Abstract
Background: Pregnancy induced hypertension is the most common medical problem encountered in pregnancy. It complicates up to 15% of pregnancies and accounts for approximately a quarter of all antenatal admissions. It remains an important cause of maternal, and fetal, morbidity and mortality.
Objectives: The study was conducted with aim of evaluating the neonatal outcomes in pregnant ladies with pre-eclampsia treated at our institute.
Materials and Methods: Study is a retrospective analysis conducted at our institute from 2014 to 2015. All patients with pre-eclampsia were assessed for neonatal outcomes.
Results: There were total 50 patients. The mean age was 23.4 years. There were 32 cases of mild pre-eclampsia as compared to 18 cases of severe pre-eclampsia. There was no maternal mortality. There were two still births (4 percent) and 48 live births (96 percent). Average birth weight was 2.3 kgs and their mean APGAR score was 7 and 8 at one and five minutes respectively.
Conclusion: Low birth weight and prematurity are the main consequences of preeclampsia. An early diagnosis of the pre-eclampsia in addition to a suitable intervention is desirable for favorable outcome.
Keywords: Pre-Eclampsia, Pregnancy Induced Hypertension, Gestational Hypertension, Protein urea.
References
1. Pregnancy-induced hypertension and the neonatal outcome* Solange Regina Perfetto ChaimI; Sonia Maria Junqueira Vasconcellos de OliveiraII; Amélia Fumiko KimuraIII Master in Nursing, Obstetric Nurse of the Hospital e Maternidade Leonor Mendes de Barros. São Paulo (SP), Brazil
IIPhD, Professor of the Maternal-Infant and Psychiatric Health of the Universidade de São Paulo College of Nursing – São Paulo (SP), Brazil
2. Chen XK, Wen SW, Smith G, Yang Q, Walker M. Pregnancy-induced hyperte-nsion is associated with lower infant mortality in preterm singletons. BJOG. 2006; 113(5):544-51
3. Brown MA, Hague WM, Higgins J, Lowe S, McCowan L, Oats J, Peek MJ, Rowan JA, Walters BN; Austalasian Society of the Study of Hypertension in Pregnancy. The detection, investigation and manage-ment of hypertension in pregnancy: full consensus statement. Aust N Z J ObstetGynaecol. 2000; 40(2):139-55.
4. Fogsi focus. Pregnancy induced hypertension, 2007; 1-44.
5. Neonatal Outcome In Pregnancy Induced Hypertensive Mothers – A Tertiary Care Centre Experience. Dr.Sikha Maria Siromani, Dr.Ajay Mohan Varahala, Dr.SnehalathaGopu, Dr.Suresh Kumar Chidugulla. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Vol 14, Issue 11 Ver. IX (Nov. 2015), PP 23-27
6. Cunningham FG, MacDonald PC, Gant NF, Leveno KJ, Gilstrap LC, Hankins GDV, Clark SL. Distúrbioshipertensi-vosnagravidez. In: Cunningham FG, MacDonald PC, Gant NF, Leveno KJ, Gilstrap LC, Hankins GDV, Clark SL. Williams obstetrícia. 20ª ed. Rio de Janeiro: Guanabara Koogan; 2000. cap. 10, p. 607-52.
7. Bansode BR. Managing hypertension in pregnancy. Medicine Update 2012. Volume 22. Page 150-56
8. Brown MA, Mangas G, Davis G, Homer C. The natural history of white coat hypertension during pregnancy. BJOG 2005: 112 (5): 601-6.
9. Sharma A, Poonam M, Bisht S. Management of pregnancy induced hypertension. IJRAP 2010, 1(2) 390- 398
10. Coelho TM, Martins MG, Viana E, Mesquita MRS, Camano L, Sass N. Protein úrianas síndromes hypertensive’s da gestação: prognósticomaterno e perinatal. Rev Assoc Med Bras (1992). 2004; 50(2):207-13
11. Buga GA, Lumu SB. Hypertensive disorders of pregnancy at Umtata General Hospital: perinatal and maternal outcomes. East Afr Med J. 1999; 76(4):217-22.
12. Xiong X, Mayes D, Demianczuk N, Olson DM, Davidge ST, Newburn-Cook C, Saunders LD. Impact of pregnancy-induced hypertension on fetal growth. Am J Obstet Gynecol. 1999; 180(1 Pt 1):207-13. Comment in: Am J Obstet Gynecol. 2002; 186(5):1105; author reply 1106.
13. Waugh J, Perry IJ, Halligan AW, De Swiet M, Lambert PC, Penny JA, et al. Birth weight and 24-hour ambulatory blood pressure in nonproteinuric hypertensive pregnancy. Am J Obstet Gynecol. 2000; 183(3):633-717
14. Odegard RA, Vatten LJ, Nilsen ST, Salvesen KA, Austgulen R. Preeclampsia and fetal growth. Obstet Gynecol. 2000; 96(6):950-5. Comment in: Obstet Gynecol. 2001; 97(4):640.
15. Oliveira CA, Lins CP, Sá RAM, Netto HC, Bornia RG, Silva NR, Amim Junior J. Síndromeshipertensivas da gestação e repercussõesperinatais. Rev Bras SaúdeMatern Infant. 2006; 6(1):93-8.
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.181
