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An Observational Study to Determine the Prevalence and Risk Factors Associated with Pregnancy Induced Hypertension in a Semi-Urban Town of India


Affiliations
1 Uka Tarsadia University, Tarsadi, Gujarat, India
2 Delhi Pharmaceutical Science and Research University, Delhi, India
3 Mamta Hospital and Maternity Home, Bardoli, Gujarat, India
4 Department of Pharmacology, Maliba Pharmacy College, Tarsadi, Gujarat, India
5 Maliba Pharmacy College, Tarsadi, Gujarat, India
     

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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.


Keywords

PIH-Pregnancy Induced Hypertension, Eclampsia, India, Bardoli, Epidemiology, Risk Factors.
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  • An Observational Study to Determine the Prevalence and Risk Factors Associated with Pregnancy Induced Hypertension in a Semi-Urban Town of India

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Authors

Heta G. Vyas
Uka Tarsadia University, Tarsadi, Gujarat, India
Ramesh K. Goyal
Delhi Pharmaceutical Science and Research University, Delhi, India
Gautam M. Vyas
Mamta Hospital and Maternity Home, Bardoli, Gujarat, India
Bhavin A. Vyas
Department of Pharmacology, Maliba Pharmacy College, Tarsadi, Gujarat, India
Shailesh A. Shah
Maliba Pharmacy College, Tarsadi, Gujarat, India

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.


Keywords


PIH-Pregnancy Induced Hypertension, Eclampsia, India, Bardoli, Epidemiology, Risk Factors.

References