People's Journal of Scientific Research
Published June 1, 2012 | Version v1
Journal article Open

Perinatal Outcome in Growth Retarted Babies Born to Normotensive and Hypertensive Mothers: A Prospective Study

Authors/Creators

  • 1. Department of Paediatrics, Chirayu Medical College and Research, Bhopal
  • 2. Department of Surgery, Chirayu Medical College and Research, Bhopal

Description

Pregnancy induced hypertension is one of the common condition of unknown etiology which increases the maternal and perinatal morbidity and mortality. The present study was carried out to find the perinatal outcome in intrauterine growth retarted (IUGR) babies born to 110 mothers with pregnancy induced hypertension (PIH) and 100 normotensive mothers. The incidence of small for gestational age (SGA) was four times more in the hypertensive group; outcome in terms of morbidity and mortality was also statistically significant. The study further revealed that 57.1% babies were preterm and intra-uterine growth retarded (IUGR) in the study group, 71% of them being asymmetrical. The study was aimed to know the problems likely to be encountered in early neonatal period.

Files

5. Shewta Anand Dr..pdf

Files (61.2 kB)

Name Size Download all
md5:40a55a5b57c4b8e40c3bfc44311e40da
61.2 kB Preview Download

Additional details

References

  • 1. Arnholdt H, Meisel F, Fandrey K, Löhrs U: Proliferation of villous trophoblast of the human placenta in normal and abnormal pregnancies. Virchows Archive B Cell Pathology Including Molecular Pathology, 1991;60(6):365-372.
  • 2. Apgar V: A proposal for new method of evaluation of the newborn infant. Current Research Anesthesiology, 1953:32(4)260-267.
  • 3. Ballard JL, Khoury JC, Wedig K, Wang L, EilersWalsman BL, Lipp R: New Ballard Score, expanded to include extremely premature infants. The Journal of Pediatrics, 1991; 119(3):417-423.
  • 4. Basso O, Allen J: Wilcox, and Clarice R. Weinberg.:birth weight and mortality:casuality or confounding? American Journal of Epidemiology, 2006;164(4):303- 311.
  • 5. Cosmi E, Saccardi C, Berghella V, Ferrazzi E, Baschat A A: Perinatal outcome does not differ in IUGR fetuses born from normotensive women versus IUGR from preeclamptic women: a multicentre study: Ultrasound in Obstetrics & Gynecology, 2009;34(suppl.1):138 (OP23.08).
  • 6. Fatemeh T, Marziyeh G, Nayereh G, Anahita G, Samira T: Maternal and perinatal outcome in nulliparous women complicated with pregnancy hypertension. Journal of Pakistan Medical Association, 2010;60:707.
  • 7. Gilstrap LC, Ramin SM: Diagnosis and management of preeclampsia and eclampsia. In: clinical management guidelines for obstetrician-gynecologist. ACOG practice bulletin: 2002. 33(1):1-9.
  • 8. Grande RM, Guttierez E, Argelles F, Susane C: Ponderal indices at birth. International Journal of Anthropology, 1999;14( 2-3):153-160.
  • 9. Hjartarodottir S, Leifsson BG, Geirsson RT, Steinthorsdottir V: Recurrence of hypertensive disorder in second pregnancy. American Journal of Obstetrics Gynecology, 2006;194:916-920.
  • 10. Lawoyin TO, Ani F: Epidemiologic aspects of preeclampsia in Saudi Arabia. East African Medical Journal, 1996;73(6):404-406.
  • 11. Nadkarni J, Bahl J, ParekhP: Perinatal outcome in pregnancy association hypertension: Indian Paediatrics, 2001;38(2):174-178.
  • 12. Ness RB, Roberts JM: Heterogeneous causes constituting the single syndrome of preeclampsia: A hypothesis and its implications. American Journal of Obstetrics & Gynecology, 1996;175(5):1365-1370.
  • 13. Raddi SA, Nayak BS, Prakash R, Puri R, Metgud MC: Stress,Coping Strategies,Quality of Life and Lived Experiences of Women with Pregnancy-induced Hypertension: South Asian Federation of Obstetrics & Gynecology, 2009;1(1):65-68
  • 14. Rasmussen S, Irgens LM: History of fetal growth restriction is more strongly associated with severe rather than milder pregnancy-induced hypertension. Hypertention, 2008;51(4):1231-1238.
  • 15. Rasmussen S, Irgens LM: The effect of smoking and hypertensive disorders on fetal growth. Bio Medical Central. Pregnancy and Childbirth, 2006;6:16.
  • 16. Roberts JM, Gammill HS: Preeclampsia- recent insight. Hypertension, 2005;46(6):1243-1249.
  • 17. Singh M: Disorder of weight and gestation :In Care of the newborn: 7th Edn.; Sagar publication; 2010:pp242- 247.
  • 18. Sibai BM, Barton JR: Expectant management of severe preeclampsia remote from term: Patient selection, treatment, and delivery indications. American Journal of Obstetrics & Gynecology, 2007;196(6):514.e1-514.e9.
  • 19. Singhal PK, Paul VK, Deorari AK, Singh M, Sundaram KR: Changing trends in intra-uterine growth curves: Indian Pediatrics, 1991;28(3):281-283.
  • 20. Sheffer-Mimoum G, Mashiach S, Dor J, Levran D, Seidman DS: Factors influencing the obstetrics and perinatal outcome after oocyte donation. Human Reproduction, 2002;17(10):2636–2640.
  • 21. United Nations Childrens Fund and World Health Organization: Low Birthweight: Country, regional and global estimates. UNICEF, New York, 2004:pp4-10.
  • 22. Vandenbosche RC, Kirchner JT: Intra uterine growth retardation. American Family Physicians, 1998; 58(6):1384-1390.