Determinants of pre‐eclampsia among pregnant women attending antenatal care and delivery services at Bahir Dar public hospitals, northwest Ethiopia: A case‐control study

Author:

Tesfa Endalamaw12ORCID,Munshea Abaineh23ORCID,Nibret Endalkachew23ORCID,Gizaw Solomon Tebeje4ORCID

Affiliation:

1. Department of Medical Biochemistry, College of Medicine and Health Sciences Bahir Dar University Bahir Dar Ethiopia

2. Division of Health Biotechnology, Institute of Biotechnology Bahir Dar University Bahir Dar Ethiopia

3. Department of Biology Bahir Dar University Bahir Dar Ethiopia

4. Department of Medical Biochemistry, College of Health Science Addis Ababa University Addis Ababa Ethiopia

Abstract

AbstractBackground and AimsPre‐eclampsia (PE) is a pregnancy‐related syndrome that occurs after 20 weeks of pregnancy. The current study was designed to evaluate the determinants of PE in pregnant women following antenatal and delivery services.MethodsAn institution‐based case‐control study was performed in governmental hospitals of Bahir Dar city. The data were collected using an interview‐administered questionnaire and analyzed by SPSS version 20 software. Bivariate and multivariable logistic regression models were utilized for the analysis of variables. A p < 0.05 was used to declare the level of significance.ResultsIn this study, the mean ages (in years) of cases and controls were 28.20 ± 5.66 and 27.52 ± 4.70, respectively. Factors such as: being primiparous (adjusted odds ratio [AOR]: 3.19 at 95% confidence interval [CI]: 1.71, 5.97), family history of hypertension (HTN) (AOR: 4.14 at 95% CI: 1.71, 10.05), previous history of PE (AOR: 7.97 at 95% CI: 2.42, 26.63), number of antenatal care (ANC) visits (AOR: 5.43 at 95% CI: 2.86, 10.33), not taking iron and folic acid supplement (AOR: 4.46 at 95% CI: 1.59, 12.48), body mass index ≥25 kg/m2 (AOR: 3.47 at 95% CI: 1.78, 6.77), not consuming vegetables (AOR: 1.99 at 95% CI: 1.07, 3.69) and not consuming egg, milk and milk products (AOR: 3.00 at 95% CI: 1.47, 6.11) were the determinants of PE.ConclusionIn this study, different determinants of PE were identified. Hence, special attention should be given for primiparous women, women having previous history of PE and family history of HTN. Moreover, nutritional counseling should be given for pregnant women during ANC visits. Besides, higher officials should design an appropriate strategy to increase the number of mothers to complete their ANC visits and to take iron and folic acid supplements. Furthermore, to verify the determinants of PE, community‐based cohort studies are warranted.

Publisher

Wiley

Subject

General Medicine

Reference63 articles.

1. Maternal plasma lipid concentrations in early pregnancy and risk of preeclampsia*1

2. Hypertensive Disorders of Pregnancy

3. Global causes of maternal death: a WHO systematic analysis

4. WHO: Trends in maternal mortality 2000 to 2017: estimates by WHO UNICEF UNFPA World Bank Group and the United Nations Population Division.World Health Organization2019 Geneva: (CC BY‐NC‐SA 3.0 IGO)1‐104.

5. CSA ICF.Ethiopia demographic and health survey 2016.Addis Ababa Ethiopia and Rockville Maryland USA: CSA and ICF.2016;1‐373.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3