MATERNAL AND PERINATAL OUTCOME IN PREGNANCIES COMPLICATED WITH HYPERTENSIVE DISORDER OF PREGNANCY

Background:Hypertensive disorders in pregnancy remain a major global health issue because of the associated perinatal morbidity and mortality. The outcomes of women with hypertensive disorders in pregnancy in our hospital in rural area of India have not yet been documented. Objective: To determine maternal and perinatal outcome in pregnancies complicated with hypertensive disorder of pregnancy at a tertiary care hospital in rural area of India. Material and methods: A prospective study was undertaken on 200 consecutive women of hypertensive disorder in pregnancies that were managed in the Department of Obstetrics &Gynaecology in our hospital from October 2017 to September 2018. The demographic data, clinical and laboratory findings delivery route, indications of caesarean section, foetal and maternal complications were determined. Results:Out of 200 women, 62.2% were found to have pre-eclampsia, 8% had eclampsia, and 27 % had gestational hypertension and 2.5% had chronic hypertension. Proteinuria was demonstrated in 67.5%, thrombocytopenia in 15.5%, liver dysfunction in 11%, abruptio placenta in 4.5%, HELLP syndrome in 3%, and retinal detachment in 0.5% of women. 46.5% women had caesarean section delivery. There was no maternal mortality. 45% neonates were small for gestational age (SGA), 22.5% needed NICU admission. There were 4.5% still births and 3.5% neonatal deaths. Conclusions:Hypertensive disorder of pregnancy is associated with increased risk of maternal and perinatal adverse outcome. The complications could be reduced by regular antenatal check-up, early identification of hypertension and timely referral and specialist care during labour and after birth.