Clinical, Hematological Profile, and Birth Outcomes of Neonates of Mothers with Hypertension Complicating Pregnancy in India—An Observational Study

Background: Hypertensive disorders during pregnancy pose significant risks to both maternal and fetal health. Maternal hypertension has the potential to affect all the systems of the newborn, including the hematological system. Objective: To identify deviations in hematological parameters and birth...

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Main Authors: Cherukuri Nirmala, Manohar P. Kankati, Paramesh Pandala, Kotha Rakesh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-07-01
Series:International Journal of Medicine and Health Development
Subjects:
Online Access:https://doi.org/10.4103/ijmh.ijmh_47_23
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author Cherukuri Nirmala
Manohar P. Kankati
Paramesh Pandala
Kotha Rakesh
author_facet Cherukuri Nirmala
Manohar P. Kankati
Paramesh Pandala
Kotha Rakesh
author_sort Cherukuri Nirmala
collection DOAJ
description Background: Hypertensive disorders during pregnancy pose significant risks to both maternal and fetal health. Maternal hypertension has the potential to affect all the systems of the newborn, including the hematological system. Objective: To identify deviations in hematological parameters and birth outcomes in babies born to mothers with hypertensive disorders of pregnancy. Materials and Methods: An observational case–control study was carried out on neonates born to hypertensive mothers in Niloufer Hospital, Hyderabad, India. The study was done over 18-month period from January 2021 to August 2022. The cases comprised babies born to mothers with hypertensive disorders of pregnancy, while controls were babies of normotensive mothers. The hematological parameters measured included hemoglobin (Hb) level, platelet count, mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), mean corpuscular volume (MCV), and white blood cell (WBC) count. Results: The neonates of hypertensive mothers had significantly lower levels of Hb (P = 0.02), WBC (P = 0.001), MCH (P = 0.01), and MCHC (P = 0.004). Also, platelet counts were significantly lower among neonates of hypertensive mothers (P = 0.001). They also had significantly lower birth weights than the controls (P = 0.01). Conclusion: This study pinpointed substantial changes in the hematological profile and birth outcomes of neonates born to mothers with hypertensive disorder of pregnancy. These findings underscored the importance of considering these alterations when interpreting hematological values in these infants, necessitating early detection and comprehensive healthcare strategies for neonates at high risk in India. Future research should consider the long-term outcomes of these hematological parameters to elevate the understanding and guide interventions.
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spelling doaj-art-428478ed0c384d86aae55de7dc5ffbea2025-01-25T10:09:58ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2635-36952667-28632024-07-0129319920410.4103/ijmh.ijmh_47_23Clinical, Hematological Profile, and Birth Outcomes of Neonates of Mothers with Hypertension Complicating Pregnancy in India—An Observational StudyCherukuri NirmalaManohar P. KankatiParamesh PandalaKotha RakeshBackground: Hypertensive disorders during pregnancy pose significant risks to both maternal and fetal health. Maternal hypertension has the potential to affect all the systems of the newborn, including the hematological system. Objective: To identify deviations in hematological parameters and birth outcomes in babies born to mothers with hypertensive disorders of pregnancy. Materials and Methods: An observational case–control study was carried out on neonates born to hypertensive mothers in Niloufer Hospital, Hyderabad, India. The study was done over 18-month period from January 2021 to August 2022. The cases comprised babies born to mothers with hypertensive disorders of pregnancy, while controls were babies of normotensive mothers. The hematological parameters measured included hemoglobin (Hb) level, platelet count, mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), mean corpuscular volume (MCV), and white blood cell (WBC) count. Results: The neonates of hypertensive mothers had significantly lower levels of Hb (P = 0.02), WBC (P = 0.001), MCH (P = 0.01), and MCHC (P = 0.004). Also, platelet counts were significantly lower among neonates of hypertensive mothers (P = 0.001). They also had significantly lower birth weights than the controls (P = 0.01). Conclusion: This study pinpointed substantial changes in the hematological profile and birth outcomes of neonates born to mothers with hypertensive disorder of pregnancy. These findings underscored the importance of considering these alterations when interpreting hematological values in these infants, necessitating early detection and comprehensive healthcare strategies for neonates at high risk in India. Future research should consider the long-term outcomes of these hematological parameters to elevate the understanding and guide interventions.https://doi.org/10.4103/ijmh.ijmh_47_23anemiabirth weighthypertensionplacentapreeclampsiapregnancy
spellingShingle Cherukuri Nirmala
Manohar P. Kankati
Paramesh Pandala
Kotha Rakesh
Clinical, Hematological Profile, and Birth Outcomes of Neonates of Mothers with Hypertension Complicating Pregnancy in India—An Observational Study
International Journal of Medicine and Health Development
anemia
birth weight
hypertension
placenta
preeclampsia
pregnancy
title Clinical, Hematological Profile, and Birth Outcomes of Neonates of Mothers with Hypertension Complicating Pregnancy in India—An Observational Study
title_full Clinical, Hematological Profile, and Birth Outcomes of Neonates of Mothers with Hypertension Complicating Pregnancy in India—An Observational Study
title_fullStr Clinical, Hematological Profile, and Birth Outcomes of Neonates of Mothers with Hypertension Complicating Pregnancy in India—An Observational Study
title_full_unstemmed Clinical, Hematological Profile, and Birth Outcomes of Neonates of Mothers with Hypertension Complicating Pregnancy in India—An Observational Study
title_short Clinical, Hematological Profile, and Birth Outcomes of Neonates of Mothers with Hypertension Complicating Pregnancy in India—An Observational Study
title_sort clinical hematological profile and birth outcomes of neonates of mothers with hypertension complicating pregnancy in india an observational study
topic anemia
birth weight
hypertension
placenta
preeclampsia
pregnancy
url https://doi.org/10.4103/ijmh.ijmh_47_23
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