scholarly journals STUDY OF PREVALENCE OF HYPERTENSIVE DISORDERS OF PREGNANCY AND THEIR MATERNAL AND PERINATAL OUTCOME AT GOVERNMENT VICTORIA HOSPITAL, VISAKHAPATNAM

2019 ◽  
Vol 6 (31) ◽  
pp. 2097-2100
Author(s):  
Chodavarapu Sailaja ◽  
Badam Rajani Kumari ◽  
Dongabanti Hemalatha Devi ◽  
Badugu V. V. Chandra Satya Vani ◽  
Maddela Yamuna
PLoS ONE ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. e0229568 ◽  
Author(s):  
Danielle L. Wilson ◽  
Mark E. Howard ◽  
Alison M. Fung ◽  
Fergal J. O’Donoghue ◽  
Maree Barnes ◽  
...  

2010 ◽  
Vol 1 ◽  
pp. S66
Author(s):  
Vera Therezinha Borges ◽  
Luciana Mazoni Alves ◽  
Juliane Rosa Poiati ◽  
Claudia Garcia Magalhaes ◽  
Anice Maria Martins ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Prashanth Adiga ◽  
Indumathi Kantharaja ◽  
Shripad Hebbar ◽  
Lavanya Rai ◽  
Shyamala Guruvare ◽  
...  

Aims and Objectives. (i) To determine the predictive value of cerebrouterine (CU) ratio (middle cerebral artery to uterine artery pulsatility index, MCA/UT PI) in assessing perinatal outcome among hypertensive disorders of pregnancy. (ii) To compare between CU ratio and CP ratio (MCA/Umbilical artery PI) as a predictor of adverse perinatal outcome.Methods. A prospective observational study was done in a tertiary medical college hospital, from September 2012 to August 2013. One hundred singleton pregnancies complicated by hypertension peculiar to pregnancy were enrolled. Both CU and CP ratios were estimated. The perinatal outcomes were studied.Results. Both cerebrouterine and cerebroplacental ratios had a better negative predictive value in predicting adverse perinatal outcome. However, both CU and CP ratios when applied together were able to predict adverse outcomes better than individual ratios. The sensitivity, specificity, positive predictive value, and the negative predictive values for an adverse neonatal outcome with CU ratio were 61.3%, 70.3%, 56%, and 78.9%, respectively, compared to 42%, 57.5%, 62%, and 76% as with CP ratio.Conclusion.Cerebrouterine ratio and cerebroplacental ratio were complementary to each other in predicting the adverse perinatal outcomes. Individually, both ratios were reassuring for favorable perinatal outcome with high negative predictive value.


2020 ◽  
Vol 16 (1) ◽  
pp. 71-78
Author(s):  
Naina Kumar ◽  
Ashu Yadav

Background: Hypertensive disorder of pregnancy is associated with adverse maternal, perinatal outcome. Objective: To know the perinatal outcome in women with hypertensive disorders of pregnancy. Methods: Present retrospective cohort study was conducted in the Obstetrics and Gynecology department of the rural tertiary center of Northern India over one year (January-December 2018) on 205 antenatal women with hypertensive disorders of pregnancy at gestation ≥28 weeks. All the participants on the basis of diagnosis were divided into four groups: Group 1 Gestational hypertension; Group 2 Pre-eclampsia; Group 3 Eclampsia and Group 4 with Chronic Hypertension. Demographic features, gestational age, the onset of labor, mode of delivery and perinatal outcome including birthweight, Apgar scores, morbidity and mortality were recorded and compared between four groups. Statistical analysis was done using software SPSS 22.0. version. Results: Of 205 participants, 93 had Gestational Hypertension, 68 Pre-eclampsia; 36 Eclampsia, 06 Chronic Hypertension. The mean age of presentation was 24.96±3.535 years. Average gestation at birth for group 1 was 37.91±2.38 weeks, group 2: 36.50±3.312 weeks, group 3: 34.44±4.062 weeks and group 4: 37.97±1.524 weeks. The majority of participants had induced labor especially in preeclampsia and eclampsia groups with a spontaneous vaginal delivery as the most common mode. 1 and 5-minute Apgar scores, birth weight were lower in eclampsia and pre-eclampsia women. Severe disease was associated with the adverse perinatal outcome with maximum neonatal morbidity and mortality in eclampsia and pre-eclampsia group. Conclusion: Hence, hypertensive disorder of pregnancy was associated with adverse perinatal outcome, especially in women with severe disease (Eclampsia and Pre-eclampsia).


2018 ◽  
Vol 5 (1) ◽  
pp. 87-91
Author(s):  
Padmaja Joshi ◽  
Manasi Kathaley ◽  
Swapnali Borade ◽  
Rucha Dashrathi ◽  
◽  
...  

2018 ◽  
Vol 6 (4) ◽  
pp. 145-149
Author(s):  
Narayani Paudel ◽  
Santoshi Shrestha ◽  
Puspa Parajuli

Background: Hypertensive disorders of pregnancy are considered to be a major worldwide health problem causing an increased risk of perinatal and maternal morbidity and mortality. Hypertensive disorders are the most common medical disorders encountered during pregnancy.Objective: This study aimed to assess the maternal and perinatal outcome of hypertensive disorders in pregnancy.Methods: A hospital based prospective study was conducted in Obstetrics ward of Kathmandu Medical College Teaching Hospital. Total one hundred pregnant women admitted in antenatal ward with the diagnosis of hypertensive disorders in pregnancy were included in the study. A structured questionnaire was designed and data collection was done through one- to- one interview technique during the period of December 2015 to January 2017. The collected data were analyzed by using Statistical Package for Social Science version 20.Results: Among 100 hypertensive disorders; 80% respondents had gestational hypertension, 16% had preeclampsia and two percent had eclampsia. Of total, 52% respondents had normal vaginal delivery followed by 46% caesarian section. One respondent had ante-partum hemorrhage, 11% had post-partum hemorrhage and one had developed hemolysis, elevated liver enzymes low platelets counts syndrome. Fortunately, no maternal mortality was occurred. Regarding perinatal outcome, 17% babies were born preterm, 13% babies had low birth weight and seven percent babies had birth asphyxia. Total fi ve were stillbirths and one percent had early neonatal death.Conclusion: Maternal outcome was good except few morbidities but perinatal outcome was found to be adverse. Proper management of hypertensive disorders is required to reduce perinatal morbidities and mortalities.Journal of Kathmandu Medical College,Vol. 6, No. 4, Issue 22, Oct.-Dec., 2017, Page: 145-149


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