Study of maternal outcome in hypertensive disorders of pregnancy in a tertiary care maternity hospital of Delhi

Kritika Vats; Mohini Paul

Volume : V, Issue : IX, September - 2016

Study of maternal outcome in hypertensive disorders of pregnancy in a tertiary care maternity hospital of Delhi

Kritika Vats, Mohini Paul

Abstract :

Introduction: Hypertensive disorders of pregnancy is a serious disease contributing globally to maternal morbidity and mortality1,2.This study was conducted to study the maternal outcome of this threatening disorder in pregnancy and improving it by prevention and proper management of these complications. Aim: To study maternal outcome in hypertensive disorders of pregnancy in a tertiary care maternity hospital of Delhi. Method: A �prospective case – control observational study� was conducted in the department of Obstetrics and Gynaecology, Kasturba Hospital, New Delhi from January 2014 to December 2014. Results: In the current study, 44.9% of the cases had to be induced and 30.6% had to be delivered by LSCS. The most common maternal complication (26%) seen among cases was preterm delivery out of which 65% were induced preterm deliveries. Other complications include visual disturbances like blurring of vision hich occurred in 8% of cases, Eclampsia occurred in 7% of cases out of which 6 had antepartum and 1 case had postpartum seizures, PPH and auption occurred in 6% and 5% of cases respectively. There were 2 cases of maternal mortality (Fatality rate=2%). Conclusion: Pregnancies complicated by preeclampsia-eclampsia are more likely to have received obstetric interventions such as induction of labour and caesarean section operations and are associated with maternal morbidities such as auption placentae, post partum haemorrhage, visual disturbances and eclampsia.