Prospective Evaluation Of Pregnancy Induced Hypertension And Neonatal Outcome: An Institutional Based Study

Abstract

Background: Hypertensive disorders are present in 3–10% of all pregnancies. They are among the main causes of maternal and
perinatal morbidity and mortality. The present study was conducted to assess prevalence of pregnancy induced hypertension and
to assess neonatal outcomes.
Materials & Methods: The present retrospective study was done using data from the patient record of pregnant women with
hypertension and neonates admitted to the Neonatal Intensive Care Unit of the Hospital. An analysis was performed on 1200 birth records. Of the women, 120 were diagnosed with hypertension in their pregnancies. The data was collected from the medical record and statistical analysis was done using statistical software SPSS version 22. P-value less than 0.05 was considered statically significant.
Results: The prevalence of hypertension among the pregnant women hospitalized was 10% (120/1200). Maximum women of age group 20-36 years had diastolic blood pressure ≥110mmHg (32.5%) and diastolic blood pressure ≤110mmHg (33.33%). Maximum women had cesarean had diastolic blood pressure ≥110mmHg (30.83%) and diastolic blood pressure ≤110mmHg (31.66%). Maximum women had term pregnancy had diastolic blood pressure ≥110mmHg (39.16%) and diastolic blood pressure ≤110mmHg (49.16%).95.83% newborns were live born. Maximum newborns had weight ≥2500grams (73.33%). APGAR at the Ist minute was ≥7 in 83.47% newborns. APGAR at the 5th minute ≥7 in 98.26% newborns. There was a statistical association between DBP and newborn weight. The group of women with DBP ≥110 mmHg presented a smaller mean newborn weight compared to the group with DBP ≤110 mmHg.
Conclusion: The study concluded that the prevalence of hypertension among the pregnant women hospitalized was 10% (120/1200). Maximum newborns were live born with weight ≥2500grams. There was a statistical association between DBP and newborn weight. The group of women with DBP ≥110 mmHg presented a smaller mean newborn weight compared to the group with DBP ≤110 mmHg.