Abstract
Introduction: Hypertension in pregnancy is defined as a systolic BP of 140 mmHg and higher, and a diastolic BP of 90 mmHg and higher. Hypertensive disorders of pregnancy are one of the major causes of both maternal and neonatal morbidity and mortality leading to 10-15% of maternal deaths, especially in developing world. The prevalence of hypertension during pregnancy is not well-documented in Bangladeshi literature and the studies related to hypertension in pregnancy in Bangladesh were mostly hospital based.
Objective: To assess the prevalence of pregnancy induced hypertension among gestational mothers admitted in Gynae units in a tertiary level hospital, sylhet.
Methods & Materials: Study design: Descriptive cross sectional study.
Study Location: At Gynae units, labour room, Gynae and obestectical ward of Sylhet MAG Osmani Medical Collage hospital, Sylhet.
Study Population: Gestational mohters admitted in Gynae units of Sylhet MAG Osmani Medical College Hospital, Sylhet.
Sample Size: (n=80).
Results and finding: A cross sectional study was carried out to find out the prevalence of pregnancy induced Hypertension (PIH) among gestational mothers admitted in the Gynae Units of Sylhet MAG Osmani Medial College and Hospital, Sylhet. Total 80 gestational mothers selected according to eligibility criteria. They were interviewed with a pre-designed and pretested questionnaire. 50 (fifty) patients were admitted in the observation ward and the interview was carried out in the ward. 30 patients were interviewed at the time of admission in the labour ward. No data were collected from document review. All are primary DATA. Collected data were cleaned, edited and analyzed with the help of software SPSS window version-11.5.In my study shown that 46 (57.5%) Pregnant women were form the age group 18-25 years followed by 22 (27.5%) from 26-30 years, 12 (15%) form 31-35 years. Mean is 24.72, Range 17 Maximum age 35 years and minimum is 18 years. Among them the religion was Islam 70 (87.5%) and Hindu 10 (12.5%).Among them the occupation was employed 8 (10%), unemployed 7 (8.75%), housewife 65 (81.25%).Among them education level illiterate 7 (8.75%), primary education 65(81.25%), secondary education 8 (10%).Among them age of marriage before 18 was 10 (12.5%), after 18 was 70 (87.5%).Among them the history of LUCS 17 (21.25%), history of no LUCS 63 (78.75%).Among them there was no history of destructive operation like Craniotomy and Decapitation. Among them history of abortion 21 (26.25%), with no history of abortion 59 (73.75% ).Among them history of stillbirth 13(16.25%), no history of stillbirth 67(83.75%).Among the respondents out of 80, there were 14 patients found to be suffering from pregnancy induced hypertension (PIH). They were examined; Blood Pressure recorded, Symptoms and signs were recorded in the questionnaire. All the examinations were carried out clinically. No of pregnant mother with history of PIH were 14 (17.5%), the rest were 66 (82.5%). All the gestational mother with PIH were more than 20 weeks of pregnancy 14(100%), All had oedema 14(100%), All had vertigo 14(100%), All had weight gain 14(100%), All had oliguria 14(100%), All suffering from insomnia 14(100%).
Conclusion: Being a tertiary hospital the prevalence study stands 17.5% which is most usual. In developing country it is near about 10-15%. Worldwide the ranges vary from 5-8%. The study reveals that among the patients of PIH- Most are Primi, Age varies form 18-25 years. They are of low socio economic status and poorly educated.