Abstract
The study aimed at investigating the occurrence of preeclampsia and its preventive strategies among pregnant women attending Adeoyo Maternity Hospital. Yemetu, Ibadan, Nigeria. A descriptive cross-sectional design was adopted using a systematic random sampling technique to select 400 consenting respondents from the antenatal clinic records of the hospital. Semi-structured questionnaires were used to elicit information on respondents’ socio-demographic characteristics, Preventive Strategies against Pre-eclampsia (PSP) such as place of care, resting techniques and social habits using 30-point PSP scale. Preventive strategies score ≤ 15, >15 were categorised as poor, and good respectively. Blood pressure measurements taken with readings greater than 140/90 mmHg were considered to be elevated. Four Focus Group Discussion (FGD) sessions were conducted using an FGD guide. Quantitative data were analysed using descriptive statistics, Chi-square test at p=0.05, while qualitative data were analysed using thematic approach. Incidence of elevated blood pressure was 4.5%. Twenty-one percent mentioned that they had experienced swelling of the feet, ankle, hand and face, while 8.5% had tested positive to protein in the urine during pregnancy. Few (0.8%) had experienced pre-eclampsia in their earlier pregnancy and had their deliveries through caesarean section. Many of the respondents had good preventive strategies (95.3%) while 4.7% had poor preventive strategies respectively. The hospital (92.4%) topped the list of places where respondents sought care whenever they experienced symptoms suggestive of pre-eclampsia, while 6.5% reported they rested at home. Routine clinical examination is recommended for early detection to curb the prevalence of preeclampsia among pregnant women while uptake of preventive strategies is hereby advocated.
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