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A Hospital Based Cross Sectional Study: ClinicoEpidemiological Factors for Pregnancy Induced Hypertension among Antenatal Mothers
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| Author:
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SRINIVAS S, MURALI. R
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| Abstract:
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The most important cause of maternal and neonatal morbidity andmortality is pregnancy persuaded hypertension
which accounts for 6% of complications during pregnancy.This work focuses to assess the prevalence of pregnancy
induced hypertension and to analyzethe risk featureslinked with it among antenatal mothers’ =20 weeks of
gestation age.Hospital based cross sectional study conducted amongantenatal mothers of gestation =20 weeks
attending department of Obstetrics and Gynecology at Chettinad Hospital anzd Research Institute for a period
from March 2016 to April 2017. Data was composed using semi structured questionnaire by face to face
conferences from the study mothers regarding socio-demographic profile, obstetric history, diet history,
anthropometric measurements taken for BMI and manual measurement of blood pressure.Out of 400 antenatal
mothers, 47(11.7%) were found to have hypertension.Majority of antenatal mothers with pregnancy induced
hypertension belong to the age group =20 years (p<0.001), from joint families (p-0.045), illiterates or completed
high school (p<0.001), unemployed (p<0.001) and belonging to socio economic status upper middle class
(p=0.002). Obstetric risk factors were primigravidae (p=0.011), present in 2
trimester (p=0.001), women used
family planning methods (p<0.001) and had history of previous hypertension (p<0.001). Antenatal mothers with
family history of hypertension and leading sedentary lifestyle were high prone for developing hypertension
(p<0.001). Dietary pattern of antenatal mothers with high intake of salt, oil fried foods and junk foods were at high
risk of pregnancy induced hypertension (p<0.001). Underweight pre-pregnancy body mass index was a risk factor
to develop hypertension (p=0.0105) and majority of antenatal mothers developed edema (p<0.001) and moderate
hypertension.The study suggests that prevalence of pregnancy induced hypertension ishigh hence these risk factors
should be identified and managed through risk approach to lessen the difficulties of hypertension both for mother
and fetus.
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| Keyword:
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Adjusted Odds Ratio, Advanced Maternal Age,Body Mass Index, Blood Pressure, Confidence Interval, Crude Odds Ratio
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| EOI:
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| DOI:
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