Published: 2019-09-26

Perinatal outcome in hypertensive disorder of pregnancy in a rural community of Haryana

Bharti ., Sumit Chawla


Background: Pregnancy in hypertension may complicate pregnancies with variable incidence among different settings. Pregnancies complicated with hypertensive disorders are associated with increased risk of adverse fetal, neonatal and maternal outcome including preterm birth, intrauterine growth retardation (IUGR), perinatal death etc. The present study was undertaken to study the perinatal outcome of hypertension in pregnancy in a rural block of Haryana.

Methods: This cross-sectional study was carried out in the all the 20 subcenters under Community Health Center (CHC) Chiri, Block Lakhanmajra. All the pregnant women registered at the particular subcenter at a point of time of visit were included in the study. Pregnancy outcome was followed-up by contacting the health worker of respective sub-center or mother. Information regarding stillbirth, abortion, maturity, birth weight, mode of delivery and early neonatal death was collected. Appropriate statistical tests were used for analysis.

Results: A total of 931 pregnant women were included in the present study. Prevalence of hypertension in pregnancy was found to be 6.9%. Hypertension in pregnancy is significantly associated with premature births still births (6.7% vs 1.4%; p=0.003), low birth weight (26.7% vs 4.9%; p=0.000) and early neonatal deaths (8.3% vs 2.8%; p=0.017).

Conclusions: Perinatal mortality is significantly high in mothers with hypertensive disorders. Early diagnosis and treatment through regular antenatal checkup is a key factor to prevent hypertensive disorders of pregnancy and its complications.


Hypertension, Outcome, Pregnancy

Full Text:



Barron WM, Murphy MB, Lindheimer MD. Management of hypertension during pregnancy. In: Laragh GH, Brenner BM, eds. New York: Hypertension pathophysiology, diagnosis and management. 3rd ed. Raven. 1990;2:1809-27.

Singhal SR, Deepika A, Nanda S. Maternal and perinatal outcome in severe pre-eclampsia and eclampsia. J South Asian Federat Obstetr Gynecol. 2009;1(3):25-8.

Walker JJ. Pre-eclampsia. Lancet. 2000;356(9237): 1260-5.

Backes CH, Markham K, Moorehead P, Cordero L, Nankervis CA, Giannone PJ. Maternal preeclampsia and neonatal outcomes. J Pregnan. 2011;2011:214365.

National High Blood Pressure Education Program. The Seventh Report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood Pressure: the JNC 7 Report. National Institutes of Health National Heart, Lung and Blood Institute. Washington: NIH Publication; 2004: 04-5230.

Brown MA, Hague WM, Higgins J. The detection, investigation and management of hypertension in pregnancy: full consensus statement. Aust N Z J Obstet Gynecol. 2000;40:139-55.

Mehta B, Kumar V, Chawla S, Sachdeva S, Mahopatra D. Hypertension in pregnancy: a community-based study. Indian J Community Med. 2015;40:273-8.

Nirmalan P. Health Research at Fernandez Hospital. Chronic hypertension in pregnancy- outcomes. Fernandez Hospital-Hyderabad, 2012. Available at Accessed 7 March 2019.

Yadav S, Saxena U, Yadav R, Gupta S. Hypertensive disorders of pregnancy and maternal and foetal outcome: a case controlled study. J Indian Med Assoc. 1997;95:548-51.

Nadkarni J, Bahl J, Parekh P. Perinatal outcome in pregnancy associated hypertension. Indian Pediatr. 2001;38:174-8.

Prakash J, Pandey LK, Singh AK, Kar B. Hypertension in pregnancy: hospital based study. J Assoc Physicians India. 2006;54:273-8.

Deorari AK, Arora NK, Paul VK, Singh M. Perinatal outcome in hypertensive disease of pregnancy. Indian Pediatr. 1985;22:877-81.

Nisar N, Memon A, Sohoo NA, Ahmed M. Hypertensive disorders of pregnancy: frequency, maternal and fetal outcomes. Pak Armed Forces Med J. 2010;60(1):113-8.