Research Article of International Research Journal of Public Health
Risk Factors of Pregnancy-Induced Hypertension in Block Hazratbal of District Srinagar, Jammu & Kashmir—-a Prospective Longitudinal Study
Rouf Hussain Rather1, Umar Nazir1, Shazia Benazir2 ,S Mohammad Salim Khan3
1Demonstrator, Department of Community Medicine, Government Medical College, Karanagar Srinagar. 2Senior Resident at Department of Microbiology SKIMS Soura, Srinagar.3Professor and Head Department of Community Medicine, Govt. Medical College, Srinagar.
INTRODUCTION:The term Pregnancy induced hypertension (PIH) refers to a disorder of blood pressure that arises because of the state of pregnancy. PIH is defined as new onset hypertension with or without significant proteinuria emerging after 20 weeks of gestation, during labour, or in first 48 hours post-partum. Objectives:To find out the risk factors of PIH in block Hazratbal, Srinagar. METHODOLOGY:A Community based longitudinal study was conducted in Block Hazratbal (District Srinagar) for a period of 18 months. All the pregnant females attending the antenatal clinic at the subcenters and PHCs were included in the study and assessed for eligibility. The pregnant women enrolled in the study were examined again around 30 weeks, 37 weeks and once in postnatal period. The information was collected from the study subjects on the basis of pretested semi- structured questionnaire regarding age, educational status, income per capta, occupation, family history of PIH, history of (H/O) hypertension in any family member, H/O addiction, physical activity, gravidity, parity, time since last child birth, H/O PIH in previous pregnancy, height, weight, anemia, edema, gestational age at delivery, fetal gender mode of delivery. RESULTS: Incidence of PIH increased with increasing age and was much higher among those study subjects who had a history of PIH in the previous pregnancy, who had a family H/O PIH, who delivered twins, who had a H/O hypertension in any family member, who had edema at baseline examination and who delivered male babies. DISCUSSION AND CONCLUSION: Risk factors of PIH include increasing age, H/O PIH in past, family H/O PIH, family H/O hypertension, male gender of fetus, twin pregnancy and edema in early pregnancy. PIH is a major cause of perinatal mortality, preterm delivery, IUGR, and maternal morbidity and mortality. Awareness about PIH and its risk factors among females and health care workers must be generated.
Keywords:PIH, Risk factors, Twin pregnancy, Srinagar.
How to cite this article:
Rouf Hussain Rather, Umar Nazir, Shazia Benazir ,S Mohammad Salim Khan. Risk Factors of Pregnancy-Induced Hypertension in Block Hazratbal of District Srinagar, Jammu & Kashmir—-a Prospective Longitudinal Study. International Research Journal of Public Health, 2019; 3:27
1. British Medical Bulletin. Global Burden of Maternal death and disability. vol.67 issue 1 pp 1-11. bmb.oxfordjournals.org/content/67/1/1.
2. K Park. Text Book of preventive and Social Medicine, 21st Edition Banarsidas Bhanot , Jabalpur , India, Chapter 10, P 516.
3. Ferrazzani S, Caruso a, De Carolis S, Martino IV, Mancuso S. Proteinuria and outcome of 444 pregnancies complicated by hypertension. Am J Obstet Gynaecol. 1990; 162:366-71.
4. Pregnancy. American Journal of Obstetrics and Gynecology. 1990; 163: 1691 – 1712.
5. Naden R P, Redman C W. Antihypertensive drugs in pregnancy. Clin Pernatol. 1985; 12(3):521-538.
6. Brown M A, Hague W M, Higgins J, Lowe S, McCowan L, Oats J. The detection, investigation and management of hypertension in pregnancy. Aust N Z J Obstet Gynaecol. 2000; 40(2):133-138.
7. Fabry I G, Richart T, Chengz X, Van Bortel L M, Staaessen J A. Diagnosis and treatment of hypertensive disorders during pregnancy. Act Clin Belg. 2010; 65(4):229-236.
8. The Hypertensive disorders of pregnancy, World Health Organization Technical Report Series 758. 1987; Whqlibdoc.who.int/trs/WHO_ TRS_758.
9. Jasovic-Siveska E, Jasovic V, Stoilova S. Previous pregnancy history, parity, maternal age and risk of pregnancy induced hypertension.Bratisl Lek Listy. 2011;112(4):188-91.
10. Arulkumaran S, Sivanesaratnam V, Chatterjee A, Kumar P. 2005;Essentials of Obstetrics, Anshan publication. 2005; Arulkumaran S, Penna LK, Bhaskar RK. The management oflabour. 2nd ed.Chennai. 2005; Orient Longman Private Ltd.
11. Arngrimsson R, Walker JJ, Geirsson RT, Bjornsson S. A low male-female sex ratio in offspring of a woman with a family history of pre-eclampsia and eclampsia. Br J Obstet Gynaecol. 1993;100:496-497.
12. Steegers EA, von-Dadelszen P, Duvekot JJ, Pijnenborg R. Preeclampsia. 2010; 72: 34-37.
13. Amir A, Yunus M, Islam HM. Clinico-epidemiological study of factors associated with pregnancy induced hypertension. IJCM; 1998. 23(1):25-9.
14. Al-Mulhim AA, Abu-Heija A, Al-Jamma F, El-Harithel HA. Preeclampsia:maternal risk factors and perinatal outcome. Fetal Diagn Ther. 2003;18(4):275- 280.
15. Marie-Tebeu CP, Foumane P, Robinson M,Fosso G, Biyaga P, Nelson J. Risk Factors for Hypertensive Disorders in Pregnancy: A Report from the Maroua Regional Hospital. J Reprod Infertility. 2011 Jul-Sep; 12(3): 227–234.
16. Cande V, Ananth, Basso O. Impact of pregnancy induced hypertension on still birth and Neonatal Mortality in first and higher order births: A population based study. Epidemiology. 2010 Jan; 21(1): 118-123.
17. Sibai BM, Hauth J, Caritis S, Lindheimer MD, MacPherson C, Klebanoff M, VanDorsten JP, Landon M, Miodovnik M, Paul R, Meis P, Thurnau G, Dombrowski M, Roberts J, McNellis D. Hypertensive disorders in twin versus singleton gestations. National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units. Am J Obstet Gynecol. 2000 Apr;182(4):938-42.
18. Parazzini F, Bortolus R, Chatenoud L, Restelli S, Ricci E, Marozio L, Benedetto C. Risk Factors for Pregnancy-Induced Hypertension in Women at High Risk for the Condition
Epidemiology Vol. 7, No. 3. (May, 1996); pp. 306-308
19. Toivanen P, Hirvonen T. Sex ratio of newborns: prepon-derance of males in toxemia of pregnancy. Science. 1970;170:187-18.
20. Makhseed U, Musini VM, Ahmed MA. Association of fetal gender with pregnancy-induced hypertension and pre-eclampsia. International Journal of Gynecology & Obstetrics. 1998; 55-56.
21. Arngrimsson R, Walker JJ, Geirsson RT, Bjornsson S. A low maler-female sex ratio in offspring of a woman with a family history of pre-eclampsia and eclampsia. Br J Obstet Gynaecol. 1993;100:496-497.
22. Makhseed MU, Musini VM, Ahmed MA. Association of fetal gender with pregnancy-induced hypertension and pre-eclampsia. International Journal of Gynecology & Obstetrics. 1998; (63) 55-56.
23. Hsu CD, Witter FR. Fetal gender effect on preterm and term pre-eclamptic pregnancies. Int J Gynaecol Obstet. 1994; 47:53-54.
24. Report of WHO study group. The hypertensive disorders of pregnancy. WHO Technical Report Series 758:1
25. Ruan Y, Zou L, Li G, Li C, Chen Y, Chaoxia J, Ian L, Megson, Wei J, Zhang W. The 2011 Survey on Hypertensive Disorders of Pregnancy (HDP) in China: Prevalence, Risk Factors, Complications, Pregnancy and Perinatal Outcomes. PLoS One. 2014; 9(6): e100180.
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