Original Articles
Assessment of hypertensive disorders in pregnancy and outcome of neonates: A tertiary care centre in west Bengal | |
Dr. Santanu Banerjee, Dr. Mitali Mukhopadhyay | |
Background: Hypertension during pregnancy is defined as a blood pressure reading of 140 mmHg or above at the systolic or diastolic levels, or both. Increases in both the systolic and diastolic blood pressure are critical in determining if a patient has pregnancy-induced hypertension.The present study was conducted to assess hypertensive disorders of pregnancy and outcome of neonates. Materials &Methods: 102 pregnant mothers were selected. Parameters such as maternal age, mode of delivery, neonatal outcomes such as gestational age, neonate birth weight, asphyxia, NICU admission, and neonatal death was recorded. Results: The mode of delivery was vaginal in 65 and cesarean in 37. Past medical history showed hypertension in 25 and IUFD in 6 cases. Hypertensive disorders were pre- eclampsia & eclampsia in 74, pre- eclampsia superimposed on chronic HTN in 15, gestational in 10 and chronic HTN in 3 cases. The difference was significant (P< 0.05). gestational age was pre- term in 25 and term in 78. Neonatal weight was <2500 grams in 32 and 2500-4000 grams in 70. Congenital malformation was seen in 2, respiratory distress in 35 and meconium aspiration syndrome in 1. There were 38 NICU admission and 15 NICU deaths. The difference was significant (P< 0.05). Conclusion: Maternal hypertensive disorders were significantly associated with adverse neonatal outcomes. |
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