Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital

Mustafa Captain; Sanjay Natu; Sameer Mhatre; Anjali Parekh; Manas Kumar Behera

doi:doi:10.11648/j.ajp.20200601.19

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Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital

Mustafa Captain, Sanjay Natu, Sameer Mhatre, Anjali Parekh, Manas Kumar Behera

Published in American Journal of Pediatrics (Volume 6, Issue 1)

Received: 22 January 2020 Accepted: 18 February 2020 Published: 26 February 2020

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Abstract

Hypertensive disorder of pregnancy (HDP) is a multisystem disorder of pregnancy known to jeopardize safe pregnancy thereby increasing the maternal and neonatal morbidity and mortality. A retrospective observational study of nine months duration was conducted to determine the fetal and early neonatal outcome in pregnancies complicated with HDP in a tertiary care hospital. Result: 163 women with HDP delivered during the study period. Out of total 163 births, perinatal deaths occurred in 18 (11.04%) cases, of which 10 (6.13%) were stillbirth and 8 (5.23%) were early neonatal death thus making a perinatal mortality rate of 110 per 1000 births. Low birth weight and preterm delivery occurred in 71 (43.56%) & 42 (25.77%) respectively. Amongst the 53 (32.52%) neonates who required admission to the NICU, 37 (69.8%) neonates had respiratory distress including 23 (43.4%) neonates’ requiring ventilatory support. Occurrences of adverse perinatal outcomes were significantly higher in eclampsia & preeclampsia as compared to gestational HTN except for metabolic abnormalities. Conclusion: There is a significant burden of perinatal mortality and morbidity more so with pre-eclampsia & eclampsia. The findings of this study can represent an evidence for healthcare providers and policy makers in devising more appropriate interventions for in utero transfer of women with HDP so as to improve perinatal outcomes.

Published in	American Journal of Pediatrics (Volume 6, Issue 1)
DOI	10.11648/j.ajp.20200601.19
Page(s)	52-57
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Hypertensive Disorders of Pregnancy, Perinatal Morbidity, Perinatal Mortality

References

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APA Style

Mustafa Captain, Sanjay Natu, Sameer Mhatre, Anjali Parekh, Manas Kumar Behera. (2020). Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital. American Journal of Pediatrics, 6(1), 52-57. https://doi.org/10.11648/j.ajp.20200601.19

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ACS Style

Mustafa Captain; Sanjay Natu; Sameer Mhatre; Anjali Parekh; Manas Kumar Behera. Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital. Am. J. Pediatr. 2020, 6(1), 52-57. doi: 10.11648/j.ajp.20200601.19

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AMA Style

Mustafa Captain, Sanjay Natu, Sameer Mhatre, Anjali Parekh, Manas Kumar Behera. Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital. Am J Pediatr. 2020;6(1):52-57. doi: 10.11648/j.ajp.20200601.19

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@article{10.11648/j.ajp.20200601.19,
  author = {Mustafa Captain and Sanjay Natu and Sameer Mhatre and Anjali Parekh and Manas Kumar Behera},
  title = {Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital},
  journal = {American Journal of Pediatrics},
  volume = {6},
  number = {1},
  pages = {52-57},
  doi = {10.11648/j.ajp.20200601.19},
  url = {https://doi.org/10.11648/j.ajp.20200601.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200601.19},
  abstract = {Hypertensive disorder of pregnancy (HDP) is a multisystem disorder of pregnancy known to jeopardize safe pregnancy thereby increasing the maternal and neonatal morbidity and mortality. A retrospective observational study of nine months duration was conducted to determine the fetal and early neonatal outcome in pregnancies complicated with HDP in a tertiary care hospital. Result: 163 women with HDP delivered during the study period. Out of total 163 births, perinatal deaths occurred in 18 (11.04%) cases, of which 10 (6.13%) were stillbirth and 8 (5.23%) were early neonatal death thus making a perinatal mortality rate of 110 per 1000 births. Low birth weight and preterm delivery occurred in 71 (43.56%) & 42 (25.77%) respectively. Amongst the 53 (32.52%) neonates who required admission to the NICU, 37 (69.8%) neonates had respiratory distress including 23 (43.4%) neonates’ requiring ventilatory support. Occurrences of adverse perinatal outcomes were significantly higher in eclampsia & preeclampsia as compared to gestational HTN except for metabolic abnormalities. Conclusion: There is a significant burden of perinatal mortality and morbidity more so with pre-eclampsia & eclampsia. The findings of this study can represent an evidence for healthcare providers and policy makers in devising more appropriate interventions for in utero transfer of women with HDP so as to improve perinatal outcomes.},
 year = {2020}
}

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TY  - JOUR
T1  - Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital
AU  - Mustafa Captain
AU  - Sanjay Natu
AU  - Sameer Mhatre
AU  - Anjali Parekh
AU  - Manas Kumar Behera
Y1  - 2020/02/26
PY  - 2020
N1  - https://doi.org/10.11648/j.ajp.20200601.19
DO  - 10.11648/j.ajp.20200601.19
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 52
EP  - 57
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20200601.19
AB  - Hypertensive disorder of pregnancy (HDP) is a multisystem disorder of pregnancy known to jeopardize safe pregnancy thereby increasing the maternal and neonatal morbidity and mortality. A retrospective observational study of nine months duration was conducted to determine the fetal and early neonatal outcome in pregnancies complicated with HDP in a tertiary care hospital. Result: 163 women with HDP delivered during the study period. Out of total 163 births, perinatal deaths occurred in 18 (11.04%) cases, of which 10 (6.13%) were stillbirth and 8 (5.23%) were early neonatal death thus making a perinatal mortality rate of 110 per 1000 births. Low birth weight and preterm delivery occurred in 71 (43.56%) & 42 (25.77%) respectively. Amongst the 53 (32.52%) neonates who required admission to the NICU, 37 (69.8%) neonates had respiratory distress including 23 (43.4%) neonates’ requiring ventilatory support. Occurrences of adverse perinatal outcomes were significantly higher in eclampsia & preeclampsia as compared to gestational HTN except for metabolic abnormalities. Conclusion: There is a significant burden of perinatal mortality and morbidity more so with pre-eclampsia & eclampsia. The findings of this study can represent an evidence for healthcare providers and policy makers in devising more appropriate interventions for in utero transfer of women with HDP so as to improve perinatal outcomes.
VL  - 6
IS  - 1
ER  -

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Author Information

Mustafa Captain

Department of Paediatrics, Smt Kashibai Navale Medical College & General Hospital, Pune, India
Sanjay Natu

Department of Paediatrics, Smt Kashibai Navale Medical College & General Hospital, Pune, India
Sameer Mhatre

Department of Paediatrics, Smt Kashibai Navale Medical College & General Hospital, Pune, India
Anjali Parekh

Department of Paediatrics, Smt Kashibai Navale Medical College & General Hospital, Pune, India
Manas Kumar Behera

Department of Paediatrics, Smt Kashibai Navale Medical College & General Hospital, Pune, India

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APA Style

Mustafa Captain, Sanjay Natu, Sameer Mhatre, Anjali Parekh, Manas Kumar Behera. (2020). Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital. American Journal of Pediatrics, 6(1), 52-57. https://doi.org/10.11648/j.ajp.20200601.19

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ACS Style

Mustafa Captain; Sanjay Natu; Sameer Mhatre; Anjali Parekh; Manas Kumar Behera. Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital. Am. J. Pediatr. 2020, 6(1), 52-57. doi: 10.11648/j.ajp.20200601.19

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AMA Style

Mustafa Captain, Sanjay Natu, Sameer Mhatre, Anjali Parekh, Manas Kumar Behera. Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital. Am J Pediatr. 2020;6(1):52-57. doi: 10.11648/j.ajp.20200601.19

Copy | Download

@article{10.11648/j.ajp.20200601.19,
  author = {Mustafa Captain and Sanjay Natu and Sameer Mhatre and Anjali Parekh and Manas Kumar Behera},
  title = {Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital},
  journal = {American Journal of Pediatrics},
  volume = {6},
  number = {1},
  pages = {52-57},
  doi = {10.11648/j.ajp.20200601.19},
  url = {https://doi.org/10.11648/j.ajp.20200601.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200601.19},
  abstract = {Hypertensive disorder of pregnancy (HDP) is a multisystem disorder of pregnancy known to jeopardize safe pregnancy thereby increasing the maternal and neonatal morbidity and mortality. A retrospective observational study of nine months duration was conducted to determine the fetal and early neonatal outcome in pregnancies complicated with HDP in a tertiary care hospital. Result: 163 women with HDP delivered during the study period. Out of total 163 births, perinatal deaths occurred in 18 (11.04%) cases, of which 10 (6.13%) were stillbirth and 8 (5.23%) were early neonatal death thus making a perinatal mortality rate of 110 per 1000 births. Low birth weight and preterm delivery occurred in 71 (43.56%) & 42 (25.77%) respectively. Amongst the 53 (32.52%) neonates who required admission to the NICU, 37 (69.8%) neonates had respiratory distress including 23 (43.4%) neonates’ requiring ventilatory support. Occurrences of adverse perinatal outcomes were significantly higher in eclampsia & preeclampsia as compared to gestational HTN except for metabolic abnormalities. Conclusion: There is a significant burden of perinatal mortality and morbidity more so with pre-eclampsia & eclampsia. The findings of this study can represent an evidence for healthcare providers and policy makers in devising more appropriate interventions for in utero transfer of women with HDP so as to improve perinatal outcomes.},
 year = {2020}
}

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TY  - JOUR
T1  - Perinatal Outcome in Hypertensive Disorder of Pregnancy - A Retrospective Study from a Tertiary Care Teaching Hospital
AU  - Mustafa Captain
AU  - Sanjay Natu
AU  - Sameer Mhatre
AU  - Anjali Parekh
AU  - Manas Kumar Behera
Y1  - 2020/02/26
PY  - 2020
N1  - https://doi.org/10.11648/j.ajp.20200601.19
DO  - 10.11648/j.ajp.20200601.19
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 52
EP  - 57
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20200601.19
AB  - Hypertensive disorder of pregnancy (HDP) is a multisystem disorder of pregnancy known to jeopardize safe pregnancy thereby increasing the maternal and neonatal morbidity and mortality. A retrospective observational study of nine months duration was conducted to determine the fetal and early neonatal outcome in pregnancies complicated with HDP in a tertiary care hospital. Result: 163 women with HDP delivered during the study period. Out of total 163 births, perinatal deaths occurred in 18 (11.04%) cases, of which 10 (6.13%) were stillbirth and 8 (5.23%) were early neonatal death thus making a perinatal mortality rate of 110 per 1000 births. Low birth weight and preterm delivery occurred in 71 (43.56%) & 42 (25.77%) respectively. Amongst the 53 (32.52%) neonates who required admission to the NICU, 37 (69.8%) neonates had respiratory distress including 23 (43.4%) neonates’ requiring ventilatory support. Occurrences of adverse perinatal outcomes were significantly higher in eclampsia & preeclampsia as compared to gestational HTN except for metabolic abnormalities. Conclusion: There is a significant burden of perinatal mortality and morbidity more so with pre-eclampsia & eclampsia. The findings of this study can represent an evidence for healthcare providers and policy makers in devising more appropriate interventions for in utero transfer of women with HDP so as to improve perinatal outcomes.
VL  - 6
IS  - 1
ER  -

Copy | Download