343. Management and pregnancy outcomes in women with hypertensive disorders of pregnancy in University of Calabar Teaching Hospital (UCTH), Calabar. Nigeria: – One year preliminary review

Abstract

Introduction Hypertensive disorders in pregnancy (HDP) is one of the leading causes of maternal mortality in Nigeria contributing over 23%. There is no locally available guideline that directs care for women with HDPs during the postnatal period. Population Council under the Ending Eclampsia project proposed a study across the six geo-political zones of Nigeria that will recruit women with HDP around the time of delivery and prospectively follow them for up to 1 year afterwards. UCTH Calabar is one of the centers, and this is a one year preliminary review of data before commencement of the study. Objective To assess service delivery gaps and pregnancy outcome of women with hypertensive disorders in pregnancy. Methodology Case folders of women with HDP who delivered between 1st April 2016 and 31st March 2017 were retrieved from the record department of the hospital. 97 out of 105 had adequate data which was entered into excel and imported to SPSS version 23 for analysis. Results The prevalence of HDP was 5.3%. More than half 65(67.0%) were in the 25–34 years age and 40.2% were primigravida. A total of 68(70.1%) were pre-eclamptic with 17(17.5%) eclamptic only 3(3.1%) had chronic hypertension. Majority of the women had caesarean section compared to spontaneous vaginal delivery (80.4% versus 19.6%). A total of 85.6% babies were alive. Only 26(26.8%) had the required investigations done, while only 18(18.6%) received thromboprophylaxis. At discharge, those with normal systolic BP were more than those with normal diastolic BP (42.3% versus 32.0%). Only 26(26.8%) of the women returned foe postpartum visit. Conclusion The rate of eclampsia is still very high in our center. Also the number of women with required investigations, those who received thromboprophylaxis and those returning for postpartum follow up is very low.