Incidence of pregnancy-induced hypertension in block Hazratbal of district Srinagar, Jammu and Kashmir: a prospective longitudinal study

Background: The term pregnancy induced hypertension (PIH) suggests a disorder of blood pressure that arises because of the pregnancy. PIH is defined as new onset hypertension with or without significant proteinuria emerging after 20 weeks of gestation, during labour, or in first 48 hours post-partum. It is classified as gestational hypertension (without proteinuria), preeclampsia (with proteinuria), and eclampsia (associated with convulsions). Incidence of PIH varies from country to country and has been reported to occur as low as 0.51% to as high as 38.4%. The objectives of the study were to estimate the incidence of PIH in block Hazratbal, Srinagar and to see the extent of progression of gestational hypertension into preeclampsia and eclampsia.Methods: A community based longitudinal study was conducted in block Hazratbal (district Srinagar) for a period of 18 months. All the pregnant females attending the antenatal clinic at the sub-centers and PHCs were included in the study and assessed for eligibility (less than 20 weeks and normotensive), till the desired number of 385 eligible pregnant females was reached. The pregnant women enrolled in the study were examined again around 30 weeks, 37 weeks and once in postnatal period.Results: The incidence of PIH was 20%. Majority of them (14.5%) had Gestational Hypertension and about one-fourth (5.5%) progressed to pre-eclampsia, while no one developed eclampsia.Conclusions: PIH is common among Kashmiri females, 20 out of 100 pregnant females develop PIH. PIH is a major cause of perinatal mortality, preterm delivery, IUGR, and maternal morbidity and mortality.

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The essential fatty acid status of mother and child in pregnancy-induced hypertension: A prospective longitudinal study

American Journal of Obstetrics and Gynecology ◽

10.1016/0002-9378(95)90505-7 ◽

1995 ◽

Vol 172 (5) ◽

pp. 1605-1614 ◽

Cited By ~ 40

Author(s):

Monique D. Al ◽

Adriana C. v. Houwelingen ◽

Anita Badart-Smook ◽

Tom H. Hasaart ◽

Frans J. Roumen ◽

...

Keyword(s):

Fatty Acid ◽

Longitudinal Study ◽

Pregnancy Induced Hypertension ◽

Fatty Acid Status ◽

Prospective Longitudinal Study ◽

Induced Hypertension ◽

Mother And Child ◽

Acid Status ◽

Prospective Longitudinal ◽

In Pregnancy

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Feto-maternal outcome among pregnant females in block Hazratbal of district Srinagar, Jammu and Kashmir: a prospective longitudinal study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20173675 ◽

2017 ◽

Vol 4 (9) ◽

pp. 3186 ◽

Cited By ~ 1

Author(s):

Rouf Hussain Rather ◽

Umar Nazir ◽

Sheema Samreen ◽

Mohammad Saleem Itoo

Keyword(s):

Longitudinal Study ◽

Caesarean Section ◽

Physiological State ◽

Caesarean Section Rate ◽

Maternal Outcome ◽

Jammu And Kashmir ◽

Prospective Longitudinal Study ◽

Pregnant Females ◽

The Mean ◽

Prospective Longitudinal

Background: Pregnancy is a normal physiological state which a woman experiences at some point of her life. During pregnancy a woman may develop complications which pose a risk to both maternal and fetal health. Caesarean section is a surgical procedure in which incision is made through a mother’s abdomen and uterus to deliver one or more babies. The aim and objective of the study was to describe feto-maternal outcome among the study population in block Hazratbal, Srinagar.Methods: A community based longitudinal study was conducted in block Hazratbal (District Srinagar) for a period of 18 months. All the pregnant females attending the antenatal clinic at the subcenters and PHCs were included in the study and assessed for eligibility. The pregnant women enrolled in the study were examined again around 30 weeks, 37 weeks and once in postnatal period. Results: Only 2.6% were home deliveries. More than two-thirds (71.7%) of the study subjects delivered by LSCS and less than 2% of the study subjects delivered twins. Out of 391 children born 2 were born dead and 55.2% were of male gender. The mean gestational age at delivery was 38.56 weeks and the mean birth weight of neonates was 2.731 kg with only 4.9% LBW neonates. Conclusions: The percentage of institutional deliveries was good (97.4%) and the proportion of twins and male babies were within expected limits. The prevalence of LBW babies was only 4.9 against the national average of 28%. But the 71.7% caesarean section rate is too high and needs immediate attention by policy makers. Moreover both healthcare professional as well as general population need to be educated about the disadvantages of unnecessary caesarian sections.

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Predictive Value of Plasma Thrombomodulin in Preeclampsia and Gestational Hypertension

Thrombosis and Haemostasis ◽

10.1055/s-0037-1615021 ◽

1998 ◽

Vol 79 (06) ◽

pp. 1092-1095 ◽

Cited By ~ 36

Author(s):

Luca Valsecchi ◽

Alfonso Fausto ◽

Danielle Gozin ◽

Silvana Vigano’ D’Angelo ◽

Omid Safa ◽

...

Keyword(s):

At Risk ◽

Longitudinal Study ◽

Predictive Value ◽

Gestational Hypertension ◽

Pharmacological Intervention ◽

Prospective Longitudinal Study ◽

Mild Preeclampsia ◽

Prospective Longitudinal

SummaryIn a prospective longitudinal study, 130 primigravidae at risk for preeclampsia were examined and plasma sampling performed in 45 of them. Plasma thrombomodulin (pTM) was sequentially measured at weeks 12, 24 and 32 of gestation and after delivery in 20 primigravidae who developed either mild preeclampsia (n = 8) or gestational hyper-tension (n = 12) between weeks 32 and 39 of gestation and in 25 (age-matched) primigravidae who had uneventful pregnancies. pTM elevations were not observed until week 32 in uneventful pregnancies, but were present by week 24 (p = 0.002) in patients who later developed hypertensive complications. A net individual pTM increase ≥4.2 ng/ml between weeks 12 and 24 (more than 8 times that of normotensive primigravidae) and/or pTM level ≥47.5 ng/ml at week 32 predicted the development of hypertensive complications with 80% accuracy. Serial pTM determinations can be useful to select pregnancies who may benefit from early pharmacological intervention.

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