MATERNAL AND PERINATAL OUTCOME IN PREGNANCY INDUCED HYPERTENSIVE MOTHERS IN COMBINED MILITARY HOSPITAL, SIALKOT

Objective: To determine the maternal and perinatal outcome in pregnancy induced hypertensive mothers. Study Design: Prospective comparative study. Place and Duration of Study: Conducted in department of Obstetrics and Gynecology, Combined Military Hospital Sialkot, from Jan 2018 to Dec 2018. Methodology: Data of 200 women with pregnancy induced hypertension after 20 weeks of pregnancy were included in the study group and also enrolled 200 normotensive antenatal women, who remain normotensive till after 12 weeks postpartum as control group. Their demographic data, mode of delivery, maternal and perinatal outcome was recorded. Results: Out of 2599 deliveries during the study period, incidence of pregnancy induced hypertension was 7.7%. Cesarean section was mode of delivery for 106 (53%) women with pregnancy induced hypertension compared to 52 (26%) of normotensive cases. There were 114 (57%) cases of gestational hypertension, 69 (34.5%) cases of preeclampsia and 17 (8.5%) cases of eclampsia. Intensive care admission was required in 48 (24%) cases of study group compared to 6 (3%) in control group. The maternal mortality was (1.5%) in study group. Preterm deliveries were 66 (35.11%) and 62 (32.98%) neonates were low birth weight, neonatal intensive care was required in 84 (44.68%) neonates and perinatal mortality was 30 (15%) in study group. Conclusion: Pregnancy induced hypertension not only increases the rate of operative deliveries but also carries high risk of adverse maternal and perinatal outcome