyom E, Abera M, Tesfaye M, Fentahun N. Maternal and fetal outcome of pregnancy related hypertension in Mettu Karl Referral Hospital, Ethiopia, Bio Med Central. J Ovarian Res. 2015;8:1-7.

Jiji DB, Cabading ML, Benjamin BA. A Comparative Study to Find the Maternal and Foetal Outcome among Pregnancy Induced Hypertension and Non–Pregnancy Induced Hypertension Gravid Women. Scholars. J Applied Med Sci. 2014;2(4):1286-9.

Ahmed M, Daver RG. Study of Feto-Maternal Outcome in Pregnancy Induced Hypertension. Global J Med Res: E Gynecol Obstetr. 2014;14(1):21-5.

Downloads

Published

2017-10-25

How to Cite

Patel, R., Baria, H., Patel, H. R., & Nayak, S. (2017). A study on pregnancy induced hypertension and foetal outcome among patient with PIH at tertiary care hospital, Valsad. International Journal Of Community Medicine And Public Health, 4(11), 4277–4281. https://doi.org/10.18203/2394-6040.ijcmph20174843

Issue

Section

Original Research Articles