Hypertensive Disorders of Pregnancy and Its Associated Fetomaternal Complications

Nikhat Ahsan, Farrukh Naheed, Farheen Shiekh

Abstract

Objective

To determine the frequency of hypertensive disorders of pregnancy (HDP) and their associated complications in terms of maternal and perinatal outcome.

Study design

Descriptive case series.

Place & Duration of study

Department of Obstetrics & Gynaecology at Baqai Medical University Hospital Karachi, from January 2017 to December 2018.

Methodology

Pregnant women diagnosed as hypertensive disorders of pregnancy were included. The data of all these women were collected to document demographic features like age, parity, booking status, gestational age, antepartum, intrapartum and early postpartum complications including mode of delivery and their perinatal outcomes. All these patients, booked as well as un-booked, of any parity, gestational age, including those who delivered in hospital were included. Patients with essential hypertension or chronic hypertension and all postpartum eclamptic patients were excluded.

Results

The frequency of HDP among pregnant women was 2.06% as it was found in 84 out of 4073 pregnant women. In 44 (52.3%) women no maternal and perinatal complication occurred. Pre-eclampsia was reported in 34 (40.4%) and eclampsia in 6 (7.1%) patients. Preterm deliveries were observed in 27 (32.1%) women. In 65 cases live births occurred, 11 (13%) babies died in neonatal period, and there were 8 (9.5%) intra uterine deaths (IUD).

Conclusion

Hypertensive disorders in pregnancy was found to be a significant medical disorder of pregnancy however in more than 50% women pregnancy went smoothly and neonatal outcome was also satisfactory.

Key words

Pre-eclampsia, Eclampsia, Intrauterine death, Hypertensive disorders of pregnancy, Intrauterine growth retardation.