IMPACT AND COMPARISON OF PREGNANCY INDUCED HYPERTENSION AND OBESITY ON FETAL AND MATERNAL OUTCOME

Objective: To study the Impact and Comparison of Pregnancy Induced Hypertension and Obesity on Fetal and Maternal Outcome in our set up. Study Design: Comparative cross sectional study. Place and Duration of Study: Combined Military Hospital Kharian, from May 2017 to May 2018. Methodology:...

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Autores principales:	Umbreen Akram, Samina Naseem Khattak, Ommia Kalsoom, Adila Anwar, Tahir Ahmad Munir
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9dada0e86fd6456f8c3bea8a46073fbc
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spelling	oai:doaj.org-article:9dada0e86fd6456f8c3bea8a46073fbc2021-11-08T04:46:58ZIMPACT AND COMPARISON OF PREGNANCY INDUCED HYPERTENSION AND OBESITY ON FETAL AND MATERNAL OUTCOME0030-96482411-8842https://doaj.org/article/9dada0e86fd6456f8c3bea8a46073fbc2019-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3656/2477https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To study the Impact and Comparison of Pregnancy Induced Hypertension and Obesity on Fetal and Maternal Outcome in our set up. Study Design: Comparative cross sectional study. Place and Duration of Study: Combined Military Hospital Kharian, from May 2017 to May 2018. Methodology: A total of 210 pregnant women were divided into healthy, overweight and obese groups according to WHO classification and normal, mild to moderate and severe hypertensive groups on blood pressure basis. The maternal and neonatal morbidity including Disseminated Intravascular Coagulation, post prandial hemorrhage, eclampsia, acute renal failure, birth weight, small for gestation, admission to Neonatal Intensive Care Unit or neonatal death were recorded. Results: The mean age was 26.15 ± 3.22 years, mean blood pressure 128.57 ± 10.09/86.91 ± 5.89 mmHg, and mean BMI 21.33 ± 2.52. Most female were between 25-30 years age, were house wife, and delivered by spontaneous vaginal delivery. Among severe pregnancy induced hypertension and obese women, eclampsia (16.7% vs. 13%), Disseminated Intravascular Coagulation (25% vs. 13%), and maternal mortality (5.6% vs. 8.6%) was seen respectively, while neonatal morbidity including Neonatal Intensive Care Unit admissions (38.9% vs. 52.2%), small for gestation (25% vs. 30.4%), low birth weight (13.9% vs. 13%), and death (11.1% vs. 13%) respectively. Conclusion: The obese women showed a higher fetal (small for gestation, neonatal intensive care unitadmission and neonatal death) and maternal risk (acute renal failure, post-partum hemorrhage, Critical Care Unit admission, and maternal mortality) than women with severe pregnancy induced hypertension.Umbreen AkramSamina Naseem KhattakOmmia KalsoomAdila AnwarTahir Ahmad MunirArmy Medical College RawalpindiarticleMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 6, Pp 1309-1314 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Medicine (General) R5-920
spellingShingle	Medicine R Medicine (General) R5-920 Umbreen Akram Samina Naseem Khattak Ommia Kalsoom Adila Anwar Tahir Ahmad Munir IMPACT AND COMPARISON OF PREGNANCY INDUCED HYPERTENSION AND OBESITY ON FETAL AND MATERNAL OUTCOME
description	Objective: To study the Impact and Comparison of Pregnancy Induced Hypertension and Obesity on Fetal and Maternal Outcome in our set up. Study Design: Comparative cross sectional study. Place and Duration of Study: Combined Military Hospital Kharian, from May 2017 to May 2018. Methodology: A total of 210 pregnant women were divided into healthy, overweight and obese groups according to WHO classification and normal, mild to moderate and severe hypertensive groups on blood pressure basis. The maternal and neonatal morbidity including Disseminated Intravascular Coagulation, post prandial hemorrhage, eclampsia, acute renal failure, birth weight, small for gestation, admission to Neonatal Intensive Care Unit or neonatal death were recorded. Results: The mean age was 26.15 ± 3.22 years, mean blood pressure 128.57 ± 10.09/86.91 ± 5.89 mmHg, and mean BMI 21.33 ± 2.52. Most female were between 25-30 years age, were house wife, and delivered by spontaneous vaginal delivery. Among severe pregnancy induced hypertension and obese women, eclampsia (16.7% vs. 13%), Disseminated Intravascular Coagulation (25% vs. 13%), and maternal mortality (5.6% vs. 8.6%) was seen respectively, while neonatal morbidity including Neonatal Intensive Care Unit admissions (38.9% vs. 52.2%), small for gestation (25% vs. 30.4%), low birth weight (13.9% vs. 13%), and death (11.1% vs. 13%) respectively. Conclusion: The obese women showed a higher fetal (small for gestation, neonatal intensive care unitadmission and neonatal death) and maternal risk (acute renal failure, post-partum hemorrhage, Critical Care Unit admission, and maternal mortality) than women with severe pregnancy induced hypertension.
format	article
author	Umbreen Akram Samina Naseem Khattak Ommia Kalsoom Adila Anwar Tahir Ahmad Munir
author_facet	Umbreen Akram Samina Naseem Khattak Ommia Kalsoom Adila Anwar Tahir Ahmad Munir
author_sort	Umbreen Akram
title	IMPACT AND COMPARISON OF PREGNANCY INDUCED HYPERTENSION AND OBESITY ON FETAL AND MATERNAL OUTCOME
title_short	IMPACT AND COMPARISON OF PREGNANCY INDUCED HYPERTENSION AND OBESITY ON FETAL AND MATERNAL OUTCOME
title_full	IMPACT AND COMPARISON OF PREGNANCY INDUCED HYPERTENSION AND OBESITY ON FETAL AND MATERNAL OUTCOME
title_fullStr	IMPACT AND COMPARISON OF PREGNANCY INDUCED HYPERTENSION AND OBESITY ON FETAL AND MATERNAL OUTCOME
title_full_unstemmed	IMPACT AND COMPARISON OF PREGNANCY INDUCED HYPERTENSION AND OBESITY ON FETAL AND MATERNAL OUTCOME
title_sort	impact and comparison of pregnancy induced hypertension and obesity on fetal and maternal outcome
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/9dada0e86fd6456f8c3bea8a46073fbc
work_keys_str_mv	AT umbreenakram impactandcomparisonofpregnancyinducedhypertensionandobesityonfetalandmaternaloutcome AT saminanaseemkhattak impactandcomparisonofpregnancyinducedhypertensionandobesityonfetalandmaternaloutcome AT ommiakalsoom impactandcomparisonofpregnancyinducedhypertensionandobesityonfetalandmaternaloutcome AT adilaanwar impactandcomparisonofpregnancyinducedhypertensionandobesityonfetalandmaternaloutcome AT tahirahmadmunir impactandcomparisonofpregnancyinducedhypertensionandobesityonfetalandmaternaloutcome
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IMPACT AND COMPARISON OF PREGNANCY INDUCED HYPERTENSION AND OBESITY ON FETAL AND MATERNAL OUTCOME

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