[195-POS]

• DOI: 10.1016/j.preghy.2014.10.201
• Publication Date: 2015-02-23T22:36:30Z
• Authors: Kwame Adu-Bonsaffoh; Samuel A. Obed; Joseph D. Seffah
• Keywords: Placental abruption; HELLP syndrome; Gestational hypertension

Objectives To determine maternal outcomes of hypertensive disorders in pregnancy (HDP) at Korle Bu Teaching Hospital (KBTH) Methods A cross-sectional study conducted at KBTH between 1st January to 28th February 2013. The study design was two-fold. The first part involved baseline data collection on all the obstetric patients delivering at KBTH to identify those with HDP. The second part involved tracing those women with HDP to their respective maternity wards followed by administration of a structured questionnaire after obtaining an informed consent. Their medical records were also reviewed to determine if they developed any complications of HDP. Results A total of 368 women with HDP among 1856 deliveries were analyzed. Most of them (80.2%) were married and 77.2% had obtained at least secondary education. Also, 35.5% were nulliparous, 21.2% primiparous and 43.5% multiparous. The mean gestational age, systolic and diastolic BP at diagnosis for preeclampsia and gestational hypertension were 34.85 ± 5.25 versus 35.38 ± 7.15 weeks (p = 0.090), 166.65 ± 21.02 versus 148 ± 14.24 (p Conclusions Obstetric burden of HDP in Ghanaian population is huge as evidenced by high frequency of adverse maternal outcomes which were associated more with preeclampsia than other HDP. Multi-departmental involvement is pivotal in achieving significant improvement in the quality of care for women with HDP. Disclosures K. Adu-Bonsaffoh: None. S.A. Obed: None. J.D. Seffah: None.