Incidence of hypertensive disorders in pregnancy in a tertiary care hospital in Western India

Rony Chakravarty; Swetha Padma G; Souvik Nandy

Volume : IX, Issue : VI, June - 2020

Incidence of hypertensive disorders in pregnancy in a tertiary care hospital in Western India

Rony Chakravarty, Swetha Padma G, Souvik Nandy

Abstract :

Background: Hypertensive disorders may exist prior to pregnancy or manifest as new onset hypertension at or more than 20 weeks of gestation. Methods: The retrospective study was conducted at department of obstetrics and gynecology at a tertiary care hospital, by reviewing all the labor room records of pregnant women with hypertensive disorders admitted and delivered from January 2019 to December 2019. Results: A total of 2490 women delivered in the study period, out of which 239 pregnant women were diagnosed with hypertensive disorders. The incidence of hypertensive disorders in pregnancy is 9.6%, out of which gestational hypertension constituted 154 cases (6.2%), preeclampsia 61cases which includes 5 cases of eclampsia (2.4 %),chronic hypertension 19cases ( 0.8%)and preeclampsia superimposed on chronic hypertension 5 cases (0.2%). Out of 239 cases 179 are primigravida and 60 cases are multigravida with incidence hypertensive disorders 7.2%, 2.4% in primi and multigravida respectively. Admissions to HDU and ICU is 7 cases (0.3%) which includes 1 case (0.04%)of maternal mortality. Conclusions: Incidence of hypertensive disorders is high and one of the leading cause of direct and indirect cause of maternal morbidity and mortality.