scholarly journals Risk factors and potential protective factors of pregnancy‐induced hypertension in China: A cross‐sectional study

2019 ◽  
Vol 21 (5) ◽  
pp. 618-623 ◽  
Author(s):  
Caixia Zhuang ◽  
Jinsong Gao ◽  
Juntao Liu ◽  
Xietong Wang ◽  
Jing He ◽  
...  
2018 ◽  
Vol 66 (6) ◽  
pp. 1008-1014 ◽  
Author(s):  
Fangliang Lei ◽  
Danmeng Liu ◽  
Yuan Shen ◽  
Lili Zhang ◽  
Shanshan Li ◽  
...  

To explore the effect of pregnancy-induced hypertension (PIH) on neonatal birth weight and provide the necessary reference value for the maternal and children health service. A cross-sectional study was carried out in Shaanxi Province of China in 2013. And a total of 28 045 singleton live infants and their mothers were recruited using a stratified, multistage, probability-proportional-to-size sampling method. Among the 28 045 women of childbearing age surveyed, multiple linear regression and quantile regression analysis all showed that the birth weight of newborns whose mothers had suffered from PIH during pregnancy was significantly lower than those whose mothers had not suffered from PIH during pregnancy from very low to higher birth weight percentiles (q=0–0.85), an average decrease of 137.45 g (β=−137.45, t=−5.77 and p<0.001). When birth weight was at q=0.90–1.00 percentiles, there was no birth weight difference between two groups. The present cross-sectional study indicated that PIH had an effect of on neonatal birth weight. When pregnant women with PIH are identified then the healthcare professional initiates a closer supervision of their pregnancy in order to ameliorate the status of BP and provide a good intrauterine environment for the fetus. In addition, the gynecologists should admonish the pregnant women that their health is related to the health of their fetus, then gravidas may be more engaged to alert their physician and accept early or preventative interventions. And the healthcare professional should ask and be alert to the issues of hypertension during pregnancy.


2020 ◽  
Author(s):  
Anteneh Tekola Fikrie ◽  
Genet Ake Baye ◽  
Elias Hadona Amaje ◽  
Kebede Tefera

Abstract Background: Neonatal near miss is a neonate who nearly died but survived from a severe complication occurred during pregnancy, birth or within 0-28 days of extra-uterine life. However, there is no available data that quantifies the magnitude of neonatal near miss in Ethiopia where there is high prevalence of neonatal mortality. Therefore, this study is designed to provide information about the magnitude and associated factors of neonatal near miss among women who give a live birth at Hawassa City Governmental hospitals, 2019. Methods: A facility based cross-sectional study design was conducted on 604 mothers who gave live neonates at Adare General Hospital and Hawassa University Comprehensive and Specialized Hospital from May 9, 2019 to June 7, 2019. Face to face interviewer administered structured questionnaire with a supplementation of maternal and neonatal medical records with checklists were used to collect the data. Data were coded and entered in to Epi data version 3.1 and then exported to the Statistical Package for Social Science IBM version 25 for analysis. Descriptive statistics was run and the data were presented using frequency tables and figure. The bi-variable and multivariable logistic regression was used to identify the possible factors of neonatal near miss. Finally, Adjusted Odds Ratio and 95% Confidence Intervals were used to declare statsticall significance. Result Among all 604 selected live births an overall proportion of Neonatal Near Misses (NNM) cases, 202 (33.4 %;) (95% CI: 29.7%-37.1%) was obtained. Respiratory distress 158 (94%) and infection or sepsis 138 (84%) were found to be the leading causes of NNM cases in our study. Employed (AOR = 3.05, 95% CI: 1.46- 6.44), Pregnancy induced Hypertension (AOR = 0.43, 95%CI: 0.27-0.69) and Cesarean Section (AOR=0.49; 95%CI: 0.33-0.71) were significantly associated with neonatal near miss. Conclusion: This study revealed relatively high prevalence of neonatal near miss in the study areas. Employed women, pregnancy induced hypertension and cesarean section mode of delivery were found to be independent factors affecting the prevalence of NNM cases. Therefore, HUCSH and Adare general Hospitals should focus on proving quality antenatal care and prevention of occupational related problems among pregnant women.


2008 ◽  
Vol 21 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Solange Regina Perfetto Chaim ◽  
Sonia Maria Junqueira Vasconcellos de Oliveira ◽  
Amélia Fumiko Kimura

OBJECTIVES:This cross-sectional study were to identify the prevalence of pregnancy-induced hypertension and to verify diastolic blood pressure (DBP) association with type of birth and perinatal outcome. METHODS: The data were collected from the mothers' records, in the governmental maternity hospital indicated for high-risk pregnancies, in São Paulo city. RESULTS: During hospitalization, 62.1% had systolic blood pressure > 160 mmHg and 49.6% had a DBP < 110 mmHg. There was no significant association of DBP (p=0.799). The frequency of caesarean section was 64.5%, 28.9% for normal birth, and 6.6% for forceps; 93.4% were live born, 81.0% weighed > 2,500 g, 10.6% were premature, 68.1% were born with adequate gestational age, 84.0% and 99.2% had APGAR score > 7 at 1st and 5th minutes, respectively. CONCLUSION: The DBP e" 110 mmHg was associated with low birth weight (p=0.002) and prematurity (p=0.013).


2021 ◽  
Author(s):  
Andualem Mebratu ◽  
Dawit Getachew Assefa ◽  
Eden Dagnachew Zeleke ◽  
Wondwosen Molla ◽  
Nebiyu Mengistu ◽  
...  

Abstract Introduction: Induction of labour is one component of comprehensive obstetrics care services that is increasing employed in modern day obstetrics to decrease the risk of maternal and neonatal morbidity and mortality. However, it has been strongly associated with poor maternal and perinatal outcomes. Therefore, his study was aimed to assess the magnitude of failed induction of labour and associated factors among mothers delivered at Jigjiga University Sheik Hassan Yabare referral Hospital, Eastern Ethiopia from June 1 to June 30, 2021.Methods: An institutional based cross-sectional study was carried out among 364 women’s delivered at Jigjiga University Sheik Hassan Yabare Referral Hospital from 2018 to 2021. A checklist was used to collect the data from the women’s chart. To isolate independent predictors related to failed induction of labour, multivariate logistic regression analyses were performed.Result: Our study participants were 364 women’s. The magnitude of failed induction of labour was 36.8% (95% CI: 31.8, 42.0). Age of the mother (<30 years) (AOR= 3.2; CI: 1.78, 5.75), rural residency (AOR=2.28; CI:1.29, 4.01), being primi-para (AOR= 2.76; CI: 1.55, 4.91), gestational age less than 37 or greater than 42 year (AOR= 2.65; CI: 1.44, 4.89) , multiple ton of pregnancy (AOR= 2.36; CI: 1.01, 5.55), premature rapture of membrane (AOR= 4.88; CI: 2.33, 10.21), pregnancy induced hypertension (AOR= 5.11; CI: 2.67, 9.79), and bishop score less than six (AOR= 1.95; CI: 1.15, 3.32) were significantly associated with failed induction of labour.Conclusion: The magnitude of failed induction of labour among mothers undergoing labor induction was relatively high in the study settings compared with previous studies in the country. Failed induction of labour was significantly associated with age of the mother (<30 years), rural residency, being primi-para, gestational age less than 37 or greater than 42 years, multiple ton of pregnancy, premature rapture of membrane, pregnancy induced hypertension, and bishop score less than six.


1970 ◽  
Vol 25 (2) ◽  
pp. 57-61
Author(s):  
Sharmin Rahman ◽  
Nargis Sultana ◽  
AKM Mujibur Rahman ◽  
Saueeda Aljtar ◽  
Nasima Begum ◽  
...  

Pre-eclampsia or pregnancy induced hypertension (PIH) re-named as gestational hypertension is one of the important causes of maternal death in developing countries like Bangladesh. The foetal outcome is also very unsatisfactory and disappointing in pre-eclamptic mothers. Considering this view, the objective of this study was to assess the foetal outcome in pre-eclamptic mothers and also to identify the factors influencing the outcome. This was a cross sectional study conducted among the pregnant mothers admitted into Gynaecology and Obstetrics Department of Shaheed Suhrawardi Hospital, Dhaka, with specific signs and symptoms of pre-eclampsia during the period from January 2002 to December 2003. A total of 100 pre-eclamptic mothers were studied. Bivariate analysis revealed that a statistically significant association was present between complicated preeclampsia (p<0.05) and previous positive medical history with abnormal foetal outcome (p<0.05), but no statistically significant association was found between foetal outcome and age, occupation of the mother and the husband, socioeconomic status, parity, hypertension, diabetes mellitus, previous surgical and bad obstetrical history, body built, maternal oedema (p>0.05). Analysis also found that poor foetal outcome was significantly associated with haemoglobin level less than 10 gm%, gestational age and mode of delivery (p<0.01). Analysis of relative risk indicated that the abnormal foetal outcome was 7.1 times higher in complicated pre-eclamptic mothers than only pre-eclamptic mothers (p<0.001, 95% CI=2.598-19.957). (J Bangladesh Coll Phys Surg 2007; 25 : 57-61)


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Addis Eyeberu ◽  
Hirpo Shore ◽  
Tamirat Getachew ◽  
Genanaw Atnafe ◽  
Merga Dheresa

Abstract Background In Ethiopia, neonatal mortality is unacceptably high. Despite many efforts made by the government and other partners to reduce neonatal mortality; it has been increasing since 2014. Factors associated with neonatal mortality were explained by different researchers indifferently. There is no clear evidence to identify the magnitude of neonatal mortality and associated factors in the study area. The study aimed to assess the magnitude and factors associated with neonatal mortality. Methods Facility-based cross-sectional study was conducted among 834 randomly selected neonates. The study was conducted from February 20 to March 21, 2020. Data were extracted from medical records using a checklist adapted from the World Health Organization, and neonatal registration book. The data were inserted into Epi-data version 3.1 and then exported into SPSS window version 20 for analysis. Bivariate and multivariate analyses were employed to identify the association between independent variables and the outcome variable. Results Magnitude of neonatal mortality was 14.4% (95% CI:11.9,16.7). Being neonates of mothers whose pregnancy was complicated with antepartum hemorrhage [AOR = 4.13, 95%CI: (1.92,8.85)], born from mothers with current pregnancy complicated with pregnancy-induced hypertension [AOR = 4.41, 95%CI: (1.97,9.86)], neonates of mothers with multiple pregnancy [AOR = 2.87, 95% CI (1.08,7.61)], neonates delivered at the health center [AOR = 5.05, 95%CI: (1.72,14.79)], low birth weight [AOR = 4.01, 95%CI (1.30,12.33)], having perinatal asphyxia [AOR =3.85, 95%CI: (1.83,8.10)], and having early-onset neonatal sepsis [AOR = 3.93, 95%CI: (1.84,8.41)] were factors significantly associated with neonatal mortality. Conclusion The proportion of neonatal mortality was relatively in line with other studies but still needs attention. Antepartum hemorrhage, Pregnancy-induced hypertension, place of delivery, low birth weight, having perinatal asphyxia, and having neonatal sepsis were independent factors. The hospital, and health care workers should give attention to neonates admitted to intensive care units by strengthening the quality of care given at neonatal intensive care unit like infection prevention and strengthening early detection and treatment of health problems during Antenatal care visit.


Author(s):  
K. Hima Bindu ◽  
E. Rama Devi

Background: I Pregnancy induced hypertension causes intra uterine growth retardation, pre-mature delivery, intra uterine death of fetus, abruption placentae. It also causes increased morbidity and mortality among women. The objective of the present study is to observe the effect of pregnancy induced hypertension on pregnancy outcome.Methods: A hospital based cross sectional study was carried out to study the effect of pregnancy induced hypertension on pregnancy outcome for a period of two years from April 2004 to March 2006 at Gandhi Medical College, Hyderabad. Results: The mean maternal age in group I was 22.9 years comparable to group II. The incidence of PIH was 10.7% among primipara compared to 9.1% among multi parous women. Mean gestational age at entry to the present study was comparable among both the groups. Mean gestational age at delivery was higher in normotensive women compared to women with PIH. The incidence of low birth weight was 70% among PIH group compared to only 16.7% in normotensive group and this difference was found to be statistically significant. The incidence of intra-uterine growth retardation (IUGR) was 70% among PIH group compared to only 16.7% in normotensive group and this difference was found to be statistically significant. The incidence of pre-term delivery was 70% among PIH group compared to only 16.7% in normotensive group and this difference was found to be statistically significant.Conclusions: T Pregnancy induced hypertension was positively associated with adverse outcome. Early diagnosis and proper management can help to overcome and tackle most of the adverse outcomes.  


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