Fetomaternal outcomes of hospitalized hypertensive gravida in Shaqra General Hospital: a retrospective study

  • Authors

    • Russel Abalos Lecturer, Department of Nursing, College of Applied Medical Sciences, Shaqra University, Kingdom of Saudi Arabia
    • Rosanta Ellasus Lecturer, Department of Nursing, College of Applied Medical Sciences, Shaqra University, Kingdom of Saudi Arabia
    • John Mark Gutierrez Lecturer, Department of Nursing, College of Applied Medical Sciences, Shaqra University, Kingdom of Saudi Arabia
    2015-01-02
    https://doi.org/10.14419/ijans.v4i1.3827
  • Fetal Outcome, Hospitalized Hypertensive Gravida, Hypertensive Disorders of Pregnancy, Maternal Outcome and Retrospective Study.

  • Background: Elevation of blood pressure during pregnancy can adversely affect both fetal and maternal outcomes. Other maternal and fetal complications may also arise which may result to maternal and fetal mortality.

    Objective: This study aimed to determine the fetal and maternal outcomes of hospitalized pregnant clients with hypertension.

    Methods: This 6-year retrospective research design was carried out in Shaqra General Hospital between January 2008 and November 2013. Following approval by the hospital research ethics committee and hospital administrators, hospital records were reviewed and examined using guide checklist. Universal sampling was applied totaling to 56 evaluable cases of pregnant women with hypertension.

    Results: Of 56 cases studied, year 2008 to 2013 had the most frequency of hypertensive mothers. Most women are in middle adulthood stage with age 25 years old and above, had more than one pregnancy (multigravida) and more than one viable pregnancy (multipara). Fetal outcome resulted to high number of babies who were term, appropriate for gestational age, with good Apgar score, no birth defect but high frequency of neonatal intensive care unit (NICU) admissions. Maternal outcome recorded no maternal deaths; however, 4% maternal complications (i.e., post-partum hemorrhage and HELLP syndrome) and more caesarean section deliveries were observed.

    Conclusion: Good Apgar score and absence of birth defects is associated with higher frequency of roomed-in babies and less NICU admissions. There were lesser complications to mothers who had more than one pregnancy. There were more NICU admissions from caesarean section deliveries.

  • References

    1. [1] Al-Ghamdi SMG, Al-Harbi AS, Khalil A, & El-Yahyia AR (1999), Hypertensive disorders of pregnancy: prevalence, classification and adverse outcomes in Northwestern Saudi Arabia. Annals of Saudi Medicine, 19(6), 557-560.

      [2] Bangal VB, Giri PA, & Mahajan AS (2011), Maternal and foetal outcome in pregnancy-induced hypertension: A study from rural Tertiary care teaching hospital in India. International Journal of Biomedical Research, 2(12). DOI: 10.7439/ijbr.v2i12.204 http://dx.doi.org/10.7439/ijbr.v2i12.204.

      [3] Brown MA & Buddle ML (1996), Hypertension in pregnancy: Maternal and fetal outcomes according to laboratory and clinical features, The Medical Journal of Australia, 165(7), 360-365.

      [4] Ceasarean Section: Types and Indication of C Section. Available at <http://www.medindia.net/surgicalprocedures/caesarean-section-types-and-indications.htm>

      [5] Chaim SRP, de Olivia SMJV, & Kimura AF (2008), Pregnancy-induced hypertension and the neonatal outcome. Acta Paulista de Enfermagem, 21. Available at <http://dx.doi.org/10.1590/S0103-21002008000100008>

      [6] Dolea C & AbouZahr C (2003), Global burden of hypertensive disorders of pregnancy in the year 2000. Global Burden of Disease 2000, 1-11.

      [7] Fatemeh T, Marziyeh G, Navereh G, & Samira T (2010), Maternal and perinatal outcome in nulliparous women complicated with pregnancy hypertension. Journal of Pakistan Medical Association, 60(9), 707-710.

      [8] Habli M, & Siblai BM (2010), Hypertensive disorders of pregnancy. In Ladewig, PAW, London, ML, Davidson, MR, Contemporary Maternal-Newborn Nursing Care (7th Ed.). New Jersey: Pearson Education, Inc.

      [9] Hafez SK, Dorgham LS and Sayed SAM (2014), Profile of High Risk Pregnancy among Saudi Women in Taif – Kingdom of Saudi Araba. World Journal of Medical Sciences, 11(1), 90-97. DOI: 10.5829/idosi.wjms.2014.11.1.83319

      [10] Hussein MM, Mooij JM, Roujouleh H (1998). Hypertension in pregnancy: Presentation, management and outcome - A Retrospective Analysis of 135 Cases. Saudi Journal of Kidney Diseases Transplantation, 9, 416-424.

      [11] Ladewig PAW, London ML, & Davidson MR (2010), Contemporary maternal-newborn nursing care, (7th Ed.), New jersy: Pearson Education, Inc.

      [12] LeDuc Media (2014), Health profile: Saudi Arabia. Available at <http://www.worldlifeexpectancy.com/country-health-profile/saudi-arabia>

      [13] Leeman L & Fontaine P (2008), Hypertensive disorders of pregnancy. American Family Physician, 78(1), 93-100.

      [14] London ML, Ladewig PW, Ball JW, & Bindler RC (2003), Maternal-newborn and child nursing (Family Centered Care). New Jersey: Pearson Education, Inc.

      [15] Naeem MA, Naeem MU & Hanif A (2014), Pregnancy outcome: A comparative study of hypertensive and normotensive Pakistani population. The Professional Medical Journal, 21(2), 347-353.

      [16] Olusanya BO & Solanke OA (2012), perinatal outcomes associated with maternal hypertensive disorders of pregnancy in a developing country. Hypertension in Pregnancy, 31, 120-130. http://dx.doi.org/10.3109/10641955.2010.525280.

      [17] Patel ML, Sachan R, Gangwar R, Sachan P, Natu SM (2013), Correlation of serum neutrophil gelatinase-associated lipocalin with acute kidney injury in hypertensive disorders of pregnancy. International Journal of Nephrology and Renovascular Disease, 6, 181-186. DOI: 10.2147/IJNRD.S45523 http://dx.doi.org/10.2147/IJNRD.S45523.

      [18] The World Bank (2014), maternal mortality ratio (modeled estimate, per 100,000 live births): Saudi Arabia Estimates. Available at <http://data.worldbank.org/indicator/SH.STA.MMRT/countries>

      [19] The World Bank (2014), Mortality rate, infant (per 1,000 live births): Saudi Arabia Estimates. Available at <http://data.worldbank.org/indicator/SP.DYN.IMRT.IN/countries>

      [20] Towle M & Adams ED (2008), Maternal-child nursing care. New Jersey: Pearson Education, Inc.

      [21] Vigil DGP, Montufar RC, & Smith A (2004), Pregnancy and severe chronic hypertension: maternal outcome. Hypertensive Pregnancy, 23(3), 285-293. http://dx.doi.org/10.1081/PRG-200030315.

      [22] Wolde Z, Segni H, & Woldie M (2011), Hypertensive disorders of pregnancy in Jimma University Specialized Hospital. Ethiopian Journal of Health Sciences, 21(3), 147-154.

      [23] World Health Organization, The United Nations Children's Fund & The United Nations Population Fund (2002) Maternal Mortality in 2000, Estimates. New York.

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    Abalos, R., Ellasus, R., & Gutierrez, J. M. (2015). Fetomaternal outcomes of hospitalized hypertensive gravida in Shaqra General Hospital: a retrospective study. International Journal of Advanced Nursing Studies, 4(1), 7-12. https://doi.org/10.14419/ijans.v4i1.3827