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Labour induction with gestational hypertension: A great obstetric challenge
Meharun-Nissa Khaskheli1, Shahla Baloch2, Aneela Sheeba3
1Dr. Meharun-Nissa Khaskheli, MBBS, FCPS. Associate Professor, Dept. of Obstetrics & Gynaecology, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
Objective:
To observe the fetomaternal morbidity and mortality with induction of labour in pregnant women with gestational hypertension.
Methods:
The subjected study population included was 138 pregnant women with gestational hypertension. These pregnant women were between 34-40 weeks of gestational period in whom labour was induced, while the pregnant women who had labour induction for other reasons were excluded. These women were registered on the predesigned proforma. The data was collected and analyzed on SPSS version 21.
Result:
Out of the 138 cases, mean age of the women was 25.93±5.037, prim gravid women were 78(56.5%), gestational period in majority of these women 71(51.4%) varied between 35-38 weeks. The common presenting symptoms were oedema 119(86.23%), headache 90(65.21%). Labour induction in majority of the cases 81(58.7%) was carried with prosten pessary. The Caesarean section was needed in 39(28.3%) women in emergency due to maternal and fetal reasons or due to failed induction. Maternal complications were uncontrolled hypertension 23(16.7%), intensive care unit admission 21(15.2%), fits 15(10.9%), post partum haemorrhage 13(9.4%). Fetal complications were birth asphyxia 49(35.5%), neonatal intensive care unit admission 17(12.3%), neonatal death 14(10.1%).
Conclusion:
The emergency Caesarean section rate was quite high with induction of labour in pregnant women with gestational diabetes. The maternal morbidity as well as fetal morbidity and mortality rate was also high.