Risk Factors on Hypertensive Disorders among Jordanian Pregnant Women

Abstract

Eight percent of pregnancies involve hypertensive disorders, which can have serious complications for mothers and children. There has only been minimal research into hypertension in pregnancy in developing countries, including Jordan. Therefore, this study aimed to identify how frequent certain risk factors that apply to hypertensive disorders during pregnancy were among women in the Jordanian capital of Amman. A prospective case-control study was conducted on 184 Jordanian pregnant patients with hypertensive disorders and 172 age-matched control subjects recruited from the maternity ward of a tertiary public hospital in Ammn city; they were followed-up until 85 days after the birth (late puerperium). A standardized questionnaire pilot-tested was completed by participants that included demographic data and known risk factors for hypertension in pregnancy. Statistical analysis SPSS was conducted to compare the frequency of risk factors using Fisher’s exact test, chi-square, Student’s t-tests, as well as multivariate logistic regression was conducted to identify independent risk factors. The results showed that chronic hypertension, prenatal hypertension, family history of preeclampsia, diabetes, high BMI, nulliparity, previous preeclampsia history and low education level were identified as risk factors for hypertensive disorders in pregnancy in this population; Moreover, diabetes, chronic hypertension and family history of preeclampsia were found to be independent risk factors. The results of the study contribute to the currently limited knowledge about the modifiable risk factors for hypertensive disorders during pregnancy among the Jordanian population, and could therefore be extremely useful for clinicians providing prenatal care.

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

“…Unlike several studies which reported diabetic women were at an increased risk of developing HDP [56,61], our review did not find this association. It is possible that we did not obtain similar results because of the small number of studies that were included in this meta-analysis.…”

“…In our study, we found a significantly higher risk of developing HDP occurred in women who had a low educational level. In agreement with this, studies conducted in various countries reported low educational level put women at a higher risk of developing HDP [61,62]. Women in SSA countries are mostly uneducated and may not understand how important early identification of associated factors and early initiation of ANC visits are.…”

Exposure to electronic screen before nocturnal sleep increases the risk of hypertensive disorders of pregnancy: A case–control study

“…First of all, the knowledge of the negative effect of diabetes mellitus on HDP has been widely accepted, which is the most common risk factor in published reports 2,7,15,16 . Similarly, family history of hypertension was also a predictor in the multivariate analysis, which was consistent with most of the previous literature 6,17,18 .…”

Risk factors for hypertensive disorders of pregnancy among mothers in Tigray region, Ethiopia: matched case-control study

“…Gestational diabetes mellitus was also found to be an independent predictor of hypertensive disorders of pregnancy that supported the existing knowledge; because literatures noted that pregnant mother who developed diabetes mellitus would have higher predisposition to develop hypertensive disorders of pregnancy and it has been identified as the most common predictor in previous studies [22, 34, 36–38]. …”