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A Prospective Study on Hypertension in Pregnancy in a Tertiary Care Hospital

D.S. Kavitha Assistant Professor Department of obstetrics & Gynaecology, Madurai Medical College, Madurai, Tamil Nadu 625020, India. , Jothi Sundaram1 , Kavitha D.S.2

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Indian Journal of Obstetrics and Gynecology 6(2):p 146-151, Mar-Apr 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6218.11

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Abstract

Hypertension in pregnancy is a high risk situation for both the mother and the fetus. A good antenatal care, control of hypertension and prevention of severe hypertension and eclampsia are essential for the well being of both the mother and the baby . All women with hypertension complicating pregnancy should be advised antenatal check and delivery at a tertiary care centre . This study was conducted on mothers with hypertension in Govt Rajaji Hospital, Madurai during a period of 6 months from February 2017 to July 2017. The study included women with known hypertensive disorder detected preconceptionally and antenatally. A total of 198 patients were included. The incidence, comorbidities, complications, maternal and perinatal outcome were studied. The mean age of the patients was 25 years. 105 patients were primigravida (53%) and 93 were multigravida (47%). Out of 198 patients, 110 patients had non severe PE (55.6%), 32 patients had chronic hypertension (16.2%), 9 patients had severe PE (4.5%), 24 patients had imminent eclampsia (12.1%), 13 patients had antepartum eclampsia (6.6. %), 8 patients had HELLP syndrome (4.1%) and 2 patients had recurrent NSP (1%). Preeclampsiaeclampsia and its variants remain the major cause of hypertension in pregnant women. Hypertension during pregnancy is responsible for high maternal and perinatal morbidity and mortality.

Keywords: Hypertension; Preeeclampsia; Eclampsia. 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6218.11

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