INTRAUTERINE GROWTH RESTRICTION IN PREGNANCY-INDUCED HYPERTENSION: INCIDENCE AND ASSOCIATED FACTORS IN A TERTIARY CARE SETTING OF KHYBER PAKHTUNKHWA, PAKISTAN
DOI:
https://doi.org/10.66604/cevqgz95Keywords:
pregnancy-induced hypertension, intrauterine growth restriction , gestational age , parity, weightAbstract
Background: Pregnancy-induced hypertension (PIH) is one of the leading risk factors, commencing greater foetal and maternal morbidity and mortality worldwide. Among other complications, intrauterine growth restriction (IUGR) is a significant outcome of PIH. In the Pakistani context, the incidence of IUGR in PIH women and comparison with human factors is rarely determined. This study aimed to find the frequencies of IUGR among PIH women presenting to a tertiary care setup and determine the possible effect of age, gestation age, parity, and weight on IUGR. Methods: This cross-sectional study was conducted from 1st March to 30th August 2023 at the Department of Obstetrics and Gynaecology, Ayub Teaching Hospital, Abbottabad. The research comprised 159 pregnant women who had hypertension problems. The researcher underlined that all women underwent ultrasound biometry to determine IUGR per the Royal College of Obstetricians and Gynaecologists criteria. Results: Among the total 159 PIH women with a mean age of 27.691±2.63 years, the incidence of IUGR is 10.7%. IUGR was more prevalent in the 31–40 age group, i.e., 13%, having gestational age more than 30 weeks, i.e.16%, parity, i.e. 9.8%, and weight more than 70kg, i.e. 45.7%. Conclusion: The incidence of IUGR among women with PIH is low compared to neighbouring developing countries and requires individualized perinatal care, particularly among older aged, overweight, nulliparous, and beyond 30 weeks of gestation on a priority basis.
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