Hypertensive disorder of pregnancy prevalence and associated factors among pregnant women attending ante natal care at Gondar town health Institutions, North West Ethiopia 2017

Walle, Tarkie Abebe; Azagew, Abere Woretaw

doi:10.1016/j.preghy.2019.03.007

Cited by 25 publications

(30 citation statements)

References 8 publications

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“…In this sub-categorical analysis, thirteen studies were included for the assessment of age as a risk factor for HDP [ 9 , 13 , 22 – 24 , 30 , 32 , 42 , 44 – 46 , 48 , 50 ]. Seven studies had shown statistical significant association between increased maternal age with HDP [ 9 , 22 , 23 , 30 , 32 , 44 , 49 ]. Whereas, two studies [ 13 , 45 ] had shown lower risk of HDP as maternal age increases whereas four studies [ 24 , 42 , 46 , 48 ] reported non-significant difference between younger and older mothers.…”

Section: Resultsmentioning

confidence: 99%

“…In this sub-categorical analysis, fourteen studies were included for the assessment of previous history of preeclampsia as a risk factor for HDP [ 7 – 9 , 13 , 23 , 28 , 30 , 32 , 42 , 43 , 45 – 48 ]. Thirteen of the included studies had shown a statistical significant association between previous history of preeclampsia and HDP [ 7 – 9 , 13 , 23 , 28 , 32 , 42 , 43 , 45 – 48 ]. However, one study showed a lower risk of HDP among previous history of preeclampsia or HDP [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…In this sub-categorical analysis, fifteen studies were included for the assessment of family history of hypertension (HTN) as a risk factor for HDP [ 7 , 9 , 13 , 23 , 26 , 28 , 30 , 32 , 41 , 42 , 44 – 47 , 49 ]. Thirteen of the included studies had shown statistical significant association of family history of HTN with HDP [ 7 , 9 , 13 , 23 , 26 , 30 , 32 , 41 , 44 – 47 , 49 ]. Whereas, two studies [ 28 , 42 ] showed lower risk and non-significant association with the women having family history of HTN and HDP.…”

Section: Resultsmentioning

confidence: 99%

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Prevalence and determinants of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis

et al. 2020

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Introduction Hypertensive disorder of pregnancy is the second commonest causes of maternal death globally. Different public health studies were conducted on hypertensive disorder of pregnancy which presented inconsistent result. Therefore, this systematic review and meta-analysis was commenced to summarize the findings conducted in several parts of the country and to generate the nationwide representative data on the prevalence and risk factors of hypertensive disorder of pregnancy in Ethiopia. Methods and materials Electronic databases such as PubMed, Scopus, Google Scholar, Hinari, and African Journals Online were searched for studies published in English up to March, 2020. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument and Newcastle-Ottawa Scale were used for data extraction and quality assessment of the included studies. The meta- regression analysis was computed at 95% CI to present the pooled prevalence and risk factors of hypertensive disorder of pregnancy. Results Thirty four studies were included in this systematic review and meta-analysis. The pooled prevalence of hypertensive disorder of pregnancy and preeclampsia in Ethiopia were 6.82% (95% CI (5.90, 7.74)) and 4.74% (95% CI (3.99, 5.49)) respectively. Maternal age ≥35 years (Adjusted Odds Ratio (AOR): 2.91 (95% CI: 1.60, 5.26)), twin pregnancy (AOR: 3.04 (95% CI: 1.89, 4.87)), previous history of preeclampsia (AOR: 5.36 (95% CI: 3.37, 8.53)), family history of hypertension (AOR: 4.01 (95% CI: 2.65, 6.07)), family history of diabetes mellitus (AOR: 3.07 (95% CI: 1.66, 7.70)), body mass index ≥25 (AOR: 3.92 (95% CI: 1.82, 8.42)), alcohol consumption (AOR: 1.77 (95% CI: 1.11, 2.83)), urinary tract infection (AOR: 4.57 (95% CI: 3.47, 6.02)), lack of nutritional counseling during antenatal period (AOR: 4.87 (95% CI: 3.36, 7.06)), lack of fruits (AOR: 3.49 (95% CI: 2.29, 5.30)), and vegetables consumption (AOR: 2.94 (95% CI: 2.01, 4.31)) were the risk factors of hypertensive disorder of pregnancy in Ethiopia. Conclusions The pooled prevalence of hypertensive disorder of pregnancy is relatively higher compared with the previous reports. Maternal age ≥35 years, twin pregnancy, previous history of preeclampsia, family history of hypertension, family history of diabetes mellitus, body mass index ≥25, alcohol consumption, urinary tract infection, lack of fruits and vegetables during pregnancy were risk factors of hypertensive disorder of pregnancy. The governments and stakeholders should work to strengthen the antenatal care practice to include the possible risk factors of hypertensive disorders of pregnancy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence and determinants of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis

et al. 2020

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“…Finally, we included 27 articles in this systematic review and out of 27 studies, 13 studies were included in the meta-analysis study (see Fig 1). The majority of the articles, 15 articles included in this review were cross-sectional [16,17,[22][23][24][25][26][27][28][29][30][31][32][33][34][35], nine were case-control [15,[36][37][38][39][40][41][42][43], and the remaining three were of a longitudinal study design [34,44,45]. Studies from ten countries were included in this review.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

Factors associated with hypertensive disorders of pregnancy in sub-Saharan Africa: A systematic and meta-analysis

et al. 2020

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Background Hypertensive disorders of pregnancy (HDP) are common complications of pregnancy globally, including sub-Saharan African (SSA) countries. Although it has a high burden of maternal and neonatal mortality and morbidity, evidence on the risk of the problem is limited. Therefore, the aim of this review was to systematically examine factors associated with HDP among women in SSA countries. Methods Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was followed. Articles conducted in SSA and published in English from January 2000 to May 2020 from electronic databases including MEDLINE, EMBASE, PubMed, and CINAHL were included. Articles, which focused on HDP and found to be relevant through the reference check, were included. Additional articles found through a hand search of reference lists were also included. The quality of papers was appraised using the Critical Appraisal Skills Programme (CASP) scale. Two reviewers independently screened, extracted, and assessed the quality of the articles. STATA 16 software was used to compute the pooled estimated odds ratios for each of the identified associated factor. Both random and fixed effect models were used for analysis. Heterogeneity of the studies and small study bias were checked by I 2 and asymmetric test, respectively. Results Twenty-seven studies met the inclusion criteria and included in the systematic review and meta-analysis. Significant associations with HDP were identified through meta-analysis for the following variables: being primiparous (

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“…Up to 8% of pregnant women suffer from Hypertensive disorders of pregnancy (HDP) [1]. In Africa, the rate of HDP is 4% in the general population [1] and can rise up to 16% in hospital based studies [2]. HDP is the second leading cause of maternal death [3].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Extreme Maternal Ages on Hypertensive Disorders of Pregnancy: A Retrospective Cohort Study in Dakar, Senegal

Ndiaye¹,

Gueye²,

Diallo³

et al. 2020

OJOG

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Background: Hypertensive disorders of pregnancy are a frequent situation and involve about 8%-10% of pregnancies. Extremes maternal ages have been associated to hypertensive disorders of pregnancy. In Africa, even if motherhood in teens is common, pregnancy at advanced age is getting more and more frequent. Objectives: To investigate the relation between maternal age and hypertensive disorders of pregnancy. Methods: A retrospective cohort study over 8 years was conducted in a suburb setting in Dakar, Senegal. The participants were divided into two groups based on the occurrence of hypertensive disorders of pregnancy (HDP). Data were extracted from E-Perinatal, our electronic medical recording system and analyzed using SPSS 20.0 and R Studio software version 1.1.383.51. Maternal and perinatal outcomes were assessed over 3 age groups: <19 years, >34 years and 19-34 years old. Results: The study included 2226 cases of HDP out of 36,499 deliveries leading to an incidence of 6.1%. The proportions of nulliparous, multiple pregnancies and maternal diabetes were higher in women with HDP. The risk of high blood pressure among mothers aged 35 years and over was 1.6 times as high as the risk among those aged 19-34 years at a significant level before and after adjusting for third factors i.e. parity, multiple pregnancy and diabetes. However, adolescents were found to have the same risk compared to their counterparts aged 19-34 years. Risk of eclampsia was 4 times greater among adolescent girls. Conclusion: Advanced maternal age greater than or equal to 35 years is a risk factor for high blood pressure. There is no extra risk in adolescent girls with regard to high blood pressure; however, risk of eclampsia was higher in this group.

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Hypertensive disorder of pregnancy prevalence and associated factors among pregnant women attending ante natal care at Gondar town health Institutions, North West Ethiopia 2017

Cited by 25 publications

References 8 publications

Prevalence and determinants of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis

Prevalence and determinants of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis

Factors associated with hypertensive disorders of pregnancy in sub-Saharan Africa: A systematic and meta-analysis

The Impact of Extreme Maternal Ages on Hypertensive Disorders of Pregnancy: A Retrospective Cohort Study in Dakar, Senegal

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