Open Access Journal │www.njcmindia.org pISSN 0976 3325│eISSN 2229 6816 National Journal of Community Medicine│Volume 5│Issue 1│Jan – Mar 2014 Page 61 Original Article HYPERTENSIVE DISORDERS OF PREGNANCY: AN ONGOING HOLOCOUST Pratima V Borade 1 , Santosh J Haralkar 1 , Atul V Wadagale 2 Financial Support: None declared Conflict of interest: None declared Copy right: The Journal retains the copyrights of this article. However, re- production of this article in the part or total in any form is permissible with due acknowledgement of the source. How to cite this article: Borade PV, Haralkar SJ, Wadagale AV. Hypertensive Disorders of Pregnancy: An Ongoing Holocoust. Natl J Commu- nity Med 2014; 5(1): 61-65. Author’s Affiliation: 1 Assistant Professor, Community Medi- cine, Dr. V. M. Govt. Medical College, Solapur, India; 2 Assistant Professor in Statistics, Community Medicine, Govt. Medical College, Latur Correspondence: Dr. Pratima V Borade pratimagedam2007@rediffmail.com Date of Submission: 18-11-13 Date of Acceptance: 18-02-14 Date of Publication: 31-3-14 ABSTRACT Background: Hypertensive disorders of pregnancy (H.D.P.) can lead to serious complications for both mother and fetus in her womb. Objective: To determine prevalence and some epidemiological factors of hypertensive disordersof pregnancy. Material and Methods: Present study conducted on pregnant women attending antenatal clinicin medical college.It was a cross- sectional study. Information was obtained by face-to-faceinterviews of study sub- jects. Results:Out of 1566 randomly selected study subjects, 95(6%) were hypertensive. Out of 95hypertensive pregnant women 63.3% were diag- nosed as pre-eclampsia, 21.1% as gestationalhypertension, 11.5% as ec- lampsia and 4.1% as chronic hypertension. H.D.P. is common inwomen with age group >33yrs (20%), who arelabourer(13.2%). It is more preva- lent in third trimester(11.1%) of pregnancy and in grandmultiparas (21.6%). Conclusion: Hypertensive disorders of pregnancy are one of the com- mon medical complicationsworsening the outcome of pregnancy. Keywords: pregnancy, hypertension, prevalence, disorder INTRODUCTION Every day, approximately 1000 women die from pre- ventable causes related to pregnancy and childbirth. 99% of all maternal deaths occur in developing coun- tries, in sub- Saharan Africa and South Asia.Disparity in maternal mortality rate exists within and across countries and regions. One third of all maternal deaths occur in just two countries - almost 20 per cent of deaths (56,000) occur in India and 14 per cent (40,000) were in Nigeria 1 . The current Maternal Mortality Rate (MMR) of India is 178 per one lakh live births. The situation is worst in Assam and Uttar Pradesh. According to a survey re- leased by Annual Survey Bulletin 2010-2011 in August 2011, the MMR of Faizabad division is 451 per lakh which is highest in the country, while Kerala has the lowest MMR of 81 per lakh. The national goal is to achieve the MMR of 109 per lakh by 2015 2 . Major causes of maternal mortality in India remain haemorrhage (38%), sepsis (11%), abortions (8%), hypertensive disorders (5%), obstructed labour (5%) and other conditions like anaemia (19%), medical dis- orders during pregnancy contributing to 34% of all maternal deaths 3 . Deaths due to haemorrhage andin- fections are reducing and deaths due to hypertension in pregnancy increasing. In developingcountries there are echoes of situations. Hypertensive disorders of pregnancy affect 6-8% of allpregnancies, with wide variation as per different geographical areas 4 .Considering allthis, the present study was planned to determine prevalence and to find out few epidemiologicalfactors of hypertensive disorders of pregnancy. METHODOLOGY The present analytical cross-sectional study was con- ducted for the period of 1 year from 1stJan.2009 to 31 Dec.2009. It was conducted on pregnant women at- tending ANC clinic at Obstetric and Gynecology de- partment of MIMSR’S medical college and hospital, Latur in Maharashtra. Institutional ethical clearance was obtained from college ethical committee. Pilot study was done for a period of one month. Proforma waspretested on 150 pregnant women and modified in the light of difficulties encountered during study. Ac- cording to different previous studies, prevalence of hypertensive disorders of pregnancy was 6-8% so we have considered 6% as prevalence for calculating sample size by using formula: