Preeclampsia and associated factors among pregnant women attending antenatal care in Dessie referral hospital, Northeast Ethiopia: a hospital-based study.

Gizachew Assefa Tessema,Tadesse Awoke Ayele,Abebe Tekeste

doi:10.1186/s12884-015-0502-7

Gizachew Assefa Tessema, Tadesse Awoke Ayele + Show 1 more

Open Access

https://doi.org/10.1186/s12884-015-0502-7

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Journal: BMC pregnancy and childbirth	Publication Date: Mar 29, 2015
Citations: 88	License type: CC BY 4.0

Affiliation: University of Gondar

Abstract

BackgroundPreeclampsia is one of the leading causes of maternal mortality in Ethiopia. It has been increasing and linked to multiple factors, making prevention of the disease a continuous challenge. Yet few studies have been conducted in Ethiopia. This study aimed to assess the prevalence and factors associated with preeclampsia among pregnant women attending antenatal care in Dessie referral hospital, Northeast Ethiopia.MethodsA hospital-based cross-sectional study was conducted in Dessie referral hospital between August and September 2013. All pregnant women who had antenatal visit at Dessie referral hospital were included for the study. A total of 490 pregnant women were enrolled in the study. Pretested and structured questionnaire via face-to-face interview technique was used for data collection. The data were entered in to EPI info version 3.5.3 statistical software and exported to SPSS version 20 statistical package for further analysis. Descriptive statistics were used to explore the data in relation to relevant variables. Binary logistic regression analysis was employed. Odds ratio with 95% confidence intervals (CI) was computed to identify factors associated with Preeclampsia.ResultsThe prevalence of preeclampsia among pregnant women in Dessie referral hospital was found to be 8.4%. Women having family history of hypertension [Adjusted Odds Ratio (AOR) = 7.19 (95% CI 3.24–15.2)], chronic hypertension [AOR = 4.3 (95% CI 1.33–13.9)], age ≥35 years [AOR = 4.5 (95% CI 1.56–12.8)], family history of diabetes mellitus [AOR = 2.4 (95% CI 1.09–5.6)] and being unmarried [AOR = 3.03 (95% CI 1.12 – 8.2)] were found to be associated with preeclampsia.ConclusionsThe prevalence of preeclampsia in this hospital was lower that other studies. Having personal or family history of hypertension, older age, and family history of diabetic mellitus were factors associated with preeclampsia. Encouraging pregnant women to have health seeking behavior during pregnancy would provide a chance to diagnose preeclampsia as early as possible.

Highlights

Preeclampsia is one of the leading causes of maternal mortality in Ethiopia
Variables with P- value less than 0.05 were considered as factors associated with preeclampsia
The prevalence of preeclampsia was found to be 41 (8.4%) [95% confidence intervals (CI): 6.2–11.8)]

Summary

Introduction

Preeclampsia is one of the leading causes of maternal mortality in Ethiopia. This study aimed to assess the prevalence and factors associated with preeclampsia among pregnant women attending antenatal care in Dessie referral hospital, Northeast Ethiopia. 289,000 women died globally from pregnancy-related causes in 2013. Sub-Saharan Africa accounts for about 56% of all maternal deaths. A woman’s lifetime risk of dying from pregnancy-related complications in developing countries is 14 times higher than in developed countries [1]. According to 2011 Ethiopia Demographic and Health Survey (EDHS) report, an estimated 676 women per 100,000 live births were dying of pregnancy and related causes [2]. Sixty to eighty percent of all maternal deaths are due to five major complicationsnamely, postpartum hemorrhage, puerperal sepsis, Hypertension disorder of pregnancy, unsafe abortion and obstructed labor [3]

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