Shazia Rasul, Aflak Rasheed, Lubna Riaz Dar.
Fetal Outcome of Pregnancy with Hypertension.
Esculapio J Services Inst Med Sci Jan ;8(1):29-33.

Objective: To assess relationship of neonatal morbidity and mortality with severity of hypertension. The effect of severity of hypertension on time of delivery and neonatal outcome including birth weight, APGAR score, neonatal nursery admission, intrauterine death and neonatal deaths was studied. Methods: All pregnant patients with diastolic blood pressure of at least 90 mmHg or systolic blood pressure of 140 mmHg taken at two occasions at least 6 hours apart, with singleton pregnancy at any gestational age were included in the study. They were categorized in two groups according to diastolic blood pressure at the time of presentation. Mild to moderate hypertensive patients were those with diastolic blood pressure up till 109 mmHg. Patient with diastolic blood pressure 110 mmHg or more were labeled as severely hypertensive patients. All patients were followed throughout antenatal period till delivery. Time of delivery was decided by senior consultants according to obstetrical parameter . All babies delivered were attended by pediatrician and admission in neonatal nursery was decided by pediatrician . Babies admitted in nursery were followed till discharge or expiry. Results: Out of 1661 screened patients, 119 hypertensive pregnant patients were detected an incidence of 7.16% . Out of these 78.2% were mild to moderate hypertensive and 21.8% were severely hypertensive patients. The effect of severity of hypertension was significant on time of delivery. There were 74% preterm deliveries in severely hypertensive patients as compared to 13% in mild to moderate group (p= 0.0001). The effect of severity of hypertension was significant on birth weight, APGAR score, intrauterine and neonatal deaths. Conclusion: Fetal morbidity and mortality is directly related to severity of hypertension in terms of birth weight, pre-term deliveries APGAR score and perinatal mortality rate.

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