PREVALENCE OF HYPERTENSIVE DISORDERS IN PREGNANCY AND ITS OUTCOMES
Abstract
Aim- to estimate the prevalence of hypertensive disorders in pregnancy and to assess the maternal and fetal outcomes in women with hypertensive disorders. Materials and methods- All antenatal women attending OPD and all antenatal in patients were screened for hypertension during the period of 4 months from January to April 2014. All patients identified to have hypertensive disorders were identified and Outcome of pregnancies with hypertensive disorders was assessed. Results- In the period of 4 months, out of 3367 deliveries, 480 patients with hypertensive disorders were identified. The prevalence was 14.2 %. Associated gestational diabetes mellitus was seen in 22.5% hypertensive patients. Eclamptic seizures were seen in 2.3 % of cases. 1.5% hypertensive patients had abruption. 32.4 % had preterm deliveries, 35.4% had intrauterine growth restriction and 4 babies died in the neonatal period. Conclusion- As we are striving to achieve the sustainable development goal target of an MMR of 70 by 2030, emphasis must be given to early detection and prompt treatment of hypertension to prevent morbidity and mortality related to hypertensive disorders in pregnant women.
Keywords
Full Text:
PDFReferences
Lai C, Coulter SA, Woodruff A. hypertension and pregnancy. Tex Heart Inst J 2017.Oct; 44(5):350-351.
National high blood pressure education program working group, report on high blood pressure in pregnancy. . American Journal of obstetrics and Gynecology 1990; 163:1691-1712.
Bramham K, Parnell B, Nelson –Piercy C, Seed PT, Poston L, Chappel LC. Chronic hypertension and pregnancy outcomes: systematic review and meta-analysis.BMJ2014.Apr; 348:g2301.
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 Pharma Sci Res 2014; 5(4):163-170.
Hafez SK, Dorgham LS, Sayed SA. Profile of high risk pregnancy among Saudi women in Taif –KSA. World Journal of Medical Sciences 2014; 11(1):90-97.
Brown MA, Lindheimer MD, De Swiet M,et al. The classification and diagnosis of the hypertensive disorders of pregnancy: statement from the International Society for the study of Hypertension in pregnancy (ISSHP). Hypertens pregnancy 2001; 20: IX-XIV.
Ahmed Hussein Subki, Mohammed Ridha Algethami,Wejdan Mohammad Baabdullah et al. Prevalence, Risk factors,and Fetal and Maternal outcomes of hypertensive disorders of pregnancy: a retrospective study in Western Saudi Arabia.
Umesawa M, Kobashi G. epidemiology of hypertensive disorders in pregnancy: prevalence,risk factors, predictors and prognosis .Hypertens Res 2017.Mar;40(3):213-220.
Debranjan D, Preethi CL. Management of hypertension in pregnancy. Journal of pharmacy research 2011; 4(5):1340-42.
Xiong X, Demianczuk NN, Saunders D et al. Impact of preeclampsia and gestational hypertension on birth weight by gestational age. American Journal of Epidemiology revised 1997; 19:218-232.
El-Gilany AH, Hammad S, .Body mass index and obstetric outcomes in pregnant in Saudi Arabia: a prospective cohort study. Ann Saudi Med 2010.Sep –Oct; 30(5):376-380.
Al-Hakmani FM, Al-Fadhil FA, Al- Balushi LH, Al- Harthy NA, et al . The effect of obesity on pregnancy and its outcome in the population of Oman, Seeb Province. Oman Med J 2016.Jan; 31(1):12-17.
Brown CM, Garovic VD. Drug treatment of hypertension in pregnancy. Drugs 2014.Mar; 74(3):283-296.
Dagdeviren H,Cankaya A, Cengiz H, Tombul T, et al. Maternal and neonatal outcomes of women with preeclampsia and eclampsia at a tertiary care centre. Haseki Tip Bulteni 2015; 53(2).
.Abalos RS, Ellasus RO, Gutierrez JM. Fetomaternal outcomes of hospitalized hypertensive gravida in Shaqra General hospital: a retrospective study. Int J Adv Nurs Stud 2015.Jan;4(1):7.
Wolde Z, Segni H, Woldie M. Hypertensive disorders of pregnancy in Jimma University specialized hospital. Ethiop J Health Sci 2011.Nov; 21(3):147-154.
Jijiwa H, Sabitu A, Danbello Z, Jumba F, Haruna H, Al Sharbatti S. Hypertension among pregnant women attending GMC Hospital ,Ajman ,UAE,GMJ,ASM 2015;4(S2):S47-S53.
Refbacks
- There are currently no refbacks.