Title: Risk Factors for Developing Hypertensive Disorders in Diabetic Pregnancies – Experience from a Tertiary Care Hospital in Kerala
Authors: Dr Asha G Nath, Dr Coockoo Lal, Dr CP Vijayan
DOI: https://dx.doi.org/10.18535/jmscr/v7i1.71
Abstract
Objectives: Hypertensive Disorders of Pregnancy (HDP) are the leading cause of maternal and fetal mortality worldwide. Women with diabetes are at increased risk of HDP. Common risk factors like elevated BMI and advanced age have been noted. The main objective of the present study is to identify the risk factors for developing hypertension in diabetic pregnancies hence trying to improve pregnancy outcomes.
Materials & Methods: Pregnant patients diagnosed to have DM who received ANC from GMC KTM for a period of 6 months were included in the study. It was a prospective observational study comparing the study population with matched normoglycemic pregnant woman. Information was collected using a detailed proforma BP was taken using standard methods. For detecting diabetes IADPSG value of F 92mg/dl (>5.2 mmol/L) 1 hr 180mg/dl (>10.0 mmol/L) & 2 hr 153 mg/dl (> 8.5mmol/L) were taken.
Results: Majority of patients belonged to age group 21-30 years (83%). Diabetics are more prone to develop HDP compared to non diabetics (21.14% Vs 12.1%). There was increased incidence of HDP among primi (21%) compared to multi (12%); obese (83%) and over weight (30%) compared to patients with normal BMI (6%) 60% of diabetic patients. who developed HDP had poor glycemic control, which show that glycemic control has a strict relation with develop of HDP in patients with DM.
Conclusions: High BMI and poor glycemic control are significant contributors to the development patient of HDP in diabetic pregnancies.
Keywords: Risk factors, HDP: (Hypertensive Disorders in Pregnancy), Diabetes.
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