Abstract:
Background:-pregnancy related Hypertensive disorder complicates 5 to 10 % of all pregnancies,
and together they form one member of the deadly triad, along with hemorrhage and infection, that
contribute greatly to maternal morbidity and mortality rates. Preeclampsia/eclampsia syndrome is
the most dangerous which results poor maternal and perinatal outcome.
Objective:-To determine management outcome and factor associated with pregnancy related
hypertensive disorder in Mettu Karl Referral Hospital, Mettu, South west Ethiopia.
Method: - Hospital based retrospective cross-sectional study was conducted on pregnancy related
HTN at Mettu Karl Referral Hospital from December 1st to January20/2013 by reviewing medical
records. The collected data were checked for any inconsistency, coded, and entered into SPSS
version 16.0 for data processing and analysis. Descriptive, binary and multiple logistic regression
analysis were used. A 95 % CI and P- value of < 0.05 were considered statistically significant.
Result:-The magnitude of pregnancy related hypertensive disorder was 2.4% and eclampsia was
0.37%. Majority 82.6% of the mothers were in the age range b/n 18 to 34 years the mean age
24.4(SD+5.12). Sever preeclampsia was the most common 35.5%, followed by eclampsia 19% and
HELLP 12.4%. Maternal complications were renal failure 6.6%, postpartum hamorrahage7.4%,
abruptio placenta 6%, liver infarction 11.5%, thrombocytopenia 3.3%, and anemia 28.1%, and
there was no maternal death. And fetal management outcomes were perinatal mortality rate 120.37
per thousand deliveries, stillbirth rate 10.2%, low birth weight 30.5%, and low APGAR 18.5%,
abortion 10.7% and preterm delivery 31.4%. Maximum blood pressure and urine albumin were
statistically significant associated with the maternal management outcomes. Low APGAR score
and preterm deliveries were statistically significant associated with the fetal management outcomes.
Conclusion:-The magnitude of pregnancy related hypertensive disorder was low and has adverse
maternal & fetal management outcome. Mothers with maximum blood pressure and Proteinuria
were more affected. Preterm and low APGAR score deliveries were more affected.
Recommendation:-The hospital have to mobilize to built well organized neonatal intensive care
unit (NICU)
