Incidence of pregnancy induced hypertension in patients visited Lady Willingdon Hospital-Lahore

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Shakeela Mahvish Rana, Sidra Rana


Pregnancy Induced Hypertension (PIH) is high blood pressure that is 140/90 mm Hg in 4-6 hour apart rising after twenty weeks of pregnancy till 6 weeks postpartum in previously normotensive female.  Cross-sectional descriptive research was conducted in Lady Willingdon Hospital, Lahore from August 2013 to January 2014. A total of 1200 cases of pregnancy induced hypertension were studied and relevant information was recorded on Performa. Incidence of PIH in patients visited Lady Willington Hospital - Lahore was 43.1% in 16-25 years of age group. Symptoms monitored were high blood pressure (100%), proteins in urine (46.2%), edema (86.3%) and fits (26.1%). The data on perinatal outcome of PIH patient showed a perinatal mortality of 64.75 % with intrauterine death in 518 patients and neonatal death in 259 patients. Data on maternal outcome showed that out of 1200 patients, 554 had pre-eclampsia, 313 developed eclampsia, 346 were identified with maternal mortality was 43 women among the patient population. In our study, PIH was found to be more common in young pregnant women. Previous H/O PIH, Primigravida, obesity, chronic hypertension, family H/O PIH and multiple pregnancies were observed as major risk factors of PIH in patients visited Lady Willington Hospital - Lahore. Pre-eclampsia, Eclampsia and HELLP syndrome were major complications of PIH. This research work bridges knowledge gap for community perceptions regarding eclampsia and pre-eclampsia in Lady Willington Hospital-Lahore, Pakistan. Education should be incorporated into training sessions for community health workers to enhance their community awareness in rural and urban areas of Pakistan.

Keywords: Eclampsia; Pregnancy Induced Hypertension; Pre-eclampsia

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