One Year Cross-sectional Study of Fundal Changes in Patients with Pregnancy-Induced Hypertension
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Introduction: A retinal funduscopic examination by detecting retinal arteriolar spasm might aid in determining whether immediate delivery of the baby is required to revert the preeclamptic state and prevent an adverse maternal and foetal outcome. The focus of the current study is to find out the frequency and spectrum of fundal changes in 100 cases of PIH and to deduce any association between the retinal changes and blood pressure, proteinuria, severity of PIH, maternal age, gravidity and gestational age, so that we could engineer a more efficient and systematic approach towards PIH to ensure maternal and fetal well-being. Aims: 1) To evaluate the frequency and spectrum of retinal fundus changes in Pregnancy-Induced Hypertension 2) To assess relationship of hypertensive retinopathy with maternal gravidity, severity of PIH and blood pressure in PIH. Methodology: Hundred patients with PIH were studied in a one year, cross-sectional, hospital-based study. Detailed ocular examination was done and results were analyzed. Chi-Square, ANOVA and Student T-test were used for statistical analysis. P ≤ 0.05 was considered significant. Results: 44% of patients were primigravida and 59% had gestational age > 32 weeks. 53% had severe preeclampsia and 14% had eclampsia. Grade I hypertensive retinopathy was found in 53% patients. Occurrence of retinopathy was significantly higher in primigravida group (84%) and patients with both systolic and diastolic hypertension (84.44%). Conclusions: This study shows that with increasing severity of PIH, chances of development of more severe grade of retinopathy increase. Frequency of occurrence of retinopathy is higher in primigravidae and in patients having both systolic and diastolic hypertension. Mean systolic and diastolic blood pressure values in patients with retinopathy are significantly higher than those in patients without retinopathy. Mean blood urea and serum uric acid values increase significantly as the severity of PIH increases.
Authors and Affiliations
Pathak Neha, Singh Jaishree, Meena Ashok K, Gupta Tarun, Jain Mukul
Keywords
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- EP ID EP543692
- DOI 10.21276/ijmrp.2017.3.2.013
- Views 84
- Downloads 0
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