Comparative study on maternal outcomes between normal and PIH mothers with serum albumin level

ABSTRACT

Background: Perinatal outcome is strongly influenced by gestational age and the severity of hypertension as expressed by the need for antihypertensive treatment, irrespective of the underlying syndrome. Severe preeclampsia is associated with different degrees of fetal injury. The main impact on the fetus is under nutrition as a result of uteroplacental vascular insufficiency, which leads to growth retardation. There are short and long-term effects. The immediate impact observed is altered fetal growth resulting in greater fetal liability. Fetal health, as well as its weight, is highly compromised, leading to various degrees of fetal morbidity, and fetal damage may be such as to cause fetal death. Aim of the study To compare maternal outcomes between normal and PIH mothers in correlation with a serum albumin level. Materials and methods: The study was conducted in Obstetrics and Gynecology OPD of Tirunelveli Medical College. Duration of study was from March 2018 to November 2018. Routine antenatal investigations were done. The maternal outcomes were analyzed between two categories Results: The normal, forceps and LSCS deliveries among the total mothers were 42.4%, 2.0%, and 55.6% respectively. The difference between PIH and normal mothers was not statistically significant (P>0.05). The pre and term among the total mothers were 12.1%, and 87.9% respectively. The difference between the pre and term babies among the PIH and normal was very highly statistically significant (P>0.001). The pre and term among the total mothers were 11.1%, and 88.9% respectively. The difference between the APO and NPO of babies between the PIH and normal mothers was very D Jayalakshmi, Sheba Rosatee Victor. Comparative study on maternal outcomes between normal and PIH mothers with serum albumin level. IAIM, 2019; 6(3) 32-37. Page 33 highly statistically significant (P>0.001). The complicated and normal outcome among the total mothers was 4.0%, and 96.0% respectively. The difference between the complicated and normal outcome between the PIH and normal mothers was very highly statistically significant (P>0.001). Conclusion: Perinatal outcome is strongly influenced by gestational age and the severity of hypertension as expressed by the need for antihypertensive treatment, irrespective of the underlying syndrome. Severe preeclampsia is associated with different degrees of fetal injury. The main impact on the fetus is under nutrition as a result of uteroplacental vascular insufficiency, which leads to growth retardation. There are short and long-term effects. The immediate impact observed is altered fetal growth resulting in greater fetal liability. Fetal health, as well as its weight, is highly compromised, leading to various degrees of fetal morbidity, and fetal damage may be such as to cause fetal death.