European Journal of Molecular & Clinical Medicine

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.

Background: Anemia of newborns is a worldwide health concern. Since neonatal
anemia is associated with late neurological deficits, and is a leading cause of the risk
of perinatal mortality and requires urgent attention. Standard hemoglobin level for a
term newborn is 19.3±2.2 g/dL. Anemia of the newborns can be physiological,owing
to excessive blood loss, increased destruction of RBCor decreased production of
RBC. Newborn babies with anemia are pale, and may have tachypnea, tachycardia,
poor feeding, and hypotension with acute blood loss and jaundice when there is
hemolysis of RBC. Hemoglobin concentration is the best tool, for the diagnosis of
anemia in Newborns. The treatment depends on the underlying cause; Newborns, who
have rapidly lost large amounts of blood are treated with I/V fluids followed by blood
transfusion,reducing the blood loss due to repeated phlebotomy and blood extraction
for investigations may reduce the need of blood transfusion. Other treatments are
Autologous Placental Blood Transfusion, Erythropoietin therapy, and Nutritional
Supplementation.