Paper Title
Maternofetal Outcome of Hypertensive Disorders in Pregnancy in a Tertiary Care Hospital

Abstract
Background: Pregnancy Induced hypertension continues to be rampant globally and is associated with high perinatal and maternal mortality and morbidity. Methods: All patients beyond 20 weeks of pregnancy with pregnancy induced hypertension admitted in Department of obstetrics and gynaecology, GMC Jammu from April 2020 to March 2021 were enrolled in the study. The objective of the study was to analyse the cases of gestational hypertension, pre-eclampsia and eclampsia and their maternal outcome in terms of mode of delivery and complications. Perinatal outcome in relation to birth weight, APGAR and complications was also studied. The mean and standard deviation for socio-demographic variables, risk factors and symptomatology variables were analysed. Results: Total hypertensive cases accounted for 8.3% of the total deliveries; out of which gestational hypertension , preeclampsia and eclampsia accounted for ( 2.1%), (4.9%) and (0.9%) of all deliveries. Commonest maternal complication was HELLP syndrome (3.4%) and there was no maternal mortality in our study. Total number of preterm deliveries were (3.47%). Perinatal mortality was seen in (23%). IUGR was the commonest foetal complication (33.4%). Conclusions: Though the incidence of pre-eclampsia and eclampsia is on the decline, still it remains the major contributor to poor maternal and fetal outcome. Regular antenatal check-ups, early diagnosis, prompt multidisciplinary treatment, optimum timing of delivery reduces the incidence of complications and the maternal mortality. Early referral to and management of these cases at centers with advanced neonatal facilities will reduce the perinatal mortality. Keywords - Gestational Hypertension, Pre-eclampsia, Eclampsia