DOI: 10.36347/sajb.2018.v06i02.014

Pages: 215-221

Our objective was to find out incidence, epidemiological factors, complications, and outcome of hypertensive disorder in pregnancy. A prospective study was performed on consecutive 134 cases of hypertensive disorder in pregnancy managed in the department of obstetrics and gynecology in NEIGRIHMS for one and half year. Demographic data, route of delivery any complications and maternal and perinatal outcome were noted. Incidence of hypertensive disorder of pregnancy was 7.3%. Contribution of preeclampsia and eclampsia was 55.2%and 11.2%.Mean age in this study was 23.5 years. 55.9% patients were primigravida, 57.85% were booked, 59.7% were belonged to low socioeconomic status. (50%) were delivered by LSCS. Most common complication was abruptio placentae followed by pulmonary edema.3 patients (2.23%) succumbed to hypertensive disorder of pregnancy. Incidence of perinatal mortality was 14.9%. Abruptio placentae was the most common cause of perinatal mortality. Most common cause of neonatal mortality was prematurity and RDS. Severe pre-eclampsia and eclampsia still remains the major contributor to poor maternal and foetal outcome. In present study maternal and perinatal mortality was significantly high in unbooked pregnancies. The timely use of antihypertensive drugs, optimum timing of delivery and strict fluid balance, anticonvulsants in cases of eclampsia will help to achieve successful obstetric outcome.