MATERNAL MORBIDITY AND MORTALITY IN HYPERTENSIVE DISORDER COMPLICATING PREGNANCY

Abstract

Introduction- hypertensive disorders complicating pregnancy is one of the extensively researched subjects in obstetrics. The pathology should be understood and involvement of multiorgan dysfunction should be taken into account Objectives- To analyse the cases of hypertensive disorder complicating pregnancy and its maternal outcome in patients admitted in government general hospital, Guntur. Methods- A total number of 250 cases of hypertensive disorder complicating pregnancy(gestational hypertension,preeclampsia, eclampsia) admitted to GGH , Guntur from august 2020-July 2021 Selection of cases- both booked and referred and all patients who were diagnosed hypertension complicating pregnancy. Results- Hypertensive cases complicating pregnancy accounted for 9.4% of deliveries.out of which gestational hypertension cases accounted for 3%,preeclampsia accounted for 5.7%,and eclampsia 0.7%.In this study, maximum cases were seen between age groups 20-30 in primigravida belonging to low socioeconomic strata. majority of patients detected to have high blood pressures at 32-36weeks of gestation,and a mean gestational age of 35 weeks.haemolysis,elevated liver enzymes,low platelet count syndrome is the most common maternal complication and intrauterine growth restriction is the most common fetal complication.22 cases followed by abruptio placentae, acute renal failure,postpartum haemorrhage and postpartum eclampsia.Maternal mortality occurred in 2 cases. ConclusionEarly use of antihypertensive drugs, optimum timing of delivery, strict fluid balance, and anticonvulsants in cases of eclampsia will help to achieve a successful outcome.Training and continuing medical education of attending staff and the structuring management protocols relevant to local needs are also an important part in the case of hypertension complicating pregnancy