Risk factors for hypertensive disorders of pregnancy among mothers in Tigray region, Ethiopia: matched case-control study

Autor: Wubegzier Mekonnen Ayele, Hailemariam Berhe Kahsay, Fikre Enquselassie Gashe
Rok vydání: 2018
Předmět:
Gestational hypertension
Rural Population
Urban Population
Psychological intervention
Overweight
0302 clinical medicine
Pre-Eclampsia
Pregnancy
Risk Factors
Odds Ratio
030212 general & internal medicine
030219 obstetrics & reproductive medicine
Obstetrics
Obstetrics and Gynecology
Hypertensive disorders of pregnancy
Gestational diabetes
Hypertension
Female
medicine.symptom
Underweight
Pregnancy
Multiple
Research Article
Adult
medicine.medical_specialty
Adolescent
Pregnancy Complications
Cardiovascular
lcsh:Gynecology and obstetrics
03 medical and health sciences
Young Adult
Thinness
medicine
Humans
lcsh:RG1-991
business.industry
Case-control study
Tigray
Odds ratio
Hypertension
Pregnancy-Induced
medicine.disease
Preeclampsia
Diet
Diabetes
Gestational
Logistic Models
Case-Control Studies
Fruit
Chronic Disease
Ethiopia
business
Zdroj: BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth, Vol 18, Iss 1, Pp 1-10 (2018)
ISSN: 1471-2393
Popis: Background Hypertensive disorders of pregnancy are a global public health concern both in developed and developing countries. However, evidences regarding the risk factors of hypertensive disorders of pregnancy are limited particularly in Ethiopia. The aim of the study was to assess risk factors associated with hypertensive disorders of pregnancy among mothers in public hospitals of Tigray. Methods The study was conducted in seven public hospitals of Tigray region, Ethiopia from June 2017 to November 2017. A facility based matched case-control study was employed to select 110 cases and 220 controls who were pregnant women. Cases and controls were matched by parity status. A case was a mother diagnosed to have hypertensive disorders of pregnancy by an obstetrician in the antenatal period while a control was a mother who did not have a diagnosis of hypertensive disorders of pregnancy. Data were collected by face to face interview technique using a pretested questionnaire and a checklist. Conditional logistic regression analysis was used to identify the independent predictor variables. Adjusted matched odds ratio with its corresponding 95% confidence interval was used and significance was claimed at P-value less than 0.05. Overall findings were presented in texts and tables. Results Rural residents were at greater odds of suffering from hypertensive disorders (OR = 3.7, 95% CI; 1.9, 7.1). Similarly, mothers who consume less amount of fruits in their diet had 5 times higher odds of developing hypertensive disorders than those who consume fruits regularly (OR = 5.1, 95% CI; 2.4, 11.15). Overweight (BMI > 25 Kg/m2) mothers were also at risk of developing hypertensive disorders of pregnancy as compared with the normal and underweight mothers (AOR = 5.5 95% CI; 1.12, 27.6). The risk of developing hypertensive disorders of pregnancy was 5.4 times higher among diabetic mothers. Conclusion Rural residence, less fruit consumption, multiple pregnancy, presence of gestational diabetes mellitus and pre-pregnancy overweight were identified as independent risk factors in this study. It is recommended that health care givers may use these factors as a screening tool for the prediction, early diagnoses as well as timely interventions of hypertensive disorders of pregnancy. Electronic supplementary material The online version of this article (10.1186/s12884-018-2106-5) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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