A multicentre matched case control study of risk factors for Preeclampsia in healthy women in Pakistan

Shamsi, Uzma; Hatcher, Juanita; Shamsi, Azra; Zuberi, Nadeem F.; Qadri, Zeeshan; Saleem, Sarah

doi:10.1186/1472-6874-10-14

Cited by 83 publications

(67 citation statements)

References 28 publications

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“…However, it was different from the results observed by other study [49] that observed the relationship between advanced maternal age and occurrence of preeclampsia. Such difference could be due to the variation of study designs and study settings.…”

Section: Discussioncontrasting

confidence: 56%

Effect of Maternal Nutrition and Dietary Habits on Preeclampsia: A Case-Control Study

Endeshaw¹,

Ambaw²,

Aragaw³

et al. 2014

IJCM

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Introduction: Preeclampsia is one of the most commonly encountered hypertensive disorders of pregnancy that accounts for 20% -80% of maternal mortality in developing countries, including Ethiopia. For many years diet has been suggested to play a role in preeclampsia. However, the hypotheses have been diverse and often revealed inconsistent results across studies. Moreover, rarely were these hypotheses studied in Ethiopia. Therefore, this study aimed to explore whether the incidence of preeclampsia was related to nutrient or micronutrient deficiencies. Objectives: To describe the effect of nutrition and dietary habits on the incidence of preeclampsia. Methods: A facility based unmatched case-control study was conducted among 453 (151 cases and 302 controls) pregnant women attending antepartum or intrapartum care in public health facilities of Bahir Dar City Administration. Case-control incidence density sampling followed by interviewer administered face to face interview, measurement of mid-arm circumference (MUAC) and document review were conducted using a standardized and pretested questionnaire. Data entry and cleaning was done by Epi Info Version 3.5.3. The data were transported to SPSS Version 20 for analysis. Both bivariate and multivariate logistic regression analyses were applied. Backward stepwise unconditional logistic regression analysis was employed to determine the putative association of predictive variables with the outcome variable and to control for the effect of confounding variables. A P-value ≤ 0.05 was considered statistically significant at 95% confidence level throughout the study. Result: Those women having a MUAC value ≥ 25.6 cm were two times more likely than their counterparts to have preeclampsia (AOR = 2.49, 95% CI = 1.58, 3.94). Strikingly, higher odds of preeclampsia were found in women who reported to have taken coffee during pregnancy (AOR = 2.16, 95% CI = 1.32, 3.53). Similarly, those women who had anemia during the first trimester pregnancy were three times more likely than their counterparts to have incidence of M. Endeshaw et al. 1406 preeclampsia (AOR = 2.80, 95% CI = 1.09, 7.21). The result in this study also revealed that taking fruit or vegetables during pregnancy was found to be protective of preeclampsia (AOR = 0.37, 95% CI = 0.19, 0.73, AOR = 0.45, 95% CI = 0.22, 0.91) respectively. In addition, folate intake during pregnancy has shown a significant independent effect on the prevention of preeclampsia in this study (AOR = 0.19, 95% CI = 0.10, 0.37). Conclusion and Recommendation: Vegetable and fruit consumption and folate intake during pregnancy are independent protective factors of preeclampsia. On the other hand, higher mid upper arm circumference, anemia and coffee intake during pregnancy are risk factors for the development of preeclampsia.

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Section: Discussioncontrasting

confidence: 56%

Effect of Maternal Nutrition and Dietary Habits on Preeclampsia: A Case-Control Study

Endeshaw¹,

Ambaw²,

Aragaw³

et al. 2014

IJCM

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“…Mexican Spanish [5], Japanese [6], Chinese [7], Thai [8], Turkish [9], Arabic [10], Urdu (Pakistan language) [11], Lithuanian [12], Danish, Brazilian, Korean, Russian, Polish, Bulgarian, Hungarian, Italian, Hebrew [13]. Those international studies suggest that the psychometric properties of the scale are satisfactory.…”

Section: Resultsmentioning

confidence: 99%

Psychometric properties of the French versions of the Perceived Stress Scale

Lesage¹,

Berjot²,

Deschamps³

2012

International Journal of Occupational Medicine and Environmental Health

260

174

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Objectives: This study was conducted to examine the psychometric properties of the French versions of the Perceived Stress Scale (PSS) and to compare the appropriateness of the three versions of this scale (14 items, 10 items, or 4 items) in a sample of workers. Materials and Methods: Five hundred and one workers were randomly selected in several occupational health care centers of the North of France during 2010. Participants completed a questionnaire including demographic variables and the PSS. The psychometric properties of this scale were analyzed: internal consistency, factorial structure, and discriminative sensibility. Results: For the PSS-14 and PSS-10, the Exploratory Factor Analysis (EFA) provided a two-factor structure, corresponding to the positively and negatively worded items. Those two factors were significantly correlated (r = 0.43 and 0.50, respectively). For the PSS-4, the EFA yielded a one-factor structure. The reliability was high for all three versions of the PSS (Cronbach's α values ranged from 0.73 to 0.84). The results concerning the effects of age, gender, marital, parental and occupational statuses showed that the 10-item version had the best discriminative sensibility. Conclusions:The findings confirmed satisfactory psychometric properties of all the three French versions of the PSS. We recommend the use of the PSS-10 in research settings because of its good psychometric properties.

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“…Diabetes in pregnancy is associated with elevated rates of miscarriage [83], pre-eclampsia [84,85], preterm labor, cesarean sections [86,87] and fetal malformation [86,[88][89][90]. Optimal glycemic control during pregnancy may reduce these diabetes-related risks, but a more effective time to intervene could be before pregnancy.…”

Section: Diabetesmentioning

confidence: 99%

The interconnections between maternal and newborn health – evidence and implications for policy

Lassi

Majeed

Rashid

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

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The past decade has witnessed increasing global attention and political support for maternal, newborn and child health. Despite this increased attention, actual progress has been slow and sporadic: coverage of key maternal and newborn health interventions remains low and there are wide disparities in access to care, within and across countries. Strategies for improving maternal and newborn health are closely linked, and can be delivered most effectively through a continuum of care approach. While these interventions are largely known, there is little information on which interventions have a positive health impact for both women and newborns. This supplement identifies the interventions during the preconception, pregnancy, intrapartum and postnatal periods found to have a positive, synergistic effect on maternal and neonatal outcomes. These interventions are then grouped into packages of care for delivery at the community, health center or hospital levels.

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A multicentre matched case control study of risk factors for Preeclampsia in healthy women in Pakistan

Cited by 83 publications

References 28 publications

Effect of Maternal Nutrition and Dietary Habits on Preeclampsia: A Case-Control Study

Effect of Maternal Nutrition and Dietary Habits on Preeclampsia: A Case-Control Study

Psychometric properties of the French versions of the Perceived Stress Scale

The interconnections between maternal and newborn health – evidence and implications for policy

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