Publication:

Correlation of HDP gestosis score with severity of hypertensive disorder of pregnancy

Background Hypertensive disorder of pregnancy (HDP) is the leading cause of maternal and perinatal mortality and morbidity. Among all maternal deaths, 19% deaths are due to hypertension in pregnancy. To calculate HDP gestosis score in women diagnosed with hypertensive disorder of pregnancy and find its correlation with severity of disease.

Methods The study was conducted in the department of obstetrics and gynaecology, Pt. JNM Medical College Raipur. It is a hospital based prospective observational study. Women with hypertensive disorder of pregnancy admitted in hospital after 20 weeks of gestation were taken as study population. Previous ANC records and medical records were analysed and direct questions were asked to collect data and HDP gestosis score was calculated and its correlation with severity of hypertensive disorder was seen.

Results The mean HDP gestosis score in patients of GHTN, Preeclampsia, Eclampsia, HELLP Syndrome was 4.28, 4.38, 4.36 and 3.5 respectively (p value 0.857- no significant association).  Patients with BMI>30, excessive weight gain during pregnancy, obesity and patients with previous history of HDP have greater risk of developing severe form of disease.

Conclusions HDP gestosis score is not a good indicator to detect severity of disease though it helps in identification of hypertensive disorder of pregnancy.