DOI: 10.36347/sjams.2017.v05i12.082

Pages: 5243-5247

Background: Hypertensive disorders during pregnancy, including gestational hypertension, preeclampsia, eclampsia, and chronic hypertension, remain significant contributors to maternal and neonatal morbidity and mortality worldwide. Early detection and management are crucial to improving neonatal outcomes. Methods: This prospective observational study was conducted in the Department of Obstetrics and Gynaecology at BSMMU and Sibchar Health Complex, Madaripur, from April 2016 to March 2017. A total of 100 pregnant women with hypertensive disorders were enrolled. Maternal characteristics and neonatal outcomes, including birth weight, gestational age at delivery, NICU admission, Apgar scores, neonatal complications, and perinatal deaths, were evaluated. Results: Among 100 mothers, 53% had gestational hypertension, 32% had preeclampsia, 10% had eclampsia, and 5% had chronic hypertension. Preterm births occurred in 38% of cases, and 45% of neonates had low birth weight. NICU admission was required in 32% of cases, while 18% of neonates had low Apgar scores at 5 minutes. Neonatal complications were observed in 43% of cases, with respiratory distress syndrome (46.5%), neonatal jaundice (34.9%), and neonatal sepsis (18.6%) being the most common. Perinatal death occurred in 6% of the cases. Conclusion: Hypertensive disorders during pregnancy are significantly associated with adverse neonatal outcomes, including higher rates of preterm birth, low birth weight, NICU admission, and neonatal complications. Focused antenatal care, early diagnosis, and appropriate management strategies are critical to minimizing perinatal morbidity and mortality in these high-risk pregnancies.