Determination of risk factors for pre-eclampsia and eclampsia in a tertiary hospital of India: A case control study

Background: Preeclampsia and eclampsia (PE) are pregnancy specific syndromes that contribute to maternal and fetal morbidity and mortality. The identification of its predisposing factors in the pre-pregnancy and initial stage of pregnancy will help in reducing the morbidity and mortality. Aim: The a...

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Main Authors: Punyatoya Bej, Pragti Chhabra, Arun Kumar Sharma, Kiran Guleria
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=4;spage=371;epage=375;aulast=Bej
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author Punyatoya Bej
Pragti Chhabra
Arun Kumar Sharma
Kiran Guleria
author_facet Punyatoya Bej
Pragti Chhabra
Arun Kumar Sharma
Kiran Guleria
author_sort Punyatoya Bej
collection DOAJ
description Background: Preeclampsia and eclampsia (PE) are pregnancy specific syndromes that contribute to maternal and fetal morbidity and mortality. The identification of its predisposing factors in the pre-pregnancy and initial stage of pregnancy will help in reducing the morbidity and mortality. Aim: The aim of this study is to determine the risk factors for PE among pregnant women in a tertiary level hospital. Materials and Methods: In this study, 122 women who delivered beyond 22 weeks of gestation and diagnosed as preeclampsia or eclampsia were selected. Simultaneously, 122 controls with no diagnosis of preeclampsia or eclampsia were selected from the post natal ward. Cases and controls were administered the same pre-tested questionnaire containing different risk factors. Results and Conclusion: Logistic regression was applied in the statistical analysis. The factors that were found to be significant predictors of risk for development of PE were family history of preeclampsia (adjusted odds ratio [OR] 18.57 [1.93-178.16], P = 0.011), higher calorie intake (adjusted OR 14.12 [6.41-43.23] body mass index (adjusted P < 0.001), employment (adjusted OR 6.35 [1.56-25.82] P = 0.010], less protein intake (adjusted OR 3.87 [1.97-8.01] P < 0.001), increased OR 5.86 [02.48-13.8] P < 0.001), mild physical activities (adjusted OR 3.46 [1.06-11.24] P = 0.039). Past history of hypertension and diabetes mellitus were also associated with development of PE.
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spelling doaj.art-0b521ac0e7484005a05f3194bf72c79b2022-12-22T01:52:05ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632013-01-012437137510.4103/2249-4863.123924Determination of risk factors for pre-eclampsia and eclampsia in a tertiary hospital of India: A case control studyPunyatoya BejPragti ChhabraArun Kumar SharmaKiran GuleriaBackground: Preeclampsia and eclampsia (PE) are pregnancy specific syndromes that contribute to maternal and fetal morbidity and mortality. The identification of its predisposing factors in the pre-pregnancy and initial stage of pregnancy will help in reducing the morbidity and mortality. Aim: The aim of this study is to determine the risk factors for PE among pregnant women in a tertiary level hospital. Materials and Methods: In this study, 122 women who delivered beyond 22 weeks of gestation and diagnosed as preeclampsia or eclampsia were selected. Simultaneously, 122 controls with no diagnosis of preeclampsia or eclampsia were selected from the post natal ward. Cases and controls were administered the same pre-tested questionnaire containing different risk factors. Results and Conclusion: Logistic regression was applied in the statistical analysis. The factors that were found to be significant predictors of risk for development of PE were family history of preeclampsia (adjusted odds ratio [OR] 18.57 [1.93-178.16], P = 0.011), higher calorie intake (adjusted OR 14.12 [6.41-43.23] body mass index (adjusted P < 0.001), employment (adjusted OR 6.35 [1.56-25.82] P = 0.010], less protein intake (adjusted OR 3.87 [1.97-8.01] P < 0.001), increased OR 5.86 [02.48-13.8] P < 0.001), mild physical activities (adjusted OR 3.46 [1.06-11.24] P = 0.039). Past history of hypertension and diabetes mellitus were also associated with development of PE.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=4;spage=371;epage=375;aulast=BejCase control studyeclampsiamultiple logistic regressionpreeclampsiarisk factors
spellingShingle Punyatoya Bej
Pragti Chhabra
Arun Kumar Sharma
Kiran Guleria
Determination of risk factors for pre-eclampsia and eclampsia in a tertiary hospital of India: A case control study
Journal of Family Medicine and Primary Care
Case control study
eclampsia
multiple logistic regression
preeclampsia
risk factors
title Determination of risk factors for pre-eclampsia and eclampsia in a tertiary hospital of India: A case control study
title_full Determination of risk factors for pre-eclampsia and eclampsia in a tertiary hospital of India: A case control study
title_fullStr Determination of risk factors for pre-eclampsia and eclampsia in a tertiary hospital of India: A case control study
title_full_unstemmed Determination of risk factors for pre-eclampsia and eclampsia in a tertiary hospital of India: A case control study
title_short Determination of risk factors for pre-eclampsia and eclampsia in a tertiary hospital of India: A case control study
title_sort determination of risk factors for pre eclampsia and eclampsia in a tertiary hospital of india a case control study
topic Case control study
eclampsia
multiple logistic regression
preeclampsia
risk factors
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=4;spage=371;epage=375;aulast=Bej
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AT arunkumarsharma determinationofriskfactorsforpreeclampsiaandeclampsiainatertiaryhospitalofindiaacasecontrolstudy
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