An observational study to determine the prevalence and risk factors associated with pregnancy induced hypertension in a semi-urban town of India
Journal Title: The Indian Practitioner - Year 2017, Vol 70, Issue 12
Abstract
Background: Pregnancy induced hypertension (PIH) complicates about 10% of pregnancies and is a key factor responsible for maternal as well as perinatal morbidity-mortality. We tried to understand risk factors and epidemiology of PIH in a semi-urban population of India. Objective: To study and evaluate the socio demographic and clinical epidemiologic factors in pregnancy induced hypertension. Methodology: This observational prospective study was conducted at Mamta Hospital and Maternity Home, Bardoli, Gujarat, India on 1536 pregnant women over a period of one year. Pregnant women fulfilling criteria were included in the study. From pregnant women case records age, parity, socio-economic status, gestational age, obstetric histories data were studied. Results: Total 121 numbers of women were diagnosed with pregnancy induced hypertension. Out of that 53.72% were in the young age group and 67.77% were primigravida. Hypertensive pregnant women having twin gestation are more prone to development of PIH (OR=12.55). Pregnant women who had undergone treatment of infertility (OR=2.11) and who had history of missed abortion (OR=5.54) are more prone to develop hypertension. These are novel factors associated with PIH. Conclusion: The study showed the prevalence of PIH in semi-urban area to be 7.8%. The study revealed that incidence of PIH is more common in women with primigravida, multiple gestation, history of missed abortion and history of treatment for infertility in a semi-urban area of India. On the other hand, we did not find age and socio economic status as risk factors. A systematic evaluation of underlying risk factors may help in understanding pathology behind PIH and its early detection.
Authors and Affiliations
Ms. Heta G. Vyas, Ramesh K Goyal, Gautam M Vyas, Bhavin A Vyas, Shailesh A Shah
Keywords
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