Managment outcomes of pregnancy related hypertensive disorder in mettu karl referal hospital, metu town, south west Ethiopia: -a three year retrospective study

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)