Several risk factors including hypertension are common complications of pregnancy with preeclampsia particularly associated with substantial risk to both the mother and fetus. This cross-sectional study involving quantitative approach was conducted in Same District Hospital in Tanzania. Data were collected from all pregnant women in the hospital using questionnaires. Respondents' knowledge on maternal mortality regarding preeclampsia included those who had no knowledge 60(60%), and those who had knowledge 40(40%). Most of the respondents had no knowledge of maternal mortality due to the complications of preeclampsia. The study revealed that 64(64%), had positive attitude towards maternal mortality due to preeclampsia prevention while 36(36%) had no response. About 68(68%) of the respondents could not access the health facilities saying that these health facilities were not affordable citing that the distance was too long. They reported no health facilities and services as well as insecurity while looking for health facilities/services and finally that there were few health workers in the health facilities meaning that patients could not be attended to on time. Furthermore, health workers harassed the patients and make them seek other alternatives when they are sick, while minority 32(32%) said that the health facilities were accessible, affordable and efficient. Medical history during prenatal care showed that 25% of the respondent had increased blood pressure more than 140/90 mmHg, but only 10% had breath issues. Laboratory diagnosis of the respondents revealed increased proteinuria (48%) and impaired liver function (7%). Respondents experienced 39% convulsion and 24% pulmonary edema. Overall, the study identified a few predisposing factors to preeclampsia/eclampsia among pregnant women. Also, most of the respondents were said to have no knowledge of eclampsia thereby increasing maternal mortality.
Globally, 50% -90% of pregnant women are affected by morning sickness of pregnancy, especially during the first trimester. Therefore this study was carried out to establish if there is association between urinary hCG levels and severity of nausea, retching and vomiting among pregnant women attending antenatal care (ANC) services at Ishaka Adventist Hospital (IAH). It was a quantitative cross-sectional study in which a pre-tested and standardized questionnaire with a mixture of both open and closed ended questions was used to collect data from respondents to determine the clinical history, socio-demographic characteristics, and clinical features of morning sickness and/or hyperemesis gravidarum. Urine samples were also collected from each participant and analyzed using the Beckman Coulter Access 2 immunoassay system and Access Total hCG reagent pack at Mbarara University of Science and Technology. The findings showed that 63% of the respondents experienced morning sickness with the majority having a mild form. There was also no significant relationship between hCG levels and severity of morning sickness and no correlation between physiological characteristics (gravidity, age and weight) (correlation coefficient −0.05186, −0.0469 and 0.157 respectively). In addition, there was no correlation between cravings, aversions and morning sickness (correlation coefficient −0.0262 and 0.227 respectively). In conclusion, the study revealed that there was a high prevalence of morning sickness of pregnancy although, it was mild; no association between severity of morning sickness and levels of hCG as well as correlation between cravings and aversions with hCG levels in the study population. Considering the limi- tations of this study, it is recommended that studies should be undertaken for the quantitative determination of total hCG levels in urine for all pregnant women with morning sickness to be able to draw a definitive conclusion.
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