Effectiveness of Pregnancy Friendly Lifestyle Modification Strategies (PFLMS) for women with risk for hypertensive disorders of pregnancy

INTERVENTION: Intervention1: Pregnancy Friendly Lifestyle Modification Strategies (PFLMS): â?¢Experimental group pregnant women will receive a Pregnancy Friendly Lifestyle Modification Strategies (PFLMS)which will be taught by the investigator/ instructor. Intervention will be for 7‐8 months, started at first trimester and continued till delivery. Pregnancy Friendly Lifestyle strategy includes modification in diet regular exercises, body mechanics and stress management with Progressive Muscle relaxation techniques will be taught by yoga instructor. Control Intervention1: Standard care: â?¢ Control group pregnant women will receive standard care and followed up throughout the pregnancy up to delivery at least once in a trimester for the assessment of feto‐maternal outcome. CONDITION: PRIMARY OUTCOME: Primary outcome: Pregnant women who are with High MAP i.e more than 100 mm of Hg ; Timepoint: First 3 months of pregnancy. SECONDARY OUTCOME: Maternal: ; Antenatal: ; Week of onset of hypertension in pregnancy (preeclampsia, Eclampsia and gestational hypertension) and its complications (proteinuria, maternal blood pressure), ; Intranatal: ; Hypertension in pregnancy (preeclampsia, Eclampsia and gestational hypertension) and its complications (proteinuria, maternal blood pressure), Week of delivery, Mode of induction, duration of labor, mode of delivery. ; Postnatal: ; Persistence of high blood pressure, proteinuria ; Fetal: ; During pregnancy‐ Growth parameters‐ To identify Fetal Growth Restriction ; Neonatal: ; APGAR score, type of birth, birth weight, gestational age at delivery, days of admission in the hospital, other complications.Timepoint: Pregnant women from First trimester of pregnancy to immediate postnatal period. INCLUSION CRITERIA: INCLUSION CRITERIA: 1.Pregnant women with singleton pregnancy at first trimester visiting for the antenatal check‐up. 2.Gestational age between pregnancy confirmation to 13 weeks +6 days 3.Age of pregnant women ranged from 18 to 45 years. 4.Pregnant women who are willing to follow up i.e. every trimester at least once & deliver in selected hospitals of Udupi taluk.