Determinants of Preeclampsia in a Tertiary Hospital in South East Nigeria

Njelita, Ifeoma Anne; Nwachukwu, Chinyerem Cynthia; Eyisi, Gabriel Ifeanyi; Akabuike, Josephat C; Ezenyeaku, Chijioke Amara; Ifeadike, Chigozie Ozoemena

doi:10.18535/ijmsci/v8i06.08

Cited by 3 publications

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“…[ 8 ] This study showed an increased number of primigravida with eclampsia but the proportion of primigravida was higher among both the eclamptics as well as pre eclamptics. This is similar to other studies where the odds of developing pre-eclampsia/eclampsia in a primigravida was 2.68 times higher than in multigravida[ 9 ] Various studies done in Ethiopia,[ 10 ] Nigeria[ 11 ] and Nepal[ 12 ] show similar increased risk among primigravida.…”

Section: Discussionsupporting

confidence: 89%

Description and outcomes of patients with eclampsia and severe pre-eclampsia in a rural hospital in North-Eastern Bihar: A retrospective study

Dasari¹,

Jacob²,

Jeyapaul

et al. 2022

Journal of Family Medicine and Primary Care

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Background: Hypertension is one of the most common medical disorders complicating pregnancy. In India, high blood pressure contributes to 7.1% of maternal deaths. This study was carried out to describe the characteristics and pregnancy outcomes of patients presenting with eclampsia or pre-eclampsia to a secondary care hospital in rural India. Methods: Patients diagnosed with pre-eclampsia or eclampsia between January 2018 and April 2021 were identified and included in the study. Medical records were searched and general patient characteristics, obstetrical history, information about the antenatal period, mode of delivery and outcomes were documented and analysed. Results: Among the 3651 women who delivered in this hospital during this time period, 2.3% ( n = 83) presented with eclampsia and 1.9% ( n = 71) with pre-eclampsia. More than 50% of the women delivered by lower segment caesarean section among both the eclamptics and pre-eclamptics. The stillbirth rate among those with either pre-eclampsia or eclampsia was 1 per 1000. The number of low birth weight babies born to those presenting with eclampsia (66.7%) was significantly more than those presenting with pre-eclampsia (48.6%). Eclampsia/pre-eclampsia accounted for 21% of all maternal deaths with a case fatality rate of 2.6%. Conclusions: This study identified that in this setting the patients presenting with eclampsia were much higher than those presenting with pre-eclampsia which is in stark contrast to the status even in developing countries. This could be an important finding indicating poorer health-seeking behaviour among the population and will need more studies on various interventions to change this status.

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Section: Discussionsupporting

confidence: 89%

Description and outcomes of patients with eclampsia and severe pre-eclampsia in a rural hospital in North-Eastern Bihar: A retrospective study

Dasari¹,

Jacob²,

Jeyapaul

et al. 2022

Journal of Family Medicine and Primary Care

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“…Table 3 provides the basic characteristics of the included studies. Our analysis included 13 published studies [7][8][9][10][11][12][13][14][15][16][17][18][19] . Six studies were case-control and 7 studies were cohort.…”

Section: Study Characteristicsmentioning

confidence: 99%

The determinants of pre-eclampsia/eclampsia

Yanti

Wijayanti

2022

ijhs

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The aim of this study is to assess determinants of pre-eclampsia/eclampsia among pregnant women. This article was a systematic review and meta-analysis study conducted by searching of primary articles from online databases including EMBASE, PubMed, and Google Scholar. The inclusion criteria for this study were full articles using a case-control and cohort study, with the publication year until 2022. The analysis of data in this study using Review Manager (RevMan) 5.3 software. A random-effect model was used when heterogeneity was observed to pool the studies, and the results were reported via adjusted odds ratio and corresponding 95% confidence interval (CI). Results: A total of 13 articles reviewed in the meta-analysis (consisted 6, 4, and 7 articles in each variables) showed that pregnant women with chronic hypertension and nulliparous had higher risk of experiencing pre-eclampsia/ eclampsia (AOR= 3.13; 95% CI= (0.27- 36.51; p= 0.36); (AOR= 2.15; 95% CI= 1.47-3.13; p< 0.00001). Meanwhile smoke during pregnancy could decrease the risk of pre-eclampsia/ eclampsia (AOR= 0.81; 95% CI= 0.51 to 1.29; p= 0.37). Conclusion: chronic hypertension and nulliparity is risk factors of pre-eclampsia/ eclampsia.

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Determinants of Preeclampsia Among Pregnant Women in Public Hospitals of Wolaita and Dawuro Zones, Southern Ethiopia: A Case–Control Study

Asres

Binu

Samuel

et al. 2022

Women's Health Reports

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Introduction: Preeclampsia is a leading cause of maternal and fetal morbidity and mortality in Ethiopia. It is defined by the onset of new hypertension (HTN) and proteinuria in the second trimester of pregnancy. There is a research gap in the study area and there is an inconsistency of findings in previous studies. Therefore, this study aimed to determine the factors of preeclampsia among pregnant women in public hospitals. Methods and Materials: An institution-based unmatched case–control study was conducted in public hospitals in Wolaita and Dawuro Zones from February 1 to June 26, 2021. Women who were diagnosed with preeclampsia were cases, while those who did not have it were controls. They were selected using a consecutive sampling method. Descriptive statistics and logistic regression were done by STATA. Results: A total of 349 cases and 698 controls participated in this study. The average age of the cases and controls was 26.1 ± 4.6 standard deviation (SD) and 24.6 ± 4.8 SD years, respectively. The determinants of preeclampsia in this study were a family history of HTN (adjusted odds ratio [AOR = 11.5; 95% confidence interval, CI: 6.46–20.41], family history of diabetes mellitus [AOR = 2.1; 95% CI: 1.10–3.90], having two or multiple pregnancies [AOR = 6.33; 95% CI: 2.28–17.51], primigravida [AOR = 1.49; 95% CI: 1.01–2.21], and being gravida 5–9 [AOR = 2.47; 95% CI: 1.34–4.58]). Conclusion: In this study, family history of HTN, family history of diabetes mellitus, history of preeclampsia, primigravida, and multiple gestation pregnancies were the determinants of preeclampsia. As a result, health care providers should pay special attention to pregnant women with a family history of HTN, primigravida, and two or multiple gestation pregnancies during antenatal care follow-up.

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Determinants of Preeclampsia in a Tertiary Hospital in South East Nigeria

Cited by 3 publications

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Description and outcomes of patients with eclampsia and severe pre-eclampsia in a rural hospital in North-Eastern Bihar: A retrospective study

Description and outcomes of patients with eclampsia and severe pre-eclampsia in a rural hospital in North-Eastern Bihar: A retrospective study

The determinants of pre-eclampsia/eclampsia

Determinants of Preeclampsia Among Pregnant Women in Public Hospitals of Wolaita and Dawuro Zones, Southern Ethiopia: A Case–Control Study

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