Abstract
HDPs are a major concern for mother and child challenging the advanced medical facility due to Increased maternal and newborn mortality with high incidences of cesarean delivery. A prospective observation was conducted using correlational model to investigate the impact of HDP on both maternal and neonatal outcome and the rate of cesarean section among women at tertiary care center of Bhubaneswar with sample of 150. Data analysed using SPSS version 20. The result shows that 15% of women had chronic hypertension, 52% were diagnosed with gestational hypertension (GHTN) or pregnancy induced hypertension (PIH), 21% has preeclampsia (PE) and 9% had eclampsia (E). Also the women suffering with superimposed PE/ Severe PE and eclampsia is 5%. The data on maternal outcome reveals that total 68% of women presented with complications due to PIH and major type of complications were Endocrine related (27%), hypertension related (12%) and others were 29%. Similarly the data on newborn outcome shows that 16% of baby has fetal distress after delivery and 14% needed resuscitation. Total 11% babies were IUGR, 37% babies admitted to ICU due to complication and 10% of baby died out of complication secondary to PIH. Again the data on type of delivery shows that maximum (59%) women underwent emergency cesarean section and 19% has planned C section. And only 20% of women had delivered by vaginal delivery. PIH is one of the leading cause for adverse maternal and newborn outcome including mortality and also it is contributing to highest rate of cesarean delivery.
Keywords: Cesarean Section, Hypertensive Disorders of Pregnancy, Perinatal Outcome, Pregnancy Induced Hypertension.