Title: Nullipara Dominate Multipara in PIH
Authors: Dr Rakesh Kumar Shukla, Dr R.K Srivastava, Dr Sapna Singh, Dr Archana Mishra
DOI: http://dx.doi.org/10.18535/jmscr/v4i8.93
Background: - Hypertension is the most common medical problem in pregnancy, complicating up to 15% of pregnancies. Aim and Objective: - The aim of this study to understand the effect of Pregnancy induced hypertension (PIH) on the parity of pregnancy. Method: - This study was done in Rama Medical College, Kanpur. Forty four cases of PIH studied who were either nulliparous, primiparous or multiparous. Result: - Observational study revealed that nulliparous women are at high risk of PIH followed by primiparous then multiparous. Conclusion: - PIH affect the parity. Keywords: - PIH, Hypertension, Parity, Nulliparous, Primiparous, Multiparous, Pregnancy. 1. Dutta D.C. Text book of obstetrics including perinatology & contraception. 6th ed. Kolkata: New central book agency, 2004. 2. Ness RB, Roberts JM. Epidemiology of Hypertension. In: Lindheimer MD, Roberts JM, Cunningham FG, eds. Chesley’s Hypertensive Disorders in Pregnancy. 2nd ed. Stamford, CT: Apple-ton & Lange; 1999:43–65 (3rd edition revision in press, May 2009, Elsevier). 3. Villar J., Say L., Gulmezoglu A.M., et al. Pre-eclampsia Eclampsia: a Health Problem for 2000 years. In: Critchly H, Mac LeanA, PostonL, WalkerJ, eds. Pre-eclampsia. London, England: RCOG Press; 2003:189–207. 4. F. Gary Cunningham, 2005. Williams Obstetrics, 22nd Edition, McGraw-Hill Companies. 5. Ounsted M, Moar VA and ScottA. Risk factors associatedwith small for dates and large for dates infants. Br J Obstet Gynaecol 1985; 9 2 : 226-232. 6. Eidelman AI, Kamar R, SchimmelMS and BaronE. The grandmultipara: is she still a risk? Am J Obstet Gynecol 1988; 158: 389-392. 7. Babinszki A, Kerenyi T, Torok O, Grazi V, Lapinski RH and Berkowitz RL. Perinatal outcome in grand and great-grand multiparity: Effects of parity on obstetric risk factors. Am J Obstet Gynecol 1999; 181: 669-674. 8. Bai JB, Wong FWS, Bauman A and Mohsin M. Parity and pregnancy outcomes. Am J Obstet Gynecol 2002; 186: 274-278. 9. Bugg GJ, Atwal GS and Maresh M. Grandmultiparae in amodern setting. Br J Obstet Gynaecol 2002;109:249-253 10. Rooney C. Antenatal care and maternal health: how effective is it? A review of the evidence. World Health Organization, Geneva, MSM/92.4,1992. 11. James DK, Steer PJ, Weiner CP and Gonik B (Eds.). High-Risk Pregnancy. Management options. WB Saunders Co Ltd.,1997,pp 40-42. 12. Vahratian A, Hoffman MK, Troendle JF, et al; The impact of parity on course of labor in a contemporary population.; Birth. 2006 Mar;33(1):12-7. 13. Badolah Y et al. Relationship between nulliparity and preeclampsia may be explainned by altered circulating soluble fms-like tyrosine kinase 1. Hypertens Pregnancy. 2014 May;33(2):250-9. doi: 10.3109/10641955.2013.858745. Epub 2013 Dec 4 14. Rurangirwa AA1, Gaillard R, Steegers EA, Hofman A, Jaddoe VW. Hemodyn-amic adaptations in different trimesters among nulliparous and multiparous pregnant women; the Generation R study. Am J Hypertens. 2012 Aug;25(8):892-9. doi: 10.1038/ajh.2012.57. Epub 2012 May 31Abstract
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