Pregnancy Induced Hypertension and Associated Factors among Pregnant Women Receiving Antenatal Care Service at Jimma Town Public Health Facilities, South West Ethiopia
Journal of Gynecology and Womens Health
Hypertension in pregnancy is defined as a systolic blood pressure ≥140 or diastolic blood pressure ≥90 mmHg or both. Both systolic and diastolic blood pressure elevations are important in the identification of Hypertension Disorder of Pregnancy (HDP) . Abstract Background: Hypertensive disorders of pregnancy are a major health burden in the obstetric population as it is one of the leading causes of maternal and perinatal morbidity and mortality. World Health Organization estimates that at
... st one woman dies every seven minutes from complications of hypertensive disorders of pregnancy. Objective: To assess prevalence of pregnancy induced hypertension and associated factors among pregnant women receiving antenatal care service at Jimma town public health facilities, Southwest Ethiopia. Methods: Health facility based cross-sectional study was carried out from March 01-30, 2015. The study was used the total sample size of 356 pregnant women who were proportionally allocated to the hospitals and health centers. Then the study participants were systematically selected from each health facility. The data was collected using pre-tested structured questionnaireadaptedfrom validated questionnaire, content validity was checked by experts and reliability of the scaled tools were tested by cronbach's alpha test( 0.70). Prior to analysis data was entered and checked using Epi data and exported in to Statistical Package for Social Sciences (SPSS) version 20.00. Bivariate analysis was carried out between the dependent and independent to identify variables candidate for multivariable logistic regression. Multivariable logistic regression analysis was made to obtain odds ratio and the confidence interval of statistical associations between pregnancy induced hypertension and its associated factors. Result: Prevalence of pregnancy induced hypertension was 10.3% and among mothers had pregnancy induced hypertension, preeclampsia 23(63.9%) was the most common type. This study also showed that rural residence (Adjusted Odds Ratio (AOR)=5.310, 95%CI=1.518-18.574), positive family history of chronic hypertension (AOR=9.90, 95%CI=2.31-42.44), Positive family history of pregnancy induced hypertension (AOR=9.13(2.33-35.78)), kidney diseases (AOR=3.97, 95%CI=1.36-11.56) and psychological stress (AOR=5.79, 95%CI=1.66-20.25) were statistically significant association with pregnancy induced hypertension. Conclusion: According to this study, the prevalence of pregnancy induced hypertension was high. Address, family history of chronic hypertension, family history of pregnancy induced hypertension, kidney diseases, psychological stress during pregnancy were the factors contributing pregnancy induced hypertension.