Poor Apgar Score of Neonates Born to the Females Presenting with Pregnancy Induced Hypertension for Delivery

Abstract

Background: Pregnancy induced hypertension (PIH) is defined as BP ? 140/90 mmHg, taken after a period of rest on two occasions or ?160/110 mmHg on one occasion in a previously normotensive woman. One of the most important aspects is the outcome of pregnancy with PIH. Poor Apgar score is commonly observed in females with PIH. So we conducted this study to find the extent of problem in local population. Objective: To assess the frequency of poor Apgar score of neonates born to the females presenting with pregnancy induced hypertension at term (37-41 weeks) for delivery.
 Study Design: Descriptive case series. Setting: Unit 4, Department of Gynecology & Obstetrics, Sir Ganga Ram Hospital, Lahore. Duration of Study: 6 months after approval of synopsis i.e. from: 09-11-2021 to 10-05-2022 Patients. Methods: 125 pregnant females with PIH were followed till delivery by researcher herself. After delivery, neonate was assessed for Apgar score at 1 & 5 minutes, if <7, then it was labeled as poor Apgar score. All this information was recorded on proforma. Statistical analysis was done using SPSS version 20.
 Results: The mean age of patients was 30.50±6.22years. The mean gestational age was 39.78±1.66weeks. The mean BMI was 26.99±5.13kg/m2. There were n=59 (47.2%) male neonates while n=66 (52.8%) female neonates. The mean Apgar score at 1minute was 7.29±1.36 while at 5minutes was 7.70±1.29. Poor Apgar score was noted in n=19 (15.2%) neonates while n=106 (84.8%) neonates had normal Apgar score. Conclusion: The frequency of poor Apgar score (at 1 minute and continuously <7 at 5 minutes) was 15.2% in neonates born to females with PIH. The neonates with poor Apgar Score were admitted to NICU and were managed according to standard hospital protocol