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DOI: http://dx.doi.org/10.21088/ija.2320.0022.7418.16

Abstract

Introduction: Hypertensive disorders are the causes of maternal and fetal mortality and morbidity. Ten percent of pregnancies are affected by hypertensive disorders.This study is aimed at studying the morphological and morphometrical changes of the placenta in hypertensive disorder and their effects on fetal growth and to compare them with the normal pregnancy. Methodology: Live birth placentae were collected from hypertensive

and normal pregnancy (30 in each group). Morphometric measurements of placentae along with morphological changes were recorded. Fetal parameters and maternal history were recorded after the delivery. Results: Morphometric parameters of the placentae were reduced in hypertensive disorder which was statistically significant (p<0.05) and also morphological changes were observed. Fetal weight and length were also reduced.

In hypertensive group, the majority of women had a Caesarean section (C/S) which was statistically significant. Conclusion: In this study, we observed that hypertensive disorders will affect the placental morphology and its function thereby affecting the fetal growth. Knowledge of placental and fetal insufficiencies in hypertensive disorder can help to manage and improve the antenatal care of future pregnancy, and management of fetus and mother after delivery.

 

Keywords : Hypertension; Morphology; Morphometry; Placenta; Pregnancy

Corresponding Author : Vanitha, Ph. D. Scholar, Department of Anatomy, Jawaharlal Nehru Medical College, KLE Academy of Higher Education & Research (KAHER), Belagavi, Karnataka 590010, India.