Prevalence, Risk Factors, and Fetal and Maternal Outcomes of Hypertensive Disorders of Pregnancy: A Retrospective Study in Qazi Hussain Ahmed Medical Complex, Nowshera
Javeria Saleem, Shahzadi Neelum, Sumayya, Noor Ul Amina, Salma Naz, Yasmeen Fazal
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ABSTRACT
Objectives: To determine the prevalence, risk factors
with maternal and fetal outcomes of hypertension in pregnancy.
Type of Study: Retrospective cross-sectional study.
Place of Study: Gynae A ward,Qazi Hussain Ahmed Medical
Complex, Nowshera.
Duration of Study: 1 year from 1st Jan,2019 to 31st Dec,
2019.
Methodology: 552 patients who
had hypertensive disorders in pregnancy were recruited. Self- administered and
structured questionnaire was used for data collection. The risk factors in
patients and the fetomaternal outcomes were manually extracted from the history
sheets and evaluated. SPSS version 22.0 was used for data analysis.
Results: The prevalence of
hypertensive disorders in pregnancy was 13.9% in this study. Pregnancy induced
hypertension was the most frequent hypertensive disorder with a prevalence of
57.97%. 61% of the total hypertensive patients had no antenatal booking making
it the most common risk factors in pregnant hypertensive patients.38% of
patients had high blood pressure in previous pregnancies as well. 56.5% of
patients admitted had normal vaginal delivery,4.5% of patients had instrumental
deliveryand 39% had lower segment caesarean section. 17.75% of the total
patientsdeveloped maternal complications and among them the most frequent
maternal complication was post-partum hemorrhage (7.4%).49.3% newborns
developed neonatal complications where the most common neonatal complication
was preterm deliveries (21.9%).
Conclusion: The prevalence of
hypertensive disorders was relatively high in our cohort. However, to reduce
the feto-maternal morbidities and mortalities, awareness regarding hypertensive
disorders should be increased at the community and hospital level and screening
of this disorder should be proposed at early gestation.
Keywords: Hypertension,
Pregnancy induced hypertension, Pre-eclampsia, Eclampsia, maternal complications,
fetal complications.
ABSTRACT
Objectives: To determine the prevalence, risk factors
with maternal and fetal outcomes of hypertension in pregnancy.
Type of Study: Retrospective cross-sectional study.
Place of Study: Gynae A ward,Qazi Hussain Ahmed Medical
Complex, Nowshera.
Duration of Study: 1 year from 1st Jan,2019 to 31st Dec,
2019.
Methodology: 552 patients who
had hypertensive disorders in pregnancy were recruited. Self- administered and
structured questionnaire was used for data collection. The risk factors in
patients and the fetomaternal outcomes were manually extracted from the history
sheets and evaluated. SPSS version 22.0 was used for data analysis.
Results: The prevalence of
hypertensive disorders in pregnancy was 13.9% in this study. Pregnancy induced
hypertension was the most frequent hypertensive disorder with a prevalence of
57.97%. 61% of the total hypertensive patients had no antenatal booking making
it the most common risk factors in pregnant hypertensive patients.38% of
patients had high blood pressure in previous pregnancies as well. 56.5% of
patients admitted had normal vaginal delivery,4.5% of patients had instrumental
deliveryand 39% had lower segment caesarean section. 17.75% of the total
patientsdeveloped maternal complications and among them the most frequent
maternal complication was post-partum hemorrhage (7.4%).49.3% newborns
developed neonatal complications where the most common neonatal complication
was preterm deliveries (21.9%).
Conclusion: The prevalence of
hypertensive disorders was relatively high in our cohort. However, to reduce
the feto-maternal morbidities and mortalities, awareness regarding hypertensive
disorders should be increased at the community and hospital level and screening
of this disorder should be proposed at early gestation.
Keywords: Hypertension,
Pregnancy induced hypertension, Pre-eclampsia, Eclampsia, maternal complications,
fetal complications.