Main Article Content

Abstract

Hypertensive Disorders of Pregnancy (HDP) is one of the leading causes of maternal, neonatal, and infant mortality. Several studies have suggested that the occurrence of HDP may be dependent on environmental factors. Although, several countries have documented the prevalence of HDP with its mode of delivery and birth outcomes, and some parts of Ghana have data on these, little is known about the prevalence of HDP in the Bono Region. This study would therefore be conducted to determine the prevalence, the type of delivery, and birth outcomes of women with HDP in the Bono Regional Hospital. This was a retrospective cohort study. Guided by a data extraction sheet, a review of all pregnancies that were reported to the hospital between 1st January 2016 and 31st December 2019 was done. For each month, the percentage of mothers who presented with any of the HDPs was calculated. Maternal age, parity, birth weight, mode of delivery, birth outcomes, and occurrence of Gestational Hypertension (GH), preeclampsia, and Eclampsia were variables evaluated and analyzed using Statistical Package for Social Sciences (SPSS) for Windows, version 26.0.  It is expected that the study would provide the data required to put in place interventions to improve birth outcomes among people with HDP.

Keywords

Hypertensive Disorders Pregnancy Bono Regional Hospital Ghana Prevalence Risk Factors Maternal Health Preeclampsia Gestational Hypertension Chronic Hypertension Antenatal Care Complications, Management Healthcare Practices

Article Details

How to Cite
Osei Asamoah, D., Teg-Nefaah Tabong, P., Kwaku Donkor, E., Owusu Gyanteh, Y., & Addai-Darko, K. (2023). Hypertensive Disorders (HDP) In Pregnancy at the Bono Regional Hospital in Ghana. International Journal of Multidisciplinary Studies and Innovative Research, 11(3), 1498–1513. https://doi.org/10.53075/Ijmsirq/4534868975467

References

  1. ADU-BONSAFFOH, K., Y Ntumy, M., A Obed, S., & D Seffah, J. (2017). Prevalence of hypertensive disorders in pregnancy at korle-bu teaching hospital in Ghana. Journal of gynecology & neonatal biology. https://doi.org/10.15436/2380-5595.17.1243
  2. Bellamy, L., Casas, J. P., Hingorani, A. D., & Williams, D. J. (2007). Pre-eclampsia and risk of cardiovascular disease and cancer in later life: Systematic review and meta-analysis. British Medical Journal. https://doi.org/10.1136/bmj.39335.385301.BE
  3. Ben-Haroush, A., Yogev, Y., Glickman, H., Kaplan, B., Hod, M., & Bar, J. (2005). Mode of delivery in pregnant women with hypertensive disorders and unfavorable cervix following induction of labor with vaginal application of prostaglandin E2. Acta Obstetricia et Gynecologica Scandinavica. https://doi.org/10.1111/j.0001-6349.2005.00681.x
  4. Berhan, Y. (2016). No Hypertensive Disorder of Pregnancy; No Preeclampsia-eclampsia; No Gestational Hypertension; No Hellp Syndrome. Vascular Disorder of Pregnancy Speaks for All. In Ethiopian journal of health sciences. https://doi.org/10.4314/ejhs.v26i2.12
  5. Berhe, A. K., Kassa, G. M., Fekadu, G. A., & Muche, A. A. (2018). Prevalence of hypertensive disorders of pregnancy in Ethiopia: A systemic review and meta-analysis. BMC Pregnancy and Childbirth. https://doi.org/10.1186/s12884-018-1667-7
  6. Brown, M. A., Hague, W. M., Higgins, J., Lowe, S., McCowan, L., Oats, J., Peek, M. J., Rowan, J. A., & Walters, B. N. J. (2000). The detection, investigation and management of hypertension in pregnancy: Executive summary. In Australian and New Zealand Journal of Obstetrics and Gynaecology. https://doi.org/10.1111/j.1479-828X.2000.tb01136.x
  7. Hayman, R. (2004). Hypertension in pregnancy. Current Obstetrics and Gynaecology. https://doi.org/10.1016/j.curobgyn.2003.10.009
  8. Hutcheon, J. A., Lisonkova, S., & Joseph, K. S. (2011). Epidemiology of pre-eclampsia and the other hypertensive disorders of pregnancy. In Best Practice and Research: Clinical Obstetrics and Gynaecology. https://doi.org/10.1016/j.bpobgyn.2011.01.006
  9. Jayawardana, J. and F. S. (1995). A study of the epidemiology of pregnancy induced hypertension. Proceedings of the Kandy Society of Medicine, 17.
  10. Li, J., Shao, X., Song, S., Liang, Q., Liu, Y., & Qi, X. (2020). Immediate versus delayed induction of labour in hypertensive disorders of pregnancy: a systematic review and meta-analysis. BMC Pregnancy and Childbirth. https://doi.org/10.1186/s12884-020-03407-8
  11. Mittendorf, R., Lain, K. Y., Williams, M. A., & Walker, C. K. (1996). Preeclampsia: A nested, case-control study of risk factors and their interactions. Journal of Reproductive Medicine for the Obstetrician and Gynecologist. https://doi.org/10.1016/0002-9378(95)91122-7
  12. Naderi, S., Tsai, S. A., & Khandelwal, A. (2017). Hypertensive Disorders of Pregnancy. In Current Atherosclerosis Reports. https://doi.org/10.1007/s11883-017-0648-z
  13. Noubiap, J. J., Bigna, J. J., Nyaga, U. F., Jingi, A. M., Kaze, A. D., Nansseu, J. R., & Fokom Domgue, J. (2019). The burden of hypertensive disorders of pregnancy in Africa: A systematic review and meta-analysis. In Journal of Clinical Hypertension. https://doi.org/10.1111/jch.13514
  14. Owiredu, W., Ahenkorah, L., Amidu, N., Turpin, C., & Laing, E. (2010). Seasonal Variation in the Occurrence of Pregnancy-Induced Hypertension - A Ghanaian Study. Journal of the Ghana Science Association. https://doi.org/10.4314/jgsa.v12i1.56811
  15. Owiredu W.K.B.A., Ahenkorah L., Turpin C.A., L. E. F. and A. N. (2009). Putative risk factors of pregnancy-induced hypertension among Ghanaian pregnant women. Journal of Medical and Biomedical Sciences.
  16. Pacher, J., Brix, E., & Lehner, R. (2014). The mode of delivery in patients with preeclampsia at term subject to elective or emergency Cesarean section. Archives of Gynecology and Obstetrics. https://doi.org/10.1007/s00404-013-2936-3
  17. Pyri, S.;Kiani, A.; and Faghihzadeh, S. (2001). A survey on the prevalence and effect of demographic factor in preeclampsia and eclampsia.No Title. Sc Res J of Shahed, 32, 35–42.
  18. Umesawa, M., & Kobashi, G. (2017). Epidemiology of hypertensive disorders in pregnancy: Prevalence, risk factors, predictors and prognosis. In Hypertension Research. https://doi.org/10.1038/hr.2016.126
  19. Xenakis, E. M. J., Piper, J. M., Field, N., Conway, D., & Langer, O. (1997). Preeclampsia: Is induction of labor more successful? Obstetrics and Gynecology. https://doi.org/10.1016/S0029-7844(97)00043-4