HYPERTENSIVE DISORDERS OF PREGNANCY AND ASSOCIATED FACTORS AMONG ADMITTED PREGNANT CASES IN DESSIE TOWN REFERRAL HOSPITAL, NORTH EAST ETHIOPIA, 2015
Abstract
Introduction: Hypertensive disorder of pregnancy (HDP) is the most common medical problem encountered during pregnancy, which increased risk of maternal and neonatal mortality and morbidity. Despite of its significant effect, the magnitude and risk factors yet not assessed at local context.
Objective: To assess the occurrence of hypertensive disorders of pregnancy and associated factors among admitted pregnant women in obstetrics and gynecology ward in Dessie referral hospital, North East Ethiopia.
Methods: Institutional based retrospective cross sectional study in 320 admitted pregnant cases at obstetrics and gynecologic ward through one year document review and documents selected with systematic random sampling. Bivariate and multivariate logistic regression were used to identify significant risk factors for the development of hypertension disorder of pregnancy and presented by AOR and P-value.
Result: Out of 320 sample pregnant mothers, 28(8.8%) had confirmed hypertensive disorders of pregnancy (HDP). Of which 13(46.4%) were mild preeclampsia, 8(28.6%) were severe preeclampsia, 3(10.7%) were eclampsia, 4(14.2%) were gestational hypertension. Being urban residence (OR=4.409, 95%CI ;( 1.459-13.324)), nully parity (OR=11.363, 95%CI ;( 3.991-32.349)) and multiple pregnancy (OR=3.369, 95CI ;( 1.178-59.442)) were statically significant risk factors for occurrence hypertension disorder of pregnancy. Regarding past medical conditions, having pre - existing hypertension, renal disease and cardiac disease were positively associated risk factors for the development of HDP.
Conclusion: Significant numbers of pregnant mothers develop hypertensive disorder of pregnancy. To decrease this burden, health personnel’s should work extensively at static and community level in reducing risk factors which lead to hypertension disorder of pregnancy.
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