Determinants of pre‐eclampsia among pregnant women attending perinatal care in hospitals of the Omo district, Southern Ethiopia
Abstract Pre‐eclampsia is estimated to cause 70 000 maternal death globally every year, with the majority of deaths in low‐ and middle‐income countries. In Ethiopia, pre‐eclampsia causes 16% of direct maternal deaths. Despite the high burden of disease, pre‐eclampsia remains poorly studied in low an...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14073 |
| _version_ | 1797645135772647424 |
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| author | Kassahun Fikadu Feleke G/Meskel Firdawek Getahun Nega Chufamo Direslign Misiker |
| author_facet | Kassahun Fikadu Feleke G/Meskel Firdawek Getahun Nega Chufamo Direslign Misiker |
| author_sort | Kassahun Fikadu |
| collection | DOAJ |
| description | Abstract Pre‐eclampsia is estimated to cause 70 000 maternal death globally every year, with the majority of deaths in low‐ and middle‐income countries. In Ethiopia, pre‐eclampsia causes 16% of direct maternal deaths. Despite the high burden of disease, pre‐eclampsia remains poorly studied in low and middle‐income countries. In this study, we aimed to identify risk factors for pre‐eclampsia in pregnant women attending hospitals in the Omo district of Southern Ethiopia. Data were collected via face‐to‐face interviews. Logistic regression analysis was computed to examine the relationship between the independent variable and pre‐eclampsia. An adjusted odds ratio (AOR) with the corresponding 95% confidence interval (CI) excluding 1 in the multivariable analysis was considered to identify factors associated with pre‐eclampsia at a p‐value of <0.05. A total of 167 cases and 352 controls were included. Factors that were found to have a statistically significant association with pre‐eclampsia were primary relatives who had a history of chronic hypertension (AOR 2.1, 95% CI: 1.06‐4.21), family history of diabetes mellitus (AOR 2.35; 95% CI: 1.07‐5.20), preterm gestation (AOR = 1.56, 95% CI: 1.05‐2.32), and pre‐conception smoking exposure (AOR = 4.16, 95% CI: 1.1‐15.4). The study identified that a family history of chronic illnesses and diabetes mellitus, preterm gestation, and smoking exposure before conception were the risk factors for pre‐eclampsia. Presumably, addressing the identified risk factors may give further insight into where interventions and resources should be focused, as well as having an understanding of the burden of disease. |
| first_indexed | 2024-03-11T14:41:44Z |
| format | Article |
| id | doaj.art-0421e7783ac947f6af8489eef3d88352 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:41:44Z |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-0421e7783ac947f6af8489eef3d883522023-10-30T13:26:40ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762021-01-0123115316210.1111/jch.14073Determinants of pre‐eclampsia among pregnant women attending perinatal care in hospitals of the Omo district, Southern EthiopiaKassahun Fikadu0Feleke G/Meskel1Firdawek Getahun2Nega Chufamo3Direslign Misiker4Department of Midwifery Arbaminch University Arab Minch EthiopiaSchool of Public Health Arbaminch University Arab Minch EthiopiaSchool of Public Health Arbaminch University Arab Minch EthiopiaDepartment of Obstetrics and Gynecology Arbaminch University Arab Minch EthiopiaSchool of Public Health Arbaminch University Arab Minch EthiopiaAbstract Pre‐eclampsia is estimated to cause 70 000 maternal death globally every year, with the majority of deaths in low‐ and middle‐income countries. In Ethiopia, pre‐eclampsia causes 16% of direct maternal deaths. Despite the high burden of disease, pre‐eclampsia remains poorly studied in low and middle‐income countries. In this study, we aimed to identify risk factors for pre‐eclampsia in pregnant women attending hospitals in the Omo district of Southern Ethiopia. Data were collected via face‐to‐face interviews. Logistic regression analysis was computed to examine the relationship between the independent variable and pre‐eclampsia. An adjusted odds ratio (AOR) with the corresponding 95% confidence interval (CI) excluding 1 in the multivariable analysis was considered to identify factors associated with pre‐eclampsia at a p‐value of <0.05. A total of 167 cases and 352 controls were included. Factors that were found to have a statistically significant association with pre‐eclampsia were primary relatives who had a history of chronic hypertension (AOR 2.1, 95% CI: 1.06‐4.21), family history of diabetes mellitus (AOR 2.35; 95% CI: 1.07‐5.20), preterm gestation (AOR = 1.56, 95% CI: 1.05‐2.32), and pre‐conception smoking exposure (AOR = 4.16, 95% CI: 1.1‐15.4). The study identified that a family history of chronic illnesses and diabetes mellitus, preterm gestation, and smoking exposure before conception were the risk factors for pre‐eclampsia. Presumably, addressing the identified risk factors may give further insight into where interventions and resources should be focused, as well as having an understanding of the burden of disease.https://doi.org/10.1111/jch.14073determinantsethiopiahospitalspre‐eclampsiawomen |
| spellingShingle | Kassahun Fikadu Feleke G/Meskel Firdawek Getahun Nega Chufamo Direslign Misiker Determinants of pre‐eclampsia among pregnant women attending perinatal care in hospitals of the Omo district, Southern Ethiopia The Journal of Clinical Hypertension determinants ethiopia hospitals pre‐eclampsia women |
| title | Determinants of pre‐eclampsia among pregnant women attending perinatal care in hospitals of the Omo district, Southern Ethiopia |
| title_full | Determinants of pre‐eclampsia among pregnant women attending perinatal care in hospitals of the Omo district, Southern Ethiopia |
| title_fullStr | Determinants of pre‐eclampsia among pregnant women attending perinatal care in hospitals of the Omo district, Southern Ethiopia |
| title_full_unstemmed | Determinants of pre‐eclampsia among pregnant women attending perinatal care in hospitals of the Omo district, Southern Ethiopia |
| title_short | Determinants of pre‐eclampsia among pregnant women attending perinatal care in hospitals of the Omo district, Southern Ethiopia |
| title_sort | determinants of pre eclampsia among pregnant women attending perinatal care in hospitals of the omo district southern ethiopia |
| topic | determinants ethiopia hospitals pre‐eclampsia women |
| url | https://doi.org/10.1111/jch.14073 |
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