Maternal and perinatal outcome associated with pregnancy induced hypertension

Background: Pregnancy Induced hypertension continues to be rampant globally and is associated with high perinatal and maternal mortality and morbidity.Methods: All patients beyond 20 weeks of pregnancy with pregnancy induced hypertension admitted in Kamineni Institute of Medical Sciences during the one year study period were enrolled in the study. The objective of the study was to analyse the cases of gestational hypertension, pre-eclampsia and eclampsia and their maternal outcome in terms of mode of delivery and complications. Perinatal outcome in relation to birth weight, APGAR and complications was also studied. The mean and standard deviation for socio-demographic variables, risk factors and symptomatology variables were analysed.Results: Total hypertensive cases accounted for 234 (7.9%) of the total deliveries; out of which gestational hypertension were 63 cases, preeclampsia 146 and eclampsia 25 cases, accounting for ( 2.1%), (4.9%) and (0.9%)  of all deliveries. Commonest maternal complication was HELLP syndrome 8 cases (3.4%) and there was no maternal mortality in our study. Total number of preterm deliveries were 74 (3.47%). Perinatal mortality was seen in 54 cases (23%).  IUGR was the commonest foetal complication 78 cases (33.4%).Conclusions: Though the incidence of pre-eclampsia and eclampsia is on the decline, still it remains the major contributor to poor maternal and fetal outcome. Regular antenatal check-ups, early diagnosis, prompt multidisciplinary treatment, optimum timing of delivery reduces the incidence of complications and the maternal mortality. Early referral to and management of these cases at centers with advanced neonatal facilities will reduce the perinatal mortality

Caudal regression syndrome: a rare case report

Caudal regression syndrome is a rare disorder characterised by abnormal development of structures in the caudal region of the embryo like lower lumbar and sacral vertebrae, urogenital and lower gastrointestinal system. It is secondary to abnormal development of mesoderm. Multiple hypotheses like genetic, metabolic and vascular hypoperfusion have been proposed as etiologies. It can be picked up in early second trimester by ultrasound. It has a higher incidence in diabetic pregnancies

Torsion of ovarian cyst during pregnancy: a case report

In this case we report a 23 -year-old primigravida with 30 weeks presenting with torsion of the ovarian cyst. She presented to the antenatal clinic with acute pain abdomen. She was diagnosed to have torsion of ovarian cyst during pregnancy and a cystecomy was carried out. Her histopathology report showed a benign serous cystadenoma. Her pregnancy was followed up. She delivered a healthy female baby at term. Although the safety of antepartum surgical intervention has been accepted, abdominal surgery nevertheless carries some risks to a pregnant woman and unborn fetus, and so the choice of management necessitates a weighing of risks based on characterization of the adnexal mass and gestational age

Maternal and perinatal outcome associated with pregnancy induced hypertension

Background: Pregnancy Induced hypertension continues to be rampant globally and is associated with high perinatal and maternal mortality and morbidity.Methods: All patients beyond 20 weeks of pregnancy with pregnancy induced hypertension admitted in Kamineni Institute of Medical Sciences during the one year study period were enrolled in the study. The objective of the study was to analyse the cases of gestational hypertension, pre-eclampsia and eclampsia and their maternal outcome in terms of mode of delivery and complications. Perinatal outcome in relation to birth weight, APGAR and complications was also studied. The mean and standard deviation for socio-demographic variables, risk factors and symptomatology variables were analysed.Results: Total hypertensive cases accounted for 234 (7.9%) of the total deliveries; out of which gestational hypertension were 63 cases, preeclampsia 146 and eclampsia 25 cases, accounting for ( 2.1%), (4.9%) and (0.9%)  of all deliveries. Commonest maternal complication was HELLP syndrome 8 cases (3.4%) and there was no maternal mortality in our study. Total number of preterm deliveries were 74 (3.47%). Perinatal mortality was seen in 54 cases (23%).  IUGR was the commonest foetal complication 78 cases (33.4%).Conclusions: Though the incidence of pre-eclampsia and eclampsia is on the decline, still it remains the major contributor to poor maternal and fetal outcome. Regular antenatal check-ups, early diagnosis, prompt multidisciplinary treatment, optimum timing of delivery reduces the incidence of complications and the maternal mortality. Early referral to and management of these cases at centers with advanced neonatal facilities will reduce the perinatal mortality