Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The prevalence of gestational hypertension remains widespread on a global scale and is linked to elevated rates of perinatal and maternal morbidity and mortality. This study examines patients who were admitted to the Department of Obstetrics and Gynaecology with gestational hypertension. The study was conducted over a period of 18 months. The aim of the study was to prevalence of gestational hypertension, mild and severe pre‐eclampsia and eclampsia and their impact on maternal outcomes like mode of delivery and associated complications. The study also investigated the perinatal outcome in relation to neonatal complications. In this study, an analysis of the frequency and percentage of socio‐demographic variables, risk factors and symptomatology was also done. During the study period, a total of 200 cases of gestational hypertension were included for analysis. Mild pre‐eclampsia was the most frequently observed presentation of gestational hypertension, followed by severe pre‐eclampsia, gestational hypertension and antepartum eclampsia. Only one case of chronic hypertension was identified. 37.6% of the participants included in the study experienced maternal morbidity and mortality, the values being 3.6%. The prevalent complications observed in the study were abruption, wound infection and eclampsia, which constituted 11, 9 and 7.7% of the total cases, respectively. The perinatal outcome revealed that the majority of cases, accounting for 48.2%, were shifted to the mother's side, while 41.6% were transferred to the Special Newborn Care Unit (SNCU). A smaller proportion of cases, 7.9%, were classified as intrauterine fetal demise (IUFD) and the least frequent outcome, at 2.1%, was stillbirth. Despite a increase rate of identification of pre‐eclampsia and eclampsia, these conditions continue to significantly impact maternal and fetal health outcomes. Frequent antenatal examinations, timely identification of medical conditions, expeditious interdisciplinary intervention and appropriate timing of delivery are effective measures in decreasing the occurrence of complications and maternal and perinatal mortality. Timely referral and effective management of such cases at healthcare facilities equipped with advanced resources can significantly decrease maternal and perinatal mortality rates.
How to cite this article:
Tanya Mahindra, Vishakha Singh, Neelam Patel and Amit Kumar Singh. Maternal and Perinatal Outcome in Patients with Gestational Hypertension: An Observational Study.
DOI: https://doi.org/10.36478/10.59218\makrjms.2023.32.36
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218\makrjms.2023.32.36