Background: In India, hypertensive disorders during pregnancy affect approximately 5-15% of expectant mothers. These conditions are significant contributors to maternal morbidity and mortality, accounting for 10-15% of maternal deaths, particularly in developing regions. This study aimed to examine the incidence of various hypertensive disorders, assess maternal characteristics, and evaluate pregnancy outcomes in a rural setting in India.

Methods: A cross-sectional study was carried out from March to June 2023, utilizing data from a single district hospital in Wanaparthy, Telangana. Out of 1,310 deliveries in this period, 167 cases of hypertensive disorders of pregnancy were identified & included. Demographic data was collected. A detailed antenatal history taken, examination done and the women were categorised according to the ACOG criteria. These women were followed up till delivery and the Maternal and Perinatal outcomes were noted. To evaluate the relationships between various independent variables and the outcome, multivariable logistic regression was performed.

Results: The prevalence of hypertensive disorders of pregnancy (HDP) was found to be 12.7%. Among those affected, over half were first-time mothers (53.2%). The rate of Gestational hypertension was 70% while Preeclampsia-Eclampsia accounted for 19% of the cases. MgSO4 infusion was required in 9.6% cases. Nulliparity and a previous history of preeclampsia are linked to a higher risk of HDP. Additionally, underlying conditions such as anaemia, High BMI, extremes of maternal age significantly contributed to this increased risk. Pregnant women with Hypertension faced a higher risk of Preterm delivery (21%), Delivery by Caesarean section (79%), Intrauterine death (1.2%), and babies requiring admission to neonatal intensive care unit (6%).