English

Abstract

CONTEXT: Pregnancy induced hypertension (PIH) accounts for almost 10 to 15% of antenatal cases. As per WHO “In developing countries like India there is 40% increase in the incidence of PIH in recent years.” AIMS: To evaluate the effect of good antenatal care on incidence & outcome of pregnancy induced hypertension in booked versus unbooked cases. Settings and Design: This was an open labeled and comparative study. METHODS AND MATERIAL: This study was conducted on 340 patients admitted in the Department of Obstetrics and Gynaecology at Sri Aurobindo Medical College, Indore over a period of 6 months. Results: Out of 340 antenatal cases studied, 44 cases were found to be suffering from pregnancy induced hypertension. Incidence came out to be 13%. Out of 13%, 8.53% were primigravida and 4.4% were multigravida. Out of total PIH cases, 36.15% cases were booked cases whereas 63.30% cases were unbooked. CONCLUSIONS: Pregnancy induced hypertension is not a totally preventable disease but maternal and foetal Complication due to PIH can be halted at mild stage by quality antenatal care with good outcome. KEY-WORDS: Antenatal care, Pregnancy induced hypertension, Incidence, Outcome INTRODUCTION: Pregnancy induced hypertension (PIH) accounts for almost 10 to 15% of antenatal cases.(1) As per WHO, in developing countries like India there is 40% increase in the incidence of PIH(2). Incidence of PIH in hospital practice varies widely. Imperfect documentation and lack of uniformity in the diagnostic criteria are responsible factors in variation of statistics. In developing Countries incidence is expected to be higher. Comparative low figures in hospital statistic are due to inclusion of only severe degree of the Syndrome, the minor ones being ignored. MATERIALS AND METHODS: The patients attending antenatal clinics and those admitted in labour room were selected as cases irrespective of age and parity. On a specially designed proforma for this study, the patient’s particulars including detailed obstetric examinations and lab findings were recorded. ESSENTIAL CRITERIA: PIH of early onset (B.P >140/90 mm Hg after 20 weeks of gestation but before 32 weeks) associated with proteinuria and edema.