ShodhPatra: International Journal of Science and Humanities

Perinatal Outcomes in Women With Hypertensive Disorders of Pregnancy: A Cross-Sectional Study From Rural Uttar Pradesh

Introduction Hypertension is a major health problem among pregnant women all over the world due to high perinatal morbidity and mortality. Globally preeclampsia and eclampsia account for nearly 14% of maternal deaths with higher incidence in developing countries, mostly because of inaccessibility to prompt medical care in obstetric emergencies. Though treating hypertension would not alter the progression of the disease, however, it has been shown that with proper antenatal care, early recognition of preeclampsia and timely intervention, decreases the frequency of hypertensive crisis and feto-maternal complications Aim & Objectives This study was conducted at a tertiary care centre in rural Uttar Pradesh to determine the incidence of hypertensive disorders of pregnancy. Material & Methods This was a retrospective, cross-sectional, hospital-based study conducted at K.D. Medical College in Uttar Pradesh. Data obtained from hospital medical records was analysed for perinatal outcomes. Result In our study, 2049 deliveries were conducted in the study period; of which, 115(5.5%) cases had Hypertensive disorder of pregnancy. Incidence of Preeclampsia was 49(2.3%) & eclampsia 6(0.2%). 51(44.3%) babies delivered had no neonatal complications during the follow up period. 20(17.3%) patients had preterm delivery. 36(31.3%) babies had fetal growth restriction. Neonatal hypoxia occurred in 13(11.3%) of babies. Neonatal mortality was 4(3.4%). Conclusion Nearly one in 18 pregnant women in rural Uttar Pradesh suffer from a hypertensive disorder of pregnancy. Early diagnosis and treatment through regular antenatal check-up are a key factor to prevent hypertensive complications of pregnancy.