Type of Article:  Original Research

Volume 5; Issue 4.3 (December 2017)

Page No.: 4727-4732

DOI: https://dx.doi.org/10.16965/ijar.2017.458


Harsha A. Keche 1, Shahin Kazi *2, Atul S. Keche 3.

1,*2 Associate Professor, Department of Anatomy, ACPM Medical College, Dhule, Maharashtra, India.

3 Professor, Department of Forensic Medicine and Toxicology, ACPM Medical College, Dhule, Maharashtra, India.

Corresponding Author – Dr. Shahin Kazi, Associate Professor, Department of Anatomy, ACPM Medical College, Dhule, Maharashtra, India. E-Mail: shahinzenia@gmail.com


Background: Placenta is a mirror of gestational life. It provides the reflection of the hazards, the foetus has been subjected to during its growth and development. Pregnancy induced hypertension (PIH) contribute greatly to maternal and fetal morbidity and mortality.

Aims and Objectives: This study has been taken to evaluate the effect of PIH on pregnancy outcome and to correlate the placental and foetal weight.

Materials and Methods:  In our study 100 placentae were taken. 50 placentae were of control group. 32 placentae were of mild PIH, 13 placentae belonged to severe PIH and 5 to eclampsia. Placentae were weighed and foetus birth weights were noted. Fetoplacental weight (F/P) ratio and placental foetal (P/F) weight ratio i;e (placental coefficient) were calculated.

Observations and Result: 23 cases of PIH belonged to 20-25 years age group. More cases of PIH were of primigravida. Maximum cases of mild PIH 13(40.62%) belonged to 37-38 weeks of gestation. In eclampsia placental weight was less than 400 gms. All the cases of eclampsia had birth weight less than 2.5 kg. Mean placental  and foetal weight was less in eclampsia than other grades of PIH. Foetal loss was 2(40%) in eclampsia.

Conclusion: PIH is a common medical disorders especially among young primigravidas. Placental and foetal weight decreases as the severity of PIH increases. The fetoplacental weight decreases with increased grades of PIH. Placental coefficient was more in severe PIH and eclampsia. Due to the impact of PIH on foetal growth there is increased risk of preterm, small for gestational age (SGA) and foetal loss.

Key words: Placenta, PIH, fetoplacental weight ratio, placental coefficient.


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Cite this article: Harsha A. Keche, Shahin Kazi, Atul S. Keche. EFFECTS OF DIFFERENT GRADES OF PIH ON PREGNANCY OUTCOME. Int J Anat Res 2017;5(4.3):4727-4732. DOI: 10.16965/ijar.2017.458