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Objectives: To determine the prevalence, risk factors with maternal and fetal outcomes of hypertension in pregnancy. Type of Study: Retrospective cross-sectional study. Place of Study: Gynae A ward,Qazi Hussain Ahmed Medical Complex, Nowshera. Duration of Study: 1 year from 1st Jan,2019 to 31st Dec, 2019. Methodology: 552 patients who had hypertensive disorders in pregnancy were recruited. Self- administered and structured questionnaire was used for data collection. The risk factors in patients and the fetomaternal outcomes were manually extracted from the history sheets and evaluated. SPSS version 22.0 was used for data analysis. Results: The prevalence of hypertensive disorders in pregnancy was 13.9% in this study. Pregnancy induced hypertension was the most frequent hypertensive disorder with a prevalence of 57.97%. 61% of the total hypertensive patients had no antenatal booking making it the most common risk factors in pregnant hypertensive patients.38% of patients had high blood pressure in previous pregnancies as well. 56.5% of patients admitted had normal vaginal delivery,4.5% of patients had instrumental deliveryand 39% had lower segment caesarean section. 17.75% of the total patientsdeveloped maternal complications and among them the most frequent maternal complication was post-partum hemorrhage (7.4%).49.3% newborns developed neonatal complications where the most common neonatal complication was preterm deliveries (21.9%). Conclusion: The prevalence of hypertensive disorders was relatively high in our cohort. However, to reduce the feto-maternal morbidities and mortalities, awareness regarding hypertensive disorders should be increased at the community and hospital level and screening of this disorder should be proposed at early gestation. Keywords: Hypertension, Pregnancy induced hypertension, Pre-eclampsia, Eclampsia, maternal complications, fetal complications. |
