scholarly journals PREVALENCE OF HYPERTENSIVE DISORDERS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE IN SELECTED PUBLIC HOSPITALS IN ADDIS ABABA, ETHIOPIA

2021 ◽  
Vol 7 (2) ◽  
pp. 19-44
Author(s):  
Weynshet Firisa ◽  
Lister Onsongo ◽  
Judy Mugo
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Addis Ababa ◽  
Public Hospitals ◽  
Hypertensive Disorder ◽  
Hypertension In Pregnancy ◽  
Hypertensive Disorders ◽  
In Pregnancy

Purpose: This study sought to assess the prevalence of hypertension in pregnancy and associated risk factors among women attending antenatal care clinics in selected Pubic Hospitals in Addis Ababa, Ethiopia. Materials and Methods: The research employed a cross-sectional descriptive study design. Study population was pregnant women who attended ANC care in selected hospital.  The respondents were randomly selected from Tikur Anbesa specialized, Zewuditu Memorial and St. Paul’s Millennium medical college hospitals. Respondents for interview were selected using systematic random sampling at an interval of nine until a sample size of 297 was reached. The study used an adopting both quantitative and qualitative data collection methods. Quantitative data was collected using structured questionnaires from pregnant women attending antenatal care clinics while qualitative data was collected using key informant interview schedules and Focused Group Discussion guides with Nurses in charge of antenatal care clinics and primary respondents respectively. Key informants and focused group discussants were purposively selected. Descriptive data was analysed using Statistical Package for Social Sciences version 20.0 with the aid of Microsoft Excel program to generate frequency tables, graphs and pie-charts. Qualitative data was analysed using thematic analysis and results triangulated with quantitative data as direct quotes or narrations. Inferential statistics were calculated using Chi-Square tests done at 95% confidence interval and a margin of error of 0.05 to establish the association between variables. Information generated were presented in the text in the form of tables, bar graphs and pie charts. Results: The study results revealed that the prevalence of pregnancy induced hypertension in Addis Ababa was 21.9%. Socio-demographic factors such as age (p=0.030), occupation (p=0.031), income (p=0.0014), highest level of education (p=0.001) and health insurance (p=0.001) were significantly associated with occurrence of hypertension in pregnancy. Rreproductive and obstetric factors such as age at first pregnancy (p=0.001), gravidity (p=0.046), parity (p=0.001), history of obesity (p=0.001) and occurrence of gestational diabetes (p=0.002) were significantly associated with hypertension in pregnancy. More than a half (51.9%) of respondents had negative attitude towards hypertensive disorder in pregnancy. The level of attitude (p=0.040) was significantly associated with occurrence of hypertension in pregnancy. Unique contribution to theory, practice and policy: The study recommends that the management of the 3 health facilities together with other stakeholders in health empower women to start income generating projects to increase their financial access to antenatal care services consequently reduces hindrances that may lead to pregnancy complications such as hypertensive disorders in pregnancy.

scholarly journals Perinatal outcome in hypertensive disorder of pregnancy in a rural community of Haryana

2019 ◽  
Vol 6 (10) ◽  
pp. 4267
Author(s):  
Bharti . ◽  
Sumit Chawla
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Perinatal Outcome ◽  
Statistical Tests ◽  
Mode Of Delivery ◽  
Hypertensive Disorder ◽  
Hypertension In Pregnancy ◽  
Hypertensive Disorders ◽  
Increased Risk ◽  
In Pregnancy

Background: Pregnancy in hypertension may complicate pregnancies with variable incidence among different settings. Pregnancies complicated with hypertensive disorders are associated with increased risk of adverse fetal, neonatal and maternal outcome including preterm birth, intrauterine growth retardation (IUGR), perinatal death etc. The present study was undertaken to study the perinatal outcome of hypertension in pregnancy in a rural block of Haryana.Methods: This cross-sectional study was carried out in the all the 20 subcenters under Community Health Center (CHC) Chiri, Block Lakhanmajra. All the pregnant women registered at the particular subcenter at a point of time of visit were included in the study. Pregnancy outcome was followed-up by contacting the health worker of respective sub-center or mother. Information regarding stillbirth, abortion, maturity, birth weight, mode of delivery and early neonatal death was collected. Appropriate statistical tests were used for analysis.Results: A total of 931 pregnant women were included in the present study. Prevalence of hypertension in pregnancy was found to be 6.9%. Hypertension in pregnancy is significantly associated with premature births still births (6.7% vs 1.4%; p=0.003), low birth weight (26.7% vs 4.9%; p=0.000) and early neonatal deaths (8.3% vs 2.8%; p=0.017).Conclusions: Perinatal mortality is significantly high in mothers with hypertensive disorders. Early diagnosis and treatment through regular antenatal checkup is a key factor to prevent hypertensive disorders of pregnancy and its complications.

scholarly journals Client Satisfaction on Antenatal Care Service by Pregnant Women in Public and Private Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Comparative Descriptive Study

2020 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Waiting Time ◽  
Client Satisfaction ◽  
Addis Ababa ◽  
Care Service ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals

Background: Antenatal care (ANC) is an important health care service which is intended to potentially reduce maternal morbidity and mortality particularly in areas where the general health status of women is presumed poor, choice of facilities is limited and the service delivery compromised by geography (terrain, transport), socio-demographic factors, financial capability and awareness. Though improving the quality of health care is one of the targeted strategies in the Health Sector Development Program IV (HSDP IV) of Ethiopia, little is known about the quality of antenatal care service and client satisfaction at the different hospitals in Addis Ababa, the capital city of Ethiopia. Objective: To determine satisfaction of ANC services among pregnant women at the public teaching and private hospitals in Addis Ababa, Ethiopia. Methods: Health institution-based comparative cross-sectional study was conducted from February to June, 2019 in public and private hospitals, in Addis Ababa, using sample size determination for comparisons of proportion between the two populations. All participants who fulfilled the inclusion criteria were enrolled based on the flow of pregnant women to the ANC clinics at the selected hospitals. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 21. Association of independent variables with the client satisfaction was done using binary and multivariate logistic regression. Significant association of variables with outcome was determined using adjusted odds ratio (AOR) together with 95 % confidence interval. Level of significance was set at P-value of ≤ 0.05. Results: Five hundred seventy one pregnant women attending Antenatal Care at private (281) and public (290) hospitals were included with response rates of 94.1 and 91.2% for public and private hospitals, respectively. The age distribution of the participants was between 17 and 43 years with a mean age of 27.3±5.1 years. Most of the clients, 249 (88.7%) at private and 276 (95.2%) at public hospitals were between the ages of 20 and 34 years. One hundred fourteen (39.3%) of the clients at public and 113 (40.2%) at private hospitals were nulliparous. The clients overall satisfaction with antenatal care was mostly positive both at the private and public hospitals and two hundred twenty eight (81.1%) of the private and 174 (60%) of the public hospitals were satisfied with the services provided. Having ANC follow up at the private hospitals had statistically significant difference in client satisfaction compared to those in public hospitals with P value of 0.019, (AOR 2.97, 95% CI:1.19 -7.74). Clients’ satisfaction with the cleanliness of the environment was 11.1 times more likely to be satisfied with the general ANC service, P<0.05, (AOR 12.18 95% CI: 7.45-19.91). Having more than 4 ANC visits was positively associated with client overall satisfaction, P= 0.021, (AOR 2.41, 95% CI: 1.12-5.24,) while long waiting time is negatively associated with client satisfaction. Conclusions: The study showed significant difference in client satisfaction rate between the selected private and public facilities. Private facilities outperformed public facilities with regards to structural features (privacy, waiting time, space, and neatness). We recommend concerted effort to improve ANC visits and pay due attention to the privacy, waiting time, and the neatness of the facilities in public hospitals.

A Population-level Analysis of the Differing Effects of Rheumatoid Arthritis and Spondyloarthritis on Peripartum Outcomes

2019 ◽  
Vol 47 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Stephanie O. Keeling ◽  
Samantha L. Bowker ◽  
Anamaria Savu ◽  
Padma Kaul
Keyword(s):  
Rheumatoid Arthritis ◽  
Pregnant Women ◽  
Population Level ◽  
Nonsteroidal Antiinflammatory Drugs ◽  
Neonatal Outcomes ◽  
Hypertensive Disorder ◽  
Antiinflammatory Drugs ◽  
Hypertensive Disorders ◽  
Maternal And Neonatal Outcomes ◽  
In Pregnancy

Objective.The effects of rheumatoid arthritis (RA) and spondyloarthritis (SpA) on maternal and neonatal outcomes at a population level have not previously been well compared.Methods.A contemporary pregnancy cohort of 312,081 women and corresponding birth events was assembled for the province of Alberta from the random selection of 1 live birth event per woman. We identified 3 groups: (1) no inflammatory arthritis (no IA, n = 308,989), (2) RA (n = 631), and (3) SpA (n = 2461). We compared maternal and neonatal outcomes, comorbid conditions, and medication use among the 3 groups. Multivariable logistic regression models evaluated the independent association between RA and SpA, relative to no IA, and the outcomes of small for gestation age (SGA) and hypertensive disorders during pregnancy.Results.Pregnant women with RA were significantly more likely to have preterm delivery (13.5%), cesarean delivery (33.9%), hypertensive disorders in pregnancy (10.5%), and SGA babies (15.6%), compared to pregnant women with either SpA or no IA. Nonsteroidal antiinflammatory drugs and corticosteroid use were significantly higher in pregnant women with RA compared to the other groups. Women with RA were significantly more likely to have an SGA baby (OR 1.51, 95% CI 1.21–1.88; p < 0.01), and hypertensive disorder in pregnancy (OR 1.51, 95% CI 1.16–1.97; p < 0.01), compared to women with no IA, while no difference was found between women with SpA and those with no IA.Conclusion.Women with RA have a higher risk of worse maternal and neonatal outcomes, whereas the risk of these events is similar between women with and without SpA.

scholarly journals Correction to: The prevalence and associated factors of alcohol use among pregnant women attending antenatal care at public hospitals Addis Ababa, Ethiopia, 2019

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Getaneh Tesfaye ◽  
Demeke Demlew ◽  
Meseret G/tsadik ◽  
Fikreselam Habte ◽  
Gebeyaw Molla ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Addis Ababa ◽  
Public Hospitals

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Faktor-faktor yang berhubungan dengan hipertensi pada ibu hamil

2021 ◽  
Vol 14 (4) ◽  
pp. 642-650
Author(s):  
Syamraini Silda ◽  
Ana Mariza ◽  
Sunarsih Sunarsih
Keyword(s):  
Pregnant Women ◽  
Health Centre ◽  
Previous History ◽  
Cross Sectional ◽  
Public Health Centre ◽  
Hypertension In Pregnancy ◽  
Hypertensive Disorders ◽  
Risk Parity ◽  
History Of ◽  
In Pregnancy

Factors for hypertensive disorders of pregnancy among mothers in Lampung, IndonesiaBackground: Hypertension in pregnancy when blood pressure reaching 140/90 mmHg or more, which occurs during pregnancy. Hypertension in pregnancy can cause mortality and the number of prevalent still too high.Purpose: To know the factors associated with hypertension among pregnant women Inpatient public health centre, South Lampung.Method: A quantitative study with a cross-sectional with a prospective approach. The sampling was all pregnant women who follow up at the health center of 80 respondent on May 20 - July 24, 2019 taken by accidental sampling and data collected using observational sheets and interviews. Data analysis using chi-square test to find correlation among variables.Results: Shows that of 80 respondents who suffering of hypertension of 45%, age its risky category of  57.5%, parity its risky category, has obesity of 42.5% and having a history of hypertension in those without a previous history of hypertension of 35%. Statistical test results show that age its risk with p = 0.029, parity its risk (p = 0,000), obesity (p = 0.000) and a history of hypertension (p = 0.000). conclusion that there was a relationship between age its risk, parity its risk, obesity, and hypertension history with the incidence of hypertensionKeywords: Hypertensive disorders; Pregnancy; An age of risk; A parity of risk; Obesity; History of hypertensionPendahuluan:Hipertensi dalam kehamilan adalah tekanan darah mencapai 140/90  mmHg atau lebih yang terjadi saat kehamilan. Hipertensi pada kehamilan dapat menyebabkan mortalitas pada ibu hamil dan angkanya masih cukup relatif tinggi.Tujuan: Diketahui faktor-faktor yang berhubungan dengan hipertensi pada ibu hamil di wilayah kerja UPT Puskesmas Rawat Inap Katibung Lampung Selatan.Metode : Penelitian kuantitatif dengan pendekatan desain cross sectional study pendekatan prospektif. Teknik pengambilan sampel yang dilakukan adalah Accidental sampling. Sampel dalam penelitian ini adalah seluruh ibu hamil yang datang ke Puskesmas selama penelitian berlangsung yaitu sebanyak 80 ibu hamil pada tanggal 20 Mei – 24 Juli 2019 . Pengumpulan data diperoleh menggunakan lembar observasional dan wawancara. Analisis hubungan menggunakan uji chi-square.Hasil: Menunjukkan bahwa dari 80 ibu hamil yang mengalami hipertensi sebanyak 36 orang (%) sedangkan yang tidak hipertensi sebanyak 44 orang (%).Umur terbanyak pada yang beresiko 46 orang (57,5%) , Paritas pada yang tidak beresiko sebanyak 43 orang (53,75%) , Obesitas yang terbanyak pada yang tidak obesitas 46 orang (57,5%) dan Riwayat hipertensi sebelumnya terbanyak pada yang tidak ada riwayat hipertensi sebelumnya sebanyak 52 orang (65%).Hasil uji statistik bivariate menunjukkan bahwa umur (p=0,029) , paritas (p=0,000) , obesitas (p=0.000) dan  riwayat hipertensi (p=0.000) sehingga disimpulkan umur, paritas, obesitas dan riwayat hipertensi berhubungan dengan kejadian hipertensi pada ibu hamil.

scholarly journals The Correlation of the Average Increase in Blood Magnesium Levels with the Incidence of Preeclampsia After Magnesium Supplementation in Hypomagnesemic Pregnant Women at the Padang City Health Center

2021 ◽  
Vol 5 (2) ◽  
pp. 186-192
Author(s):  
Try Genta Utama ◽  
Dovy Djanas
Keyword(s):  
Pregnant Women ◽  
Preterm Labor ◽  
Magnesium Deficiency ◽  
Hypertensive Disorder ◽  
Average Increase ◽  
Magnesium Supplementation ◽  
Magnesium Homeostasis ◽  
Hypertension In Pregnancy ◽  
The Relationship ◽  
In Pregnancy

Preeclampsia is a hypertensive disorder in pregnancy that occurs in 5-10% of pregnancies and occurs after 20 weeks of gestation and recovers spontaneously after delivery. Several studies have stated that one of the risks of hypertension in pregnancy is related to magnesium homeostasis. Magnesium plays an important role in forming new tissues (maternal and fetal). Pregnant women need a higher intake of magnesium than non-pregnant women of the same age. Magnesium deficiency during pregnancy not only causes problems for the nutrition of pregnant women and fetuses, but also associated with the occurrence of preeclampsia, preterm labor and muscle cramps during pregnancy. This study aims to determine the relationship between the average increase in blood magnesium levels with the incidence of preeclampsia in hypomagnesemic pregnant women.Keywords: preeclampsia, hypertension, blood magnesium levels

scholarly journals A correlation of lactate dehydrogenase enzyme levels in pregnancy induced hypertensive disorders with severity of disease, maternal and perinatal outcome

2017 ◽  
Vol 6 (10) ◽  
pp. 4302 ◽  
Author(s):  
Neha V. Bhave ◽  
Parmanand K. Shah
Keyword(s):  
Lactate Dehydrogenase ◽  
Pregnant Women ◽  
Vascular Function ◽  
Perinatal Outcome ◽  
Gestational Hypertension ◽  
Hypertensive Disorder ◽  
Severity Of Disease ◽  
Hypertensive Disorders ◽  
Dehydrogenase Enzyme ◽  
In Pregnancy

Background: A spectrum of hypertensive disorders in pregnancy contribute to maternal and perinatal morbidity and mortality. For prediction and early diagnosis of preeclampsia various biochemical markers, vascular function test and renal markers have been developed. The objective of the study is to measure the lactate dehydrogenase enzyme (LDH) levels in pregnant women with pregnancy induced hypertensive disorders and correlate the levels with the severity of condition, maternal and the perinatal outcome.Methods: In this prospective observational study, a total of 150 pregnant women were studied. Out of these 150 women, 30 women had normal blood pressure, 30 women had gestational hypertension, 30 women had mild preeclampsia, 30 women had severe preeclampsia and 30 women had eclampsia. The serum LDH levels were measured in third trimester and patients followed up until early postpartum period and babies were followed up till early neonatal period to assess the maternal and neonatal outcomes.Results: Higher lactate dehydrogenase enzyme (LDH) levels were observed in pregnant women with severe form of hypertensive disorder and those who had a poor maternal and perinatal outcome. This is statistically significant (p<0.001).Conclusions: Lactate dehydrogenase enzyme (LDH) level is a useful biochemical marker to assess and predict the severity of disease, maternal and perinatal outcome as higher levels of the enzyme are associated with worsening severity of disease, a poor maternal and perinatal outcome.

scholarly journals HUBUNGAN ANTARA ANTENATAL CARE, HIPERTENSI DALAM KEHAMILAN, DAN RIWAYAT PENYAKIT IBU DENGAN STATUS GIZI IBU HAMIL DI PUSKESMAS GANDUS PALEMBANG TAHUN 2016

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Rizki Amalia Yulisa Maulia Rizki Amalia Yulisa Maulia
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Medical History ◽  
Health Center ◽  
Community Health Center ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypertension In Pregnancy ◽  
In Pregnancy

Status gizi merupakan ukuran keberhasilan dalam pemenuhan nutrisi untuk ibu hamil. Status gizi juga dapat diartikan sebagai status kesehatan yang dihasilkan oleh keseimbangan antara kebutuhan dan masukan nutrient. dampak atau bahaya status gizi ibu hamil yang buruk, baik sebelum kehamilan atau pada saat kehamilan akan mempengaruhi kondisi ibu dan janin. Tujuan penelitian ini adalah untuk mengetahui hubungan antara antenatal care, hipertensi dalam kehamilan, dan  riwayat penyakit ibu dengan status gizi ibu hamil di puskesmas  gandus  palembang tahun 2016. Jenis penelitian ini menggunakan metode survei analitik dengan desain penelitian Cross Sectional. Populasi penelitian ini adalah semua ibu yang memeriksakan kehamilan di Puskesmas gandus  Palembang dari bulan Agustus tahun 2016. sample yang diambil berjumlah 62 orang.Data yang disajikan dalam bentuk tabel distribusi responden dan dilakukan analisis univariat dan bivariat secara komputerisasi. hasil uji statistik menunjukkan bahwa hubungan antenatal care dengan status gizi diperoleh hasil uji Chi – Square diperoleh p value =0,03 (bermakna), hubungan hipertensi dalam kehamilan dengan status gizi diperoleh hasil uji Chi – Square diperoleh p value =0,068 (tidak bermakna), riwayat penyakit ibu dengan status gizi diperoleh hasil uji Chi – Square diperoleh p value =0,153(tidak bermakna). Diharapkan hasil penelitian ini dapat dijadikan masukan baik dalam menyusun rencana strategi serta pelaksanaan dalam memberikan pelayanan langsung pada pasien, sehingga mutu dan kualitas pelayanan lebih ditingkatkan lagi       ABSTRACT Nutritional status assesses the nutrional fulfillment in pregnant women. It can also be defined as the indicator of health which is achieved by balancing between the needs and nutrient intake. Poor nutrional status can give negative impact on pregnancy, not only before but also during the pregnancy and it influences the condition of the mothers and their fetuses. This research aimed to investigate the association between antenatal care, hypertension in pregnancy, mother’s medical history with nutrional status of pregnant woman in the Community  Health Center of gandus, palembang in 2016. This research used analytical survey method with Cross-Sectional study designed. The research’s population was all pregnant women who had antenatal care in the community health center of gandus in Agust 2016. The samples taken were 62 people. The data were presented in the table of distribution of respondents and analyzed using computerized univariate and bivariate techniques. The result of statistics test, using Chi-Square test showed that the association between antenatal care and nutrional status was significant with p-value = 0.03, the association between hypertension in pregnancy and nutrional status was not significant with p-value = 0.068, the association of mothers’ medical history with nutrional status was not significant with p-value = 0.153. it is expected that the result of this research gives positive contribution in designing the strategic plan as well as implementing direct patient services in order to improve service quality.

Abstract P164: Blood Pressure During Pregnancy and Risk of Hypertension Later in Life: A Longitudinal Study of POUCHMoms

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Galit Levi Dunietz ◽  
Kelly L Strutz ◽  
Claudia B Holzman ◽  
Yan Tian ◽  
David Todem ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
Multinomial Logistic Regression ◽  
Elevated Blood Pressure ◽  
Hypertensive Disorder ◽  
Elevated Blood ◽  
Hypertensive Disorders ◽  
Before And After ◽  
In Pregnancy

Objectives: Hypertensive disorders in pregnancy carry a long-term risk of cardiovascular disease (CVD) for women. However, future hypertension status among pregnant women who have moderately elevated blood pressure (MEBP), that does not meet criteria for hypertensive disorders is unknown. We, therefore, investigated the risk of later hypertension among women with MEBP in pregnancy in addition to those diagnosed with gestational hypertensive disorders. Methods: Data are from the Pregnancy Outcomes and Community Health (POUCH) study, which enrolled pregnant women from 52 clinics in 5 Michigan Communities (1998-2004). We included 667 women with abstracted gestational BP measurements who also participated in the POUCHMoms follow-up 7-15 years later. MEBP was defined as systolic BP (SBP) ≥120mmHg or diastolic BP (DBP) ≥80mmHg among pregnant women who did not have a hypertensive disorder. Hypertensive disorders were defined as at least two SBP measurements ≥140 or DBP measurements ≥90 or regular use of anti-hypertensives, with or without proteinuria. Weighted multinomial logistic regression models were run to estimate the odds of prehypertension or hypertension at follow-up, before and after controlling for maternal prenatal confounders (e.g. age, parity, race) and time between pregnancy and follow-up. Results: The majority of participants (59.6%) met the criteria for MEBP which was significantly associated with hypertension at follow-up before and after adjustment for confounders (AOR=2.76; 95% CI 1.40, 5.46). Significant associations were seen for MEBP first identified prior to 20 weeks, and for MEBP observed due to elevated SBP either alone or in conjunction with elevated DBP. As expected, gestational hypertensive disorders also were associated with increased odds of hypertension at follow-up (AOR=16.99; 95% CI 6.11, 47.24). All of the above relationships held when body mass index (BMI) at follow-up was added into the models. Conclusions: Moderately elevated blood pressure in pregnancy may be a risk factor for hypertensive disorders later in life and may identify a group of women who need closer surveillance for CVD risk in the years following pregnancy. Elevated SBP appears to play a more influential role than DBP in the observed association.

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