The Use of Hormonal Contraceptives and Preeclampsia among Ghanaian Pregnant Women

Asare, Listowell; Asare, George Awuku; Owiredu, William K. B. A.; Obikorang, Christian; Appiah, E.T.; Tashie, Worlanyo; Seidu, Leila

doi:10.4236/ojog.2021.114041

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…Epidemiological studies have implicated the use of contraceptives in the pathogenesis of cardiovascular diseases such as preeclampsia. [33][34][35] Our observation agrees with the findings of the study conducted by Asare et al 33 which revealed that the use of contraceptives is associated with about a thirty-fold increase in the odds of developing preeclampsia. With this increasing evidence of contraceptive use in the development of preeclampsia, especially in the Ghanaian setting, larger studies are warranted to confirm these findings and provide evidence-based protocols for prevention of preeclampsia in Ghana and sub-Saharan Africa at large.…”

Section: Discussionsupporting

confidence: 92%

Risk factors for the development of new-onset and persistent postpartum preeclampsia: A case–control study in Ghana

Fondjo

Amoah

Tashie

et al. 2022

Womens Health (Lond Engl)

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Background: Postpartum preeclampsia has been implicated in increasing hospital re-admissions, maternal morbidity, and mortality worldwide. The knowledge of the risk factors of postpartum preeclampsia would be helpful in formulating strategies to aid in the prevention, early diagnosis, and timely treatment of this disorder. Thus, this study aimed to identify the risk factors associated with the development of new-onset postpartum preeclampsia and persistent postpartum preeclampsia in the Ghanaian setting. Methods: This case–control study was conducted at the Obstetrics and Gynecology units of Komfo Anokye Teaching Hospital and the Kumasi Regional Hospital, both located in the Ashanti Region of Ghana. A total of 65 postpartum preeclamptic women (33 new-onset postpartum preeclampsia and 32 persistent postpartum preeclampsia) and 65 normotensive postpartum mothers were recruited from 48 h to 6 weeks post-delivery. Questionnaires were administered to assess the socio-demographic, lifestyle, obstetric characteristics, and past medical history of the study participants. Results: Physical inactivity ( p < 0.0001), infrequent antenatal visits ( p < 0.0001), analgesic use ( p < 0.0001), and cesarean delivery ( p = 0.021) were significantly associated with both the new-onset postpartum preeclampsia and persistent postpartum preeclampsia. Contraceptive use was significantly associated with the development of new-onset postpartum preeclampsia ( p < 0.0001) while women with low-birthweight babies are also at high risk of developing persistent postpartum preeclampsia ( p < 0.0001). Conclusion: Physical inactivity, infrequent antenatal visits, analgesic use, contraceptive use, and cesarean delivery are major predisposing risk factors for the development of postpartum preeclampsia. Screening using these risk factors, close monitoring and follow-up observation of women after delivery would be beneficial in identifying and managing postpartum preeclampsia.

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Section: Discussionsupporting

confidence: 92%

Risk factors for the development of new-onset and persistent postpartum preeclampsia: A case–control study in Ghana

Fondjo

Amoah

Tashie

et al. 2022

Womens Health (Lond Engl)

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“…Hormonal contraceptives are not caused by endometrial dysfunction, but they cause increased homocysteine levels in the blood, abnormal fatty blood glands and excess weight gain. Some of these things contributed to an increase in the incidence of preeclampsia [66].…”

Section: Crosssectionalmentioning

confidence: 99%

Preeclampsia and the Associated Risk Factors Among Pregnant Women in Indonesia: a Literature Review

Ari,

Novembriany,

Norlina

et al. 2024

PoS

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Nationally, the maternal mortality rate in Indonesia has dropped from 305 deaths per 100,000 live births to 189 deaths for 100,000 living births. The top three causes of maternal death are preeclampsia. Preeclampsia in pregnancy is the leading cause of death of 37%. This study was conducted to determine factors associated with preeclampsia among pregnant women in Indonesia. This scoping review method has the following inclusion criteria: scientific journals published most recently from January 2023 to December 2023. The research found 15 studies to fulfil the inclusion criteria determined by the author and topic discussion. Risk factors for preeclampsia among pregnant women were identified: parity, distance between pregnancies, pregnancy age, history of abortion, education, income, knowledge, prior history of illness, contraceptive use, ANC visit, nutritional status, and Body Mass Index (BMI). This research can be used as a reference for health promotion related to preeclampsia risk factors for intervention to prevent preeclampsia in pregnant women who are at risk of developing the disease and putting the lives of the mother and the fetus she is carrying at risk.

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“…Kontrasepsi hormonal tidak hanya menyebabkan disfungsi endotel, tetapi juga menimbulkan peningkatan kadar homosistein dalam darah, kadar lemak yang tidak normal dalam darag dan penambahan berat badan berlebih. Beberapa hal tersebut menyumbang pada peningkatan kejadian preeklampsia (Asare et al, 2021).…”

Section: Hubungan Riwayat Pemakaian Kontrasepsi Hormonal Dengan Kejad...unclassified

Hubungan Karakteristik Ibu dan Riwayat Pemakaian Kontrasepsi Hormonal dengan Kejadian Preeklampsia pada Ibu Hamil

Dewi Eka Maharani,

Ocvita

2023

PSKM

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Pada tahun 2017 hingga 2020 terdapat kasus kematian ibu di wilayah kerja Puskesmas Balen. Kasus kematian ibu di Puskesmas Balen pada tahun 2021 yaitu sebanyak tiga kematian. Preeklampsia merupakan salah satu faktor risiko dari kematian ibu. Kejadian preeklampsia disebabkan oleh karakteristik ibu (usia, paritas, dan riwayat penyakit ibu) dan riwayat pemakaian kontrasepsi hormonal. Tujuan penelitian adalah menganalisis hubungan karakteristik ibu dan riwayat pemakaian kontrasepsi hormonal dengan kejadian preeklampsia pada ibu hamil di wilayah kerja Puskesmas Balen Kabupaten Bojonegoro. Jenis penelitian analitik observasioanl dengan desain penelitian case control. Besar sampel sebanyak 100 ibu hamil (50 kasus dan 50 kontrol) yang diambil secara acak (simple random sampling). Penelitian menggunakan data primer dan data sekunder dengan data yang dikumpulkan meliputi identitas responden, karakteristik ibu, dan riwayat pemakaian kontrasepsi. Analisis data menggunakan uji Chi-Square dengan bantuan software komputer. Hasil penelitian menunjukkan adanya hubungan antara usia ibu (p-value=0,000), riwayat penyakit ibu (p-value=0,000), dan riwayat pemakaian kontrasepsi hormonal (p-value=0,012) dengan kejadian preeklampsia. Tetapi tidak terdapat hubungan antara paritas (p-value=0,656) dengan kejadian preeklampsia. Kesimpulan pada penelitian ini adalah terdapat hubungan antara usia ibu, riwayat penyakit, dan riwayat pemakaian kontrasepsi hormonal dengan kejadian preeklampsia pada ibu hamil di wilayah kerja Puskesmas Balen Bojonegoro. Tetapi tidak terdapat hubungan antara paritas dengan kejadian preeklampsia ibu hamil di wilayah kerja Puskesmas Balen Bojonegoro.

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The Use of Hormonal Contraceptives and Preeclampsia among Ghanaian Pregnant Women

Cited by 3 publications

References 19 publications

Risk factors for the development of new-onset and persistent postpartum preeclampsia: A case–control study in Ghana

Risk factors for the development of new-onset and persistent postpartum preeclampsia: A case–control study in Ghana

Preeclampsia and the Associated Risk Factors Among Pregnant Women in Indonesia: a Literature Review

Hubungan Karakteristik Ibu dan Riwayat Pemakaian Kontrasepsi Hormonal dengan Kejadian Preeklampsia pada Ibu Hamil

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