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TITLE:

THE INCIDENCE AND OBSTETRIC OUTCOME OF PREGNANCY IN HYPERTENSIVE DISORDERS

AUTHORS:

Dr Saba Tahir, Dr Bushra Iqbal, Dr Irha Saeed

ABSTRACT:

Aims: To know the prevalence, maternal demographic characteristics and obstetric outcomes of gestational hypertension disorders. Study design: descriptive study Location and Duration: This study was conducted at Gynae Unit-I of Nishtar Hospital Multan for one-year duration from May 2019 to May 2020. Subjects and methods: All pregnant women admitted with arterial hypertension within one year were included in the study. A special proforma has been designed to record demographic data. Result: During the study period, 3.2% of pregnant women were admitted with hypertension disorders. Most of them were aged 21-35, couple 1-3, and belonged to the low socio-economic class. Seventy percent had gestational hypertension, 21% had pre-eclampsia, and 9% had chronic hypertension. About 82% of cases had moderate to severe hypertension and 3.7% had eclampsia. 59% of women gave birth by vaginal delivery and 41% had a cesarean section. Women with pre-eclampsia / eclampsia had a higher risk of perinatal morbidity and mortality and had adverse perinatal outcomes compared to women with gestational hypertension in this study. Conclusion: This study revealed that hypertension disorders in pregnancy are a major challenge for obstetricians, contributing to adverse pregnancy outcomes and perinatal outcomes. There is an urgent need to increase awareness of prenatal pre-booking and to provide emergency maternity care services at your fingertips to improve obstetric outcomes. Key words: gestational hypertension, pre-eclampsia, eclampsia, chronic hypertension, perinatal death.

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