English

Abstract

Hypertensive disorders of pregnancy are a major cause of maternal and fetal morbidity and mortality worldwide1. They are present in 6-8% of young mothers and the prevalence increases with advancing age. The purpose of this study was to study all patients of with hypertensive disorder of pregnancy admitted in Sultania Lady Hospital, Gandhi Medical College, Bhopal which is a tertiary care centre, classify them and analyse the maternal and fetal outcomes associated.This was a prospective study carried out in Department of Obstetrics &Gynecology, Sultania Lady Hospital, Gandhi medical college Bhopal over a duration of 1 year. Total of 1633 patients were admitted with various hypertensive disorders of pregnancy.Hypertensive disorders are associated with many antepartum and intrapartum complications like placental insufficiency, abruption placentae hence the SB rate is so high. Besides the prematurity in these patients is mostly iatrogenic as delivery of baby and placenta is the only definitive treatment of preeclampsia/ eclampsia.Hypertensive disorders of pregnancy are a wide spectrum with multifactorial etiology and significant maternal and fetal morbidity and mortality. It is possible to reduce the severity of disease and its effect with good antenatal care, timely intervention and quick delivery. INTRODUCTION: Hypertensive disorders of pregnancy are a major cause of maternal and fetal morbidity and mortality worldwide 1 . They are present in 6-8% of young mothers and the prevalence increases with advancing age 2 . Preeclampsia/ eclampsia is an unpredictable multiorgan disorder unique to human pregnancy whose exact etiology still remains unknown. It has been thought to be neurological, renal, hepatic, hypertensive and recently placental disorder. It is associated with high maternal and fetal morbidity and mortality which is declining with improvement in treatment facilities. There are many different treatment regimens for eclampsia, best and most widely used being Mag. sulf therapy. Magnesium sulphate therapy and prompt delivery in eclampsia has improved maternal and fetal outcome considerably. The outcome of any pregnancy depends on onset and severity of preeclampsia and quality of obstetric and medical management. The aim of this study was to evaluate the maternal and fetal outcome in patients with this enigmatic disorder. AIMS AND OBJECTIVES: The purpose of this study was to study all patients of with hypertensive disorder of pregnancy admitted in Sultania Lady Hospital, Gandhi Medical College, Bhopal which is a tertiary care centre, classify them and analyze the maternal and fetal outcomes associated.