Diagnosis of Chronic Hypertension Disorder in Women at the Time of Delivery

Abstract

Diagnosis of Chronic Hypertension Disorder in Women at the Time of Delivery’ 2011, was conducted retrospective population-based study of all women with chronic hypertension who had a singleton and institutional delivery at 38 weeks of gestation or greater. Data were obtained from all registered clients at GGH Kakinada. The main findings of the current study is that women with isolated chronic hypertension, induction of labor at 38 or 39 weeks of gestation may avoid the approximate 20% risk of preeclampsia associated with risk of cesarean delivery. Approximately 25% of women with chronic hypertension will develop preeclampsia often late in pregnancy. In addition, women with chronic hypertension are at increased risk of other complications such as placental abruption and stillbirth. In which we tried to overcome these limitations, provide support for that policy of routine induction of labor at 38 or 39 weeks of gestation with chronic hypertension can prevent the complications. In summary, we have found that in women with chronic hypertension, induction of labor at 38 or 39 weeks of gestation may prevent complications with or without associated diseases in the risk of cesarean delivery and that induction of labor at 39 weeks of gestation is associated with a lower risk of neonatal respiratory morbidity compared with expectant management. A total of 534,529 women with singleton pregnancies had a hospital birth during the study period, of whom 6,054 (1.1%) had chronic hypertension and 2,420 met the study inclusion criteria although these findings may help to describe causes of hypertension during pregnancy and labour and guide to care providers and women.