To associate the fetal distress, IUD and IUGR observed in normal, diabetic and hypertensive pregnancies

Abstract

To associate the fetal distress, IUD and IUGR observed in normal, diabetic and hypertensive pregnancies. Study Design: Cross sectional study with non probability purposive sampling was done. Place and Duration of Study: Institute Basic Medical Sciences, Dow university of Health Sciences, Karachi, from 2011-2013. Method: Cross sectional study with non probability purposive sampling was done.The patients were identified and selected through OPDs of two different hospitals in public and private sector. A total of 150 patients were selected, on the basis of history and clinical examination they were divided into three groups, Control (A), Diabetic (B), and Hypertensive (C), each having 50 individuals. Ultrasound and cardiac tocography (CTG) for all patients was carried out. The newborn was examined most of the time by a doctor from pediatric ward and, apgar scoring recorded at 1st min, 5th min and 10th min of birth. The data was entered and analyzed on SPSS version 16.0. Mean ± standard deviations was computed for the quantitative variables like Apgar score, by using ANOVA. P-value was determined at 95%confidence interval and <0.05 taken as significant. Qualitative variables such as fetal distress, IUGR and IUD were presented by frequencies and percentages Results:Fetal distress was highest 46% in hypertensive group(p-0.005). IUGR was seen highest 6% in hypertensives(p-0.005).  IUD was observed 10% in diabetic group (p-0.005). Results found by ultrasound scans were 92 % normal in control group, 68 % in hypertensive and 54 % in diabetic group.Mean Apgar score of baby in 1 minute was same in all the three groups. Conclusion:It is confirmed by this study that there are more no of cases with poor outcome of pregnancy in diabetic and hypertensive as compared to control group.