ABSTRACT
Aim: To determine the frequency and distribution of different types of hypertensive disorders of pregnancy and
to assess the drug utilization pattern of antihypertensive drugs in pregnancy. Method: A prospective study was
conducted over a period of one year in inpatients of Gynaecology and Obstetrics Department at Bharati
Hospital, Pune. Patients diagnosed as hypertensive disorder of pregnancy were taken for primary evaluation.
The data regarding demographic details, presenting complaints, gestational age, obstetrics history, diagnosis,
blood pressure monitoring, current medications, antihypertensive drugs prescribed were collected and the
utilization of antihypertensive drugs in pregnancy was evaluated. Result: A total of 1330 pregnant women
visited the OBG department, out of which 104 patients were diagnosed with hypertension. The overall
prevalence of hypertensive disorders in pregnancy was 7.8%. The mean maternal age was 23.8 years during the
hospital admission. The prevalence of Preeclampsia, gestational hypertension, chronic hypertension, and
eclampsia were 5.6 %, 1.5%, 0.15 %, and 0.60 % respectively.
INTRODUCTION
Highest incidence of hypertension was occurred
in age group of 18-22 years (41.3%) and primigravidae patients (53.8%). A majority of patients 67.3 % were on
combination therapy whereas 32.7% were on Monotherapy. Methyldopa was the commonest prescribed
antihypertensive as monotherapy (17.3 %) as well as in combination therapy (i.e. 28.8 % with methyldopa and
Nifedipine). Conclusion: Our study concluded that the incidence of hypertensive disorders in pregnancy was
high. Methyldopa was the commonest prescribed antihypertensive in monotherapy and combination, as it is
safest during pregnancy