Publication: Immediate Perinatal Outcome of Neonates with Maternal Hypertensive Disorders in Pregnancy
Date
2013
Article Type
Original Article
Journal Title
Journal ISSN
ISSN 1990-7974 eISSN 1990-7982
Volume Title
Pages
Pages: 190 - 195
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Introduction: Hypertensive disorders of pregnancy seem to be one of the major causes of maternal morbidity and mortality leading to 10-15% of maternal deaths especially in the developing world. This study examines the perinatal outcome of neonates with mothers having hypertensive disorder of pregnancy.
Materials and Methods: Seventy three mothers and their newborn babies were selected. Mothers with Gestational hypertension, preeclampsia, eclampsia, chronic hypertension, preeclampsia superimposed on chronic hypertension were included. Gestational diabetics (GDM), chronic maternal diseases, infant of diabetic mother (IDM), babies with major congenital malformations were excluded.
Results: Thirty five mothers (47.9%) had regular antenatal check up (ANC) and 38 (52%) had irregular. Nineteen mothers (26%) were primipara and 54 (74%) were multipara. Forty four mothers (60%) had positive family history or had own history of hypertensive disorder during their previous pregnancy. 13 mothers (17.8%) had normal vaginal delivery (NVD), 60 mothers (82.19%) had lower uterine cesarean section (LUCS). 30 babies (41%) were admitted. 44 mothers (60%) had gestational hypertension, 21 had (28.6%) pre-eclamtic toxemia (PET), 3 had (4.1%) eclampsia, 5 had (6.8%) essential hypertension 3 of them subsequently developed PET. Mean maternal age 26.86 years, gestational age 34.15 (±1.46)weeks among admitted and 36.30 (±1.6)weeks among non-admitted group. Mean birth weight was 1.69 (±0.39) kg. among admitted and 2.71 (±0.31) kg. in non-admitted babies. Seven pregnancies (9.58%) were twin, macerated 1 twin among was among 2 pregnancies (2.7%), 5 intra uterine death (IUD) observed in single pregnancy.
Conclusion: Significant number of babies with maternal hypertensive disorder of pregnancy needed hospitalization, mean birth weight and gestational age was less than that of the non-admitted group.
Description
Mahmuda Hassan
Associate Professor, Department of Paediatrics, Ad-din Women’s Medical College Hospital, Dhaka
Ferdousi Choudhury
Associate Professor and Head of Department, Obstetrics and Gynaecology, Ad-din Women’s Medical College Hospital, Dhaka
Marium Begum
Assistant Professor, Department of Paediatrics, Ad-din Women’s Medical College Hospital, Dhaka
Hamidur Rahman
Professor and Head of Department of Paediatrics, Ad-din Women’s Medical College Hospital, Dhaka
Sayeba Akhter
Academic Director, Ad-din Women’s Medical College Hospital, Dhaka
Keywords
Hypertensive disorder of pregnancy, neonate, outcome
Identifier
https://doi.org/10.3126/jnps.v33i3.9252