RETROSPECTIVE STUDY OF MATERNAL HYPERTENSIVE DISORDERS AND INCIDENCE OF ACUTE VESTIBULAR SYMPTOMS DURING PREGNANCY AT SHRI GURU RAM RAI INSTITUTE OF MEDICAL & HEALTH SCIENCES, DEHRADUN
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Keywords
acute vestibular symptoms , Hypertensive disorders of pregnancy
Abstract
Background: Hypertensive disorders of pregnancy (HDP) are a major cause of maternal morbidity in India. Their systemic effects are well-known, but the association with acute vestibular symptoms (AVS) like vertigo and dizziness is less studied in the Indian population, impacting maternal quality of life and safety.
Objectives: To determine the incidence of AVS in pregnant women with HDP and to investigate the association between HDP severity and AVS in a cohort from a tertiary care center in Dehradun.
Methods: A retrospective cohort study reviewed medical records of 328 antenatal patients who delivered between March 2022 to December 2022. Participants were categorized into a HDP group (n=112) and a normotensive control group (n=216). Data on demographics, HDP type, and documented AVS were extracted. Analysis used Chi-square tests and multivariate logistic regression.
Result: The incidence of AVS was significantly higher in the HDP group (39.3%) than in the control group (12.5%) (p < 0.001). Women with preeclampsia had a higher incidence (48.6%) than those with gestational hypertension (23.8%) (p = 0.008). HDP was independently associated with a 4.5-fold increased odds of AVS (Adjusted Odds Ratio: 4.52, 95% CI: 2.65-7.69).
Conclusions: HDP is a significant risk factor for AVS in this Indian cohort. Routine screening for vestibular complaints in pregnant women with HDP, particularly preeclampsia, is recommended for timely management.
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Dr. Patel Mehulbhai Ishverbhai
Associate Professor, Department of Obstetrics & Gynaecology, SGRRIM&HS, Dehradun, India
Dr. Patel Hetna Amrutlal
Assistant Professor, Department of ENT, SGRRIM&HS, Dehradun, India