FETO-MATERNAL OUTCOMES IN HYPERTENSIVE DISORDERS OF PREGNANCY IN A TERTIARY CARE HOSPITAL: A RETROSPECTIVE STUDY

Introduction: Hypertensive disorders are the most common Medical disorders encountered during pregnancy occurs in approximately 7% to 10% of all pregnancies. HDP are associated with fetal growth restriction, perinatal asphyxia, iatrogenic prematurity, stillbirths, preterm delivery, perinatal death, neonatal mortality and affects vital maternal organ system such as renal, hepatic, cardiorespiratory, feto-placental and hematologic. Methods: Hospital based descriptive cross-sectional retrospective study was conducted to find the incidence and evaluate the foeto-maternal outcome in 1462 women with HDP who delivered in our hospital. Result: 151 (10.32%) were diagnosed to have HDP of which 8 (5.29%) had eclampsia, 7 (4.63%) had chronic hypertension, 42 (27.8%) had mild pre-eclampsia, 25 (16.55%) had severe eclampsia and 69 (45.69%) had gestational hypertension. 70.19% belonged to the age group of 18 to 27 years. Incidence was almost equal in multigravida and primigravida i.e. 51.65% and 48.34% respectively. Patients who delivered vaginally were 54.96% while remaining were delivered out by LSCS mostly due to foetal distress. 82.11% (124/151) presented with no maternal complication. 17.88% cases had significant morbidity. Most complication were seen in the eclampsia group. Out of 151 deliveries, 81 (53.64%) had no adverse fetal complication. 6 had IUD/Stillbirth. Prematurity was seen in 62.91% babies while 50% were LBW babies. 38.46% needed ICU admission out of which 13 required ventilator support. Conclusion: HDP is one of the major health problems seen in pregnancy & is associated with a huge burden of maternal and perinatal morbidity and mortality.