Geographical Distribution of Hypertensive Disorders in Pregnancy and their Adverse Maternal and Perinatal Outcomes in Thailand

Abstract

Hypertensive disorders in pregnancy are a public health concern which has important adverse impacts on maternal and perinatal health especially in developing countries Among the hypertensive disorders in pregnancy severe preeclampsia and eclampsia are contributed to the major causes of maternal and perinatal mortality and morbidity Hypertensive disorders in pregnancy are found to be varied among different ethnicity and socio economic status This study aimed to assess the geographical distribution of hypertensive disorders in pregnancy across provinces of Thailand and the adverse maternal and perinatal outcomes A secondary analysis of the hospital based data retrieved from the database of the Thailand National Health Security Office NHSO using the th revision of the International Statistical Classification of Diseases and Related Health Problems ICD for pregnancy childbirth and postpartum conditions All admitted pregnant women aged years with ICD for hypertensive disorders in pregnancy were analyzed A total of women delivered the incidence of hypertensive disorders in pregnancy in Thailand was per deliveries The incidence of severe preeclampsia eclampsia in women aged sup years was double or triple compared to in those aged lt or years and more common in central southern and eastern areas than in northern and northeastern areas Among women with severe preeclampsia eclampsia of them underwent cesarean section had preterm delivery and presented postpartum hemorrhage The findings of this study will guide the health personnel and policy makers to make the well planned strategies for health system and services in accordance with the incidence of hypertensive disorders in pregnancy by geographical variation and their adverse maternal and perinatal health