Related Experiment Videos
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.
Pakistan Journal of Medical Sciences
|April 4, 2017
Summary
Induction of labor in pregnant women with gestational hypertension led to a high rate of emergency Cesarean sections. This intervention also resulted in increased maternal and fetal complications and mortality.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Perinatal Research
Background:
- Gestational hypertension poses risks to both mother and fetus.
- Induction of labor is a common intervention, but its outcomes in gestational hypertension require careful evaluation.
Purpose of the Study:
- To assess fetomaternal morbidity and mortality associated with labor induction in women diagnosed with gestational hypertension.
Main Methods:
- A study involving 138 pregnant women with gestational hypertension (34-40 weeks gestation) undergoing labor induction.
- Exclusion of women induced for other reasons; data collected via predesigned proforma and analyzed using SPSS v21.
Main Results:
- High rates of emergency Cesarean sections (28.3%) due to maternal/fetal reasons or failed induction.
- Significant maternal complications included uncontrolled hypertension (16.7%), ICU admission (15.2%), eclampsia (10.9%), and postpartum hemorrhage (9.4%).
- Fetal complications comprised birth asphyxia (35.5%), NICU admission (12.3%), and neonatal death (10.1%).
Conclusions:
- Labor induction in gestational hypertension is associated with a high incidence of emergency Cesarean deliveries.
- The study highlights elevated maternal and fetal morbidity and mortality rates in this patient group.