To Assess Outcome of Neonates Born to Mothers with Hypertension Disorder of Pregnancy at Tertiary Care Hospital

Background: Gestational hypertension and preeclampsia are common disorders during pregnancy, with the majority of cases developing at or near term. The development of mild hypertension or preeclampsia at or near term is associated with minimal maternal and neonatal morbidities. In contrast, the onset of severe gestational hypertension and/or severe preeclampsia before 35 weeks' gestation is associated with significant maternal and perinatal complications Materials and Methods: The present study was a single-center, observational Study conducted on patients admitted with newborns born to mother with hypertensive disorder of pregnancy, Irrespective of treatment in the department of Paediatrics, Sri Siddhartha Medical College hospital and Research Centre, Tumkur from January 2020 to July 2022. Prior initiation of the study obtained Ethical and Research Committee clearance from Sri Siddhartha Medical College hospital and Research Centre, Tumkur. During present study total 200 neonates were reviewed in OPD/IP, among 125 patients were enrolled into the study according present study inclusion criteria and 75 patients were excluded according exclusion criteria. Results: Majority subjects were in the age group of 21-25 years (45.60 %).Most subjects were in their primi (48%).The above table gives data on distribution of subjects based on diagnosis. Most subjects were diagnosed with preeclampsia, i.e.73 (58.4%); followed by 27 subjects (21.6 %) with eclampsia HTN and 25 subjects (20%) with gestational HTN .Most subjects were not with any complications (87.2%). Most of the neonates were males (52%).There were 50.40 % neonates with low birth weight and 49.60 % with normal birth weight. 41.60 % neonates had morbidities. The morbidities observed in our study were resuscitation (33.60%); hypothermia (31.20%); hypoglycemia (28.00%); icterus (24.80 %); sepsis (14.40%); Transient tachypnea of the newborn (16 %); birth asphyxia (11.20%) and respiratory distress syndrome (57.60%). Majority of neonates required admission into Intensive Care Unit (54.4%). Conclusion: Pregnancy Induced Hypertension is a maternal pathology involving placental modification which is associated with fetal complications. Fetal morbidity and mortality are serious concerns in preeclampsia and are attributable to poor management. Neonatal adverse events such as asphyxia, low birth weight, prematurity, Intrauterine growth restriction, NICU admission, and neonatal death were more prevalent if the mother had a hypertensive disorder during pregnancy