DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20193813

Study of medical disorders in pregnancy among in patients at a tertiary care hospital in Haryana, India

Sushila Chaudhary, Savita Rani Singhal, Meenakshi B. Chauhan, Anjali Gupta, Monika Dalal

Abstract


Background: Pregnancy is a physiological condition in which various changes occur in pregnant women just to accommodate growing fetus. Pregnancy is a stress test for woman and may unmask certain underlying chronic diseases like, DM, hypertension which were silent or asymptomatic prior to pregnancy. This study was done to know the incidence, type and demographic profile of medical disorders in pregnancy among in patient at a tertiary care hospital.

Methods: It was a retrospective study conducted on 578 patients of medical disorders in pregnancy admitted in a tertiary care hospital from January 2017 to December 2017. Data collected from record room and analysis done.

Results: Total antenatal admissions were 4721. Incidence of medical disorders was 12.24%. Majority of women were in age group 20-30 years (65.5%). Low-parity (P0, P1). Hypertensive disorders in pregnancy was commonest reported disorder (42.3%), followed by hematological disorder (38.7%), liver disorder 5%, endocrine disorder 4.8%, epilepsy 3.8% and HIV 2.6% in present study.

Conclusions: Hypertensive disorders were commonest medical disorder followed by hematological, liver, endocrine and epilepsy. All medical disorders in pregnancy to be managed by team approach.


Keywords


Anemia, Hypertension, Liver disorders, Medical disorder, Pregnancy

Full Text:

PDF

References


Vesha GD, Andrea K, Carl RH, Katherine AW. Medical and surgical illnesses during pregnancy: perspectives on immediate and long term out comes. Mayo Clin Proc. 2016;91((9):1151-4.

Priscilla PE. Common medical problems in pregnancy: ACP Georgia Chapter Scientific Meeting October 5th 2013.

William M, Marshall BD, Lindheimer. Medical disorders in pregnancy. J Perinatol. 2002;22(6):511.

Agwu UM, Ifebunandu N, Obuna JA, Nwokpo OS, Joannes Umeora OU. Prevalence of medical disorders in pregnancy in Ebonyl State University Teaching Hospital. J Basic Cli Reprod Sci. 2013;2:22-6.

Baral G, Joshi R, Subba P, Pokhrel S, Baree ZA. Medical disorders of pregnancy among Inpatients at tertiary level Hospital. NJOG. 2017;23(1):8-11.

Shrivastva S, Malik N. Medical disorders in pregnancy and pregnancy outcome; a retrospective analysis. Int J Reprod Contracept Obstet Gynecol. 2018:7(6):2419-22.

Ye C, Ruan Y, Zon I, Li C, Yi C. Survey on hypertensive disorders of pregnancy in China, prevalence risk factors, complications, pregnancy and perinatal outcomes, 2011. PLOS ONE. 2014;9(6):e100180.

Bora R, Sable C, Wolfson J, Borok, Ra OR. Prevalence of anaemia in pregnant women and its effect on neonatal outcomes in Northeast India. J Matern Fetal Neonatal Med. 2014:27(9):887-91.

Dang A, Agarwal N, Bathla S, Sharma N, Balam S. Prevalence of liver disease in pregnancy and its outcome with emphasis on Obstetric cholestasis; An Indian Scenario. J Obstet Gynecol India. 2010;60(6):413-8.

Raji C, Sekar D. Prospective study of feto-maternal outcome in epilepsy in pregnancy in a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2017;6(11):5055-9.

Devi RS, Kumari N, Shreen TB, Usha VR. Prevalence of thyroid disorder in pregnancy and pregnancy outcome. JAIM. 2016;3(3):1-11.