Maternal and Perinatal Outcome in Hypertension Complicating Pregnancy between Booked and Referred Cases

ABSTRACT

The present study was conducted in Obstetrics and Gynecology Department in King George Hospital, Andhra Medical College on 300 antenatal women with hypertensive disorders. Patients were categorized according to National Blood Pressure Education Programme Work Group definitions as gestational hypertension, mild preeclampsia and severe preeclampsia. Blood pressure was measured using a mercury sphygmomanometer. Korotkoff sounds were monitored to measure diastolic blood pressure. Korotkoff 5 was taken as diastolic blood pressure. Data collected included socio-demographic details, obstetric history, presenting complaints, gestational age at delivery, mode of delivery, maternal complications, condition of baby and fetal outcome. Results were analyzed based on various parameters such as admission gestational age, gestational age at delivery, mode of delivery, severity of hypertension. Perinatal outcomes like IUGR, prematurity, 5 minute APGAR, etc. were analyzed in both Booked and Referred cases. Comparison between booked and referred cases was made employing chi-square test. P-value < 0.05 was considered as statistical significance.