IN PREGNANCY EFFECTS OF HYPERTENTION ON PERINATAL AND MATERNAL OUTCOME IN TEACHING HOSPITALS

Purpose: To investigate the hypertensive disorders frequency in pregnant lady to determine the perinatal and maternal outcomes. Study plan: It is a retrospective descriptive study. Place and Duration: The study was performed in the Gynecology and Obstetrics Unit I department of Services Hospital, Lahore for the period of one Year from February 2016 to February 2017. PATIENTS AND METHODS: 550 total cases were selected for parity, age, diagnosis, and gestational age, type of delivery and prenatal period and intrapartum complications. The data using SPSS get analyzed software (version 15). Results: During the study, there were 550 cases of hypertensive disorders with a frequency of 11.718 and 5.34% of births. severe preeclampsia was observed in 21 (3.3%) patients, 41 (6%) in postpartum eclampsia, 121 (19.2%), 85 (13%) and 232 (49%) chronic tension eclampsia. There were thirty nine mortality of mothers (case mortality: 6.23%). The mean age for severe preeclampsia, eclampsia ,preeclampsia and chronic tension was 28, 27, 24 and 29 (27 years old). The most common maternal complications of hypertension in 24 women was postpartum hemorrhage with 4.2% which was complicated with pulmonary edema in 8 women (1.4)and abruptio placenta in 9 women (1.6%) . In the study group, preeclampsia, severe preeclampsia and eclampsia prematurity were 14%, 5% and 8.6%, respectively. 46%, 51%, and 61% of patients required indecisive, preeclampsia, eclampsia and preeclampsia respectively. Main fetal complications were birth (preeclampsia 14%, severe preeclampsia and eclampsia, 15% 18%) and low birth weight (preeclampsia 31%, severe preeclampsia and eclampsia 52% 49%). Conclusion: Hypertension in pregnancy is a cause of mortality and maternal and perinatal morbidity. Keywords: Pre-eclampsia, MMR, Eclampsia.