Keywords : pregnancy &amp; hypertension
AN OBSERVATIONAL STUDY OF NEONATAL OUTCOME IN BABIES BORN TO MOTHERS WITH PREGNANCY INDUCED HYPERTENSION
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 4, Pages 3060-3066
Background & Method: The aim of this study is to study neonatal outcome in babies born to mothers with pregnancy induced hypertension. An observational study was conducted in level III NICU of INDEX MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE , INDORE . Detailed maternal history like age, parity, immunisation status, gestational age, blood pressure recording, proteinuria & presence of seizures. Details of labor, mode of delivery, presence of complications if any during labor. Detailed natal history was taken which included maturity , birth weight , APGAR score , type of delivery , anthropometry , any complication during birth like Meconium Aspiration Syndrome(MAS) , respiratory distress (RDS) , sepsis , need for ventilatory support. Gestational age was assessed by New Ballard scoring system.
Result: Among the total(n = 156), about 69.2% of babies were delivered by caesarean section & 30.8% were delivered by vaginal delivery. This shows a statistical significance of caesarean section(p value-0.001) among these babies born to PIH mothers in our study. RDS is found to be the most common complication accounting for about 39.7% of all babies. Birth asphyxia (26.9%) & sepsis (29.4%) comes next, followed by Meconium Aspiration Syndrome (MAS) (3.8%) being the least common complication.
Conclusion: Pregnancy Induced Hypertension is a maternal pathology involving placental modification which is associated with foetal complications. Since babies born to hypertensive mothers are prone to develop several complications, close monitoring of these babies should be undertaken in an attempt to provide these babies with decreased morbidity & improved growth development & survival.