Pregnancy Induced Hypertension and Associated Factors among Pregnant Women in Karamara Hospital, Jijiga, Eastern Ethiopia, 2015

L. Mekonen, Z. Shiferaw, Eyob Wubshet, Semehal Haile
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引用次数: 7

Abstract

Background: Pregnancy induced hypertension (PIH) is a significance rise of blood pressure during pregnancy, occurring after 20 weeks. It includes gestational hypertension, mild pre-eclampsia , sever pre-eclampsia and eclampsia. So more, women with PIH disorders may progress from mild diseases to more serious conditions. This study assessed pregnancy induced hypertension and associated factors among pregnant women. Methods: A hospital based cross- sectional study design was conducted in Karamara hospital, Jijiga town among 408 pregnant. Systematic random sampling was employed. The data was collected using pretested semi-structured questionnaire and analyzed using SPSS Version 20. Results: The prevalence of pregnancy induced hypertension was 19.1% in Karamara hospital. Maternal education (AOR=2.5, 95% CI%=1.2-5.3), age (AOR=2.73, 95% CI=1.31-5.7), previous history of preeclampsia (AOR=19.3, 95% CI%=5.2-72.1) and family history of preeclampsia (AOR=7.2, 95% CI%=2.9-17.8) were identified as predictor factors for occurrence of pregnancy induced hypertension. Conclusion and recommendations: One out of five women developed pregnancy induced hypertension in Karamara referral Hospital, Jigjiga Ethiopia. This is figure is very high compared to studies conducted in Ethiopia. Socio-demographic factors like age less than 25 years, lack formal education, previous history of PIH and family history of PIH were independent predictors of development of pregnancy induced hypertension. Hence, this study suggests that early detection and management of mothers with PIH should be mandatory as part of focused antenatal care. Lastly, this study suggests that further studies should be conducted to assess lifestyle and dietary factors, using analytical study designs.
2015年埃塞俄比亚东部吉吉加卡拉马拉医院孕妇妊高征及相关因素
背景:妊高征(Pregnancy induced hypertension, PIH)是指妊娠期间血压显著升高,发生在妊娠20周后。它包括妊娠期高血压,轻度先兆子痫,严重先兆子痫和子痫。因此,患有PIH疾病的女性可能会从轻微疾病发展到更严重的疾病。本研究评估孕妇妊娠高血压及相关因素。方法:采用医院为基础的横断面研究设计,对吉吉加镇卡拉马拉医院408例孕妇进行调查。采用系统随机抽样。采用预测半结构化问卷收集数据,采用SPSS Version 20进行分析。结果:卡拉马拉医院妊娠高血压患病率为19.1%。母亲受教育程度(AOR=2.5, 95% CI%=1.2 ~ 5.3)、年龄(AOR=2.73, 95% CI%= 1.31 ~ 5.7)、既往子痫前期病史(AOR=19.3, 95% CI%=5.2 ~ 72.1)、子痫前期家族史(AOR=7.2, 95% CI%=2.9 ~ 17.8)是妊高征发生的预测因素。结论和建议:在埃塞俄比亚吉吉加卡拉马拉转诊医院,五分之一的妇女患有妊娠高血压。与在埃塞俄比亚进行的研究相比,这个数字非常高。年龄小于25岁、缺乏正规教育、既往PIH史和家族史等社会人口因素是妊高征发生的独立预测因素。因此,这项研究表明,早期发现和管理的母亲PIH应强制性的一部分,重点产前保健。最后,这项研究表明,应该进行进一步的研究,以评估生活方式和饮食因素,使用分析性研究设计。
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