Original Research Article
Year: 2021 | Month: January | Volume: 11 | Issue: 1 | Pages: 268-272
A Study to Assess the Impact of Pregnancy Induced Hypertension on Fetal Outcomes among PIH Patients Delivered at Tertiary Care Hospital, Dadra & Nagar Haveli
Kaveriben Pandya1, Anjali Prajapati1, Trupti Gajjar2, Reshma Rawat2
1Associate Professor, Department of Obstetrics & Gynecological Nursing, Shri Vinoba Bhave College of Nursing, Silvassa, D&NH
1Assistant Professor, Department of Obstetrics & Gynecological Nursing, Shri Vinoba Bhave College of Nursing, Silvassa, D&NH
2Tutor, Department of Obstetrics & Gynecological Nursing, Shri Vinoba Bhave College of Nursing, Silvassa, D&NH
2Sister in Charge, Department of Obstetrics & Gynecological Nursing, Shri Vinoba Bhave Civil Hospital, Silvassa, D&NH
Corresponding Author: Kaveriben Pandya
ABSTRACT
Background: Hypertension is one of the common medical complications of pregnancy & contributes significantly to maternal & perinatal morbidity & mortality. The World Health Organization estimates that at least one woman dies every seven minutes from complications of hypertensive disorders of pregnancy. Hence a study was undertaken to assess the impact of Pregnancy Induced Hypertension on fetal outcomes among mothers with PIH who delivered at tertiary care hospital, Dadra & Nagar Haveli.
Method: It was a cross sectional study conducted at Shri Vinoba Bhave Civil Hospital, Silvassa, Dadra & Nagar Haveli from September to November 2020.The sample size of the study was 32. The data regarding demographic variables, obstetric history, clinical details & examinations, investigations & fetal outcomes was collected using Structured Interview Schedule.
Result: In the present study, Gestational Hypertension was found to be 65.62%, Pre eclampsia was 28.12% and Eclampsia was found to be 6.25%. It was more prevalent among multipara mothers. The clinical representation of PIH showed that 71.87% mothers had pain in lower abdomen, 37.3% had pedal edema followed by 15.62% headache & 9.37% blurring of vision. Antihypertensive drugs (93.75%) were given to almost all the mothers whereas 9.37% were treated with anticonvulsant medicines. The most common fetal complications found were preterm births (43.75%) & LBW (37.5%). 28.12% babies required NICU admission due to various reasons whereas 6.25% neonatal deaths were reported.
Conclusion: Pregnancy-related hypertensive disorders are common and adversely impact perinatal outcomes. Efforts should be made at both the community and hospital levels to increase awareness regarding hypertensive disorder of pregnancy and reduce its associated morbidity and mortality.
Key words: PIH, Fetal Outcomes, Blood Pressure.