Main Article Content
Abstract
Pregnancy-induced hypertension is the most prevalent medical problem associated with pregnancy, affecting 6-10% of all pregnancies worldwide. It is the second leading cause of maternal death worldwide. A systolic blood pressure of 140 or a diastolic blood pressure of 90mmHg or both is considered hypertension in pregnancy. In order to diagnose hypertension disorder of pregnancy, both systolic and diastolic blood pressure rises are necessary. Pregnancy-induced hypertension develops after 20 weeks of pregnancy in women who had previously had normal blood pressure. The study’s objective was to determine the prevalence of pregnancy-induced hypertension by assessing the risk factors associated with Pregnancy-induced Hypertension; knowledge level of pregnancy-induced hypertension and further examined how women with Pregnancy Induced Hypertension are managed at the facility. A descriptive cross-sectional study was conducted among health workers and pregnant mothers attending antenatal clinics at Wenchi Methodist Hospital. 240 pregnant women were chosen using a simple random sampling method. 12 health workers were chosen using a purposive sampling technique. For the analysis, STATA version 14.0 was employed. The results indicate that out of 240 women recruited, the prevalence of pregnancy-induced hypertension was 8.8%. Less than half (37.5%) of pregnant women had good knowledge of pregnancy-induced hypertension and its complications. 25% of health workers stated checking urine protein and 3.33% stated fasting blood sugar was the test done to check whether pregnant mothers had pregnancy-induced hypertension. Despite the low prevalence of pregnancy-induced hypertension, most of these women lacked knowledge of the condition and its complications. According to the study, women who have never had the disorder are at lesser risk of getting it. Pregnant older women were more likely to experience the disease; those who do not eat fatty foods have a lesser risk of developing pregnancy-induced hypertension.
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References
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- Ananth, C. v., & Basso, O. (2010). Impact of pregnancy-induced hypertension on stillbirth and neonatal mortality. Epidemiology, 21(1), 118–123. https://doi.org/10.1097/EDE.0B013E3181C297AF
- Asamoah, B. O., Moussa, K. M., Stafström, M., & Musinguzi, G. (2011). Distribution of causes of maternal mortality among different socio-demographic groups in Ghana; A descriptive study. BMC Public Health, 11(1), 1–10. https://doi.org/10.1186/1471-2458-11-159/TABLES/5
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- Belayhun, Y., Kassa, Y., Mekonnen, N., Binu, W., Tenga, M., & Duko, B. (2021). Determinants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control Study. International Journal of Hypertension, 2021. https://doi.org/10.1155/2021/6947499
- Berhan, Y., & Endeshaw, G. (2015). Maternal mortality predictors in women with hypertensive disorders of pregnancy: a retrospective cohort study. Ethiopian Journal of Health Sciences, 25(1), 89–98. https://doi.org/10.4314/EJHS.V25I1.12
- 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, 18(1), 1–11. https://doi.org/10.1186/S12884-018-1667-7/FIGURES/5
- Boene, H., Vidler, M., Augusto, O., Sidat, M., Macete, E., Menéndez, C., Sawchuck, D., Qureshi, R., von Dadelszen, P., Munguambe, K., & Sevene, E. (2016). Community health worker knowledge and management of pre-eclampsia in southern Mozambique. Reproductive Health, 13(2), 105. https://doi.org/10.1186/S12978-016-0220-2/TABLES/5
- Ejike, D. E., Ambrose, B., Moses, D. A., Karimah, M. R., Iliya, E., Sheu, O. S., & Nganda, P. (2018). Determination, knowledge and prevalence of pregnancy-induced hypertension/eclampsia among women of childbearing age at Same District Hospital in Tanzania. International Journal of Medicine and Medical Sciences, 10(2), 19–26. https://doi.org/10.5897/IJMMS2017.1343
- Fadare, R. I., Akpor, O. A., & Oziegbe, O. B. (2016). Knowledge and Attitude of Pregnant Women towards Management of Pregnancy-induced Hypertension in Southwest Nigeria. Journal of Advances in Medical and Pharmaceutical Sciences, 11(2), 1–10. https://doi.org/10.9734/JAMPS/2016/29764
- Fokom-Domgue, J., & Noubiap, J. J. N. (2015). Diagnosis of hypertensive disorders of pregnancy in sub-Saharan Africa: a poorly assessed but increasingly important issue. Journal of Clinical Hypertension (Greenwich, Conn.), 17(1), 70–73. https://doi.org/10.1111/JCH.12429
- Gillson, N., Jones, C., Reem, R. E., Rogers, D. L., Zumberge, N., & Aylward, S. C. (2017). Incidence and Demographics of Pediatric Intracranial Hypertension. Pediatric Neurology, 73, 42–47. https://doi.org/10.1016/J.PEDIATRNEUROL.2017.04.021
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- Gudeta, T. A., Lema, T. B., & Kitila, S. B. (2018). Pregnancy Induced Hypertension and Associated Factors among Pregnant Women Receiving Antenatal Care Service at Jimma Town Public Health Facilities, South West Ethiopia. Journal of Gynecology and Women’s Health, 10(4), 1–9. https://doi.org/10.19080/JGWH.2018.10.555792
- Gudeta, T. A., & Regassa, T. M. (2019). Pregnancy Induced Hypertension and Associated Factors among Women Attending Delivery Service at Mizan-Tepi University Teaching Hospital, Tepi General Hospital and Gebretsadik Shawo Hospital, Southwest, Ethiopia. Ethiopian Journal of Health Sciences, 29(1), 831. https://doi.org/10.4314/EJHS.V29I1.4
- Hema, Dr. V., Yamuna, Dr. S., Ujwala, Dr. K., Anusha, Dr. K., & Mood, Dr. M. (2020). Study of prevalence of pregnancy induced hypertension in pregnancy. International Journal of Clinical Obstetrics and Gynaecology, 4(5), 148–151. https://doi.org/10.33545/GYNAE.2020.V4.I5C.695
- Maputle, S., Khoza, L., & Lebese, R. (2015). Knowledge towards Pregnancy-induced Hypertension among Pregnant Women in Vhembe District, Limpopo Province. Journal of Human Ecology, 51(1–2), 47–54. https://doi.org/10.1080/09709274.2015.11906893
- Meazaw, M. W., Chojenta, C., Muluneh, M. D., & Loxton, D. (2020). Factors associated with hypertensive disorders of pregnancy in sub-Saharan Africa: A systematic and meta-analysis. PLoS ONE, 15(8 August). https://doi.org/10.1371/JOURNAL.PONE.0237476
- Mekonen, L., Shiferaw, Z., Wubshet, E., & Haile, S. (2018). Pregnancy Induced Hypertension and Associated Factors among Pregnant Women in Karamara Hospital, Jijiga, Eastern Ethiopia, 2015. Journal of Pregnancy and Child Health, 04(02). https://doi.org/10.4172/2376-127X.1000379
- Mustafa, R., Ahmed, S., Gupta, A., & Venuto, R. C. (2012). A comprehensive review of hypertension in pregnancy. Journal of Pregnancy, 2012. https://doi.org/10.1155/2012/105918
- Muti, M., Tshimanga, M., Notion, G. T., Bangure, D., & Chonzi, P. (2015). Prevalence of pregnancy induced hypertension and pregnancy outcomes among women seeking maternity services in Harare, Zimbabwe. BMC Cardiovascular Disorders, 15(1). https://doi.org/10.1186/S12872-015-0110-5
- Ngwenya, S. (2017). Severe preeclampsia and eclampsia: incidence, complications, and perinatal outcomes at a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe. International Journal of Women’s Health, 9, 353–357. https://doi.org/10.2147/IJWH.S131934
- Nimmi, R. (2016). Effectiveness of structured teaching programme on pregnancy induced hypertension among antenatal mothers attending urban health centre. Https://doi.org/10.5281/zenodo.220996
- Njukang, N. E., Yoah, T. A., Sama, M., Obinchemti EGBE, T., & Kamgno, J. (2020). Prevalence and Risk Factors of Hypertensive Disorders in Pregnancy: Case of Mezam Division, NWR Cameroon. Journal of Women’s Health and Development, 03(03). https://doi.org/10.26502/FJWHD.2644-28840035
- Noubiap, J. J., Bigna, J. J., Nansseu, J. R., Nyaga, U. F., Balti, E. V., Echouffo-Tcheugui, J. B., & Kengne, A. P. (2018). Prevalence of dyslipidaemia among adults in Africa: a systematic review and meta-analysis. The Lancet. Global Health, 6(9), e998–e1007. https://doi.org/10.1016/S2214-109X(18)30275-4
- Ramadurg, U., Vidler, M., Charanthimath, U., Katageri, G., Bellad, M., Mallapur, A., Goudar, S., Bannale, S., Karadiguddi, C., Sawchuck, D., Qureshi, R., von Dadelszen, P., & Derman, R. (2016). Community health worker knowledge and management of pre-eclampsia in rural Karnataka State, India. Reproductive Health, 13(Suppl 2), 141–148. https://doi.org/10.1186/S12978-016-0219-8
- Sajith, M., Nimbargi, V., Modi, A., Sumariya, R., Pawar, A., & Professor, A. (2014). Incidence of pregnancy induced hypertension and prescription pattern of antihypertensive drugs in pregnancy.
- Sengoma, J. P. S., Krantz, G., Nzayirambaho, M., Munyanshongore, C., Edvardsson, K., & Mogren, I. (2017). Prevalence of pregnancy-related complications and course of labour of surviving women who gave birth in selected health facilities in Rwanda: a health facility-based, cross-sectional study. BMJ Open, 7(7), 15015. https://doi.org/10.1136/BMJOPEN-2016-015015
- Seyom, E., Abera, M., Tesfaye, M., & Fentahun, N. (2015). Maternal and fetal outcome of pregnancy related hypertension in Mettu Karl Referral Hospital, Ethiopia. Journal of Ovarian Research, 8(1). https://doi.org/10.1186/S13048-015-0135-5
- Temesgen, M. A. (2017). Factors Associated with Hypertensive Disorder of Pregnancy in Kombolcha. Clinics in Mother and Child Health, 14(4). https://doi.org/10.4172/2090-7214.1000274
- Teng, S. P., Zuo, T. C., Jummaat, F. B., & Keng, S. L. (2015). Knowledge of pregnancy danger signs and associated factors among Malaysian mothers. Br J Midwifery, 23(11), 800–806. https://doi.org/10.12968/bjom.2015.23.11.800
- Tessema, G. A., Tekeste, A., & Ayele, T. A. (2015). Preeclampsia and associated factors among pregnant women attending antenatal care in Dessie referral hospital, Northeast Ethiopia: A hospital-based study. BMC Pregnancy and Childbirth, 15(1). https://doi.org/10.1186/S12884-015-0502-7
- Middendorp, D., Asbroek, A. T., Bio, F. Y., Edusei, A., Meijjer, L., Newton, S., & Agyemang, C. (2013). Rural and urban differences in blood pressure and pregnancy-induced hypertension among pregnant women in Ghana. Globalization and Health, 9(1), 1–8. https://doi.org/10.1186/1744-8603-9-59/TABLES/2
- Wart Hood, V. J., Minhas, U. M., ul Haq, N. N., & Sawad, B. A. (2016). A Prevalence Study on Gestational Hypertension and Associated Complications in Pregnant Women. Value in Health, 19(3), A73. https://doi.org/10.1016/J.JVAL.2016.03.616
- Wilkinson, J., & Cole, G. (2018). Preeclampsia knowledge among women in Utah. Hypertens Pregnancy, 37(1), 18–24. https://doi.org/10.1080/10641955.2017.139769
References
Adu-Bonsaffoh, K., Ntumy, M. Y., Obed, S. A., & Seffah, J. D. (2017). Perinatal outcomes of hypertensive disorders in pregnancy at a tertiary hospital in Ghana. BMC Pregnancy and Childbirth, 17(1). https://doi.org/10.1186/S12884-017-1575-2
Ananth, C. v., & Basso, O. (2010). Impact of pregnancy-induced hypertension on stillbirth and neonatal mortality. Epidemiology, 21(1), 118–123. https://doi.org/10.1097/EDE.0B013E3181C297AF
Asamoah, B. O., Moussa, K. M., Stafström, M., & Musinguzi, G. (2011). Distribution of causes of maternal mortality among different socio-demographic groups in Ghana; A descriptive study. BMC Public Health, 11(1), 1–10. https://doi.org/10.1186/1471-2458-11-159/TABLES/5
Baragou, S., Goeh-Akue, E., Pio, M., Afassinou, Y. M., & Atta, B. (2014). [Hypertension and pregnancy in Lome (sub-Saharan Africa): epidemiology, diagnosis and risk factors]. Annales de Cardiologie et d’angeiologie, 63(3), 145–150. https://doi.org/10.1016/J.ANCARD.2014.05.006
Belayhun, Y., Kassa, Y., Mekonnen, N., Binu, W., Tenga, M., & Duko, B. (2021). Determinants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control Study. International Journal of Hypertension, 2021. https://doi.org/10.1155/2021/6947499
Berhan, Y., & Endeshaw, G. (2015). Maternal mortality predictors in women with hypertensive disorders of pregnancy: a retrospective cohort study. Ethiopian Journal of Health Sciences, 25(1), 89–98. https://doi.org/10.4314/EJHS.V25I1.12
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, 18(1), 1–11. https://doi.org/10.1186/S12884-018-1667-7/FIGURES/5
Boene, H., Vidler, M., Augusto, O., Sidat, M., Macete, E., Menéndez, C., Sawchuck, D., Qureshi, R., von Dadelszen, P., Munguambe, K., & Sevene, E. (2016). Community health worker knowledge and management of pre-eclampsia in southern Mozambique. Reproductive Health, 13(2), 105. https://doi.org/10.1186/S12978-016-0220-2/TABLES/5
Ejike, D. E., Ambrose, B., Moses, D. A., Karimah, M. R., Iliya, E., Sheu, O. S., & Nganda, P. (2018). Determination, knowledge and prevalence of pregnancy-induced hypertension/eclampsia among women of childbearing age at Same District Hospital in Tanzania. International Journal of Medicine and Medical Sciences, 10(2), 19–26. https://doi.org/10.5897/IJMMS2017.1343
Fadare, R. I., Akpor, O. A., & Oziegbe, O. B. (2016). Knowledge and Attitude of Pregnant Women towards Management of Pregnancy-induced Hypertension in Southwest Nigeria. Journal of Advances in Medical and Pharmaceutical Sciences, 11(2), 1–10. https://doi.org/10.9734/JAMPS/2016/29764
Fokom-Domgue, J., & Noubiap, J. J. N. (2015). Diagnosis of hypertensive disorders of pregnancy in sub-Saharan Africa: a poorly assessed but increasingly important issue. Journal of Clinical Hypertension (Greenwich, Conn.), 17(1), 70–73. https://doi.org/10.1111/JCH.12429
Gillson, N., Jones, C., Reem, R. E., Rogers, D. L., Zumberge, N., & Aylward, S. C. (2017). Incidence and Demographics of Pediatric Intracranial Hypertension. Pediatric Neurology, 73, 42–47. https://doi.org/10.1016/J.PEDIATRNEUROL.2017.04.021
Grum, T., Seifu, A., Abay, M., Angesom, T., & Tsegay, L. (2017). Determinants of pre-eclampsia/Eclampsia among women attending delivery Services in Selected Public Hospitals of Addis Ababa, Ethiopia: A case control study. BMC Pregnancy and Childbirth, 17(1). https://doi.org/10.1186/S12884-017-1507-1
Gudeta, T. A., Lema, T. B., & Kitila, S. B. (2018). Pregnancy Induced Hypertension and Associated Factors among Pregnant Women Receiving Antenatal Care Service at Jimma Town Public Health Facilities, South West Ethiopia. Journal of Gynecology and Women’s Health, 10(4), 1–9. https://doi.org/10.19080/JGWH.2018.10.555792
Gudeta, T. A., & Regassa, T. M. (2019). Pregnancy Induced Hypertension and Associated Factors among Women Attending Delivery Service at Mizan-Tepi University Teaching Hospital, Tepi General Hospital and Gebretsadik Shawo Hospital, Southwest, Ethiopia. Ethiopian Journal of Health Sciences, 29(1), 831. https://doi.org/10.4314/EJHS.V29I1.4
Hema, Dr. V., Yamuna, Dr. S., Ujwala, Dr. K., Anusha, Dr. K., & Mood, Dr. M. (2020). Study of prevalence of pregnancy induced hypertension in pregnancy. International Journal of Clinical Obstetrics and Gynaecology, 4(5), 148–151. https://doi.org/10.33545/GYNAE.2020.V4.I5C.695
Maputle, S., Khoza, L., & Lebese, R. (2015). Knowledge towards Pregnancy-induced Hypertension among Pregnant Women in Vhembe District, Limpopo Province. Journal of Human Ecology, 51(1–2), 47–54. https://doi.org/10.1080/09709274.2015.11906893
Meazaw, M. W., Chojenta, C., Muluneh, M. D., & Loxton, D. (2020). Factors associated with hypertensive disorders of pregnancy in sub-Saharan Africa: A systematic and meta-analysis. PLoS ONE, 15(8 August). https://doi.org/10.1371/JOURNAL.PONE.0237476
Mekonen, L., Shiferaw, Z., Wubshet, E., & Haile, S. (2018). Pregnancy Induced Hypertension and Associated Factors among Pregnant Women in Karamara Hospital, Jijiga, Eastern Ethiopia, 2015. Journal of Pregnancy and Child Health, 04(02). https://doi.org/10.4172/2376-127X.1000379
Mustafa, R., Ahmed, S., Gupta, A., & Venuto, R. C. (2012). A comprehensive review of hypertension in pregnancy. Journal of Pregnancy, 2012. https://doi.org/10.1155/2012/105918
Muti, M., Tshimanga, M., Notion, G. T., Bangure, D., & Chonzi, P. (2015). Prevalence of pregnancy induced hypertension and pregnancy outcomes among women seeking maternity services in Harare, Zimbabwe. BMC Cardiovascular Disorders, 15(1). https://doi.org/10.1186/S12872-015-0110-5
Ngwenya, S. (2017). Severe preeclampsia and eclampsia: incidence, complications, and perinatal outcomes at a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe. International Journal of Women’s Health, 9, 353–357. https://doi.org/10.2147/IJWH.S131934
Nimmi, R. (2016). Effectiveness of structured teaching programme on pregnancy induced hypertension among antenatal mothers attending urban health centre. Https://doi.org/10.5281/zenodo.220996
Njukang, N. E., Yoah, T. A., Sama, M., Obinchemti EGBE, T., & Kamgno, J. (2020). Prevalence and Risk Factors of Hypertensive Disorders in Pregnancy: Case of Mezam Division, NWR Cameroon. Journal of Women’s Health and Development, 03(03). https://doi.org/10.26502/FJWHD.2644-28840035
Noubiap, J. J., Bigna, J. J., Nansseu, J. R., Nyaga, U. F., Balti, E. V., Echouffo-Tcheugui, J. B., & Kengne, A. P. (2018). Prevalence of dyslipidaemia among adults in Africa: a systematic review and meta-analysis. The Lancet. Global Health, 6(9), e998–e1007. https://doi.org/10.1016/S2214-109X(18)30275-4
Ramadurg, U., Vidler, M., Charanthimath, U., Katageri, G., Bellad, M., Mallapur, A., Goudar, S., Bannale, S., Karadiguddi, C., Sawchuck, D., Qureshi, R., von Dadelszen, P., & Derman, R. (2016). Community health worker knowledge and management of pre-eclampsia in rural Karnataka State, India. Reproductive Health, 13(Suppl 2), 141–148. https://doi.org/10.1186/S12978-016-0219-8
Sajith, M., Nimbargi, V., Modi, A., Sumariya, R., Pawar, A., & Professor, A. (2014). Incidence of pregnancy induced hypertension and prescription pattern of antihypertensive drugs in pregnancy.
Sengoma, J. P. S., Krantz, G., Nzayirambaho, M., Munyanshongore, C., Edvardsson, K., & Mogren, I. (2017). Prevalence of pregnancy-related complications and course of labour of surviving women who gave birth in selected health facilities in Rwanda: a health facility-based, cross-sectional study. BMJ Open, 7(7), 15015. https://doi.org/10.1136/BMJOPEN-2016-015015
Seyom, E., Abera, M., Tesfaye, M., & Fentahun, N. (2015). Maternal and fetal outcome of pregnancy related hypertension in Mettu Karl Referral Hospital, Ethiopia. Journal of Ovarian Research, 8(1). https://doi.org/10.1186/S13048-015-0135-5
Temesgen, M. A. (2017). Factors Associated with Hypertensive Disorder of Pregnancy in Kombolcha. Clinics in Mother and Child Health, 14(4). https://doi.org/10.4172/2090-7214.1000274
Teng, S. P., Zuo, T. C., Jummaat, F. B., & Keng, S. L. (2015). Knowledge of pregnancy danger signs and associated factors among Malaysian mothers. Br J Midwifery, 23(11), 800–806. https://doi.org/10.12968/bjom.2015.23.11.800
Tessema, G. A., Tekeste, A., & Ayele, T. A. (2015). Preeclampsia and associated factors among pregnant women attending antenatal care in Dessie referral hospital, Northeast Ethiopia: A hospital-based study. BMC Pregnancy and Childbirth, 15(1). https://doi.org/10.1186/S12884-015-0502-7
Middendorp, D., Asbroek, A. T., Bio, F. Y., Edusei, A., Meijjer, L., Newton, S., & Agyemang, C. (2013). Rural and urban differences in blood pressure and pregnancy-induced hypertension among pregnant women in Ghana. Globalization and Health, 9(1), 1–8. https://doi.org/10.1186/1744-8603-9-59/TABLES/2
Wart Hood, V. J., Minhas, U. M., ul Haq, N. N., & Sawad, B. A. (2016). A Prevalence Study on Gestational Hypertension and Associated Complications in Pregnant Women. Value in Health, 19(3), A73. https://doi.org/10.1016/J.JVAL.2016.03.616
Wilkinson, J., & Cole, G. (2018). Preeclampsia knowledge among women in Utah. Hypertens Pregnancy, 37(1), 18–24. https://doi.org/10.1080/10641955.2017.139769