Psychosocial stress, standing time and overweight are risk factors for pregnancy induced hypertension: A case control study
<p><strong>Objective: </strong>To determine the risk factors for pregnancy induced hypertension (PIH).</p> <p><strong>Methods</strong>: This was a case control study, carried out at Castle Street Hospital for Women during August to September 2006. Hundred m...
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| Format: | Article |
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College of Community Physicians of Sri Lanka
2011-12-01
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| Series: | Journal of the College of Community Physicians |
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| Online Access: | https://jccpsl.sljol.info/articles/3870 |
| _version_ | 1811307165803085824 |
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| author | N Perera C Abeysena |
| author_facet | N Perera C Abeysena |
| author_sort | N Perera |
| collection | DOAJ |
| description | <p><strong>Objective: </strong>To determine the risk factors for pregnancy induced hypertension (PIH).</p> <p><strong>Methods</strong>: This was a case control study, carried out at Castle Street Hospital for Women during August to September 2006. Hundred mothers newly diagnosed as having PIH were chosen as cases and 100 mothers with uncomplicated pregnancies as controls. Both cases and controls had a period of amenorrhoea of >20 weeks. Psychosocial stress was measured using General Health Questionnaire 30 (GHQ) and the Modified Life Event Inventory (MLEI). Maternal socio-demographic information and other data were collected using an interviewer administered questionnaire and a record sheet. Multivariate logistic regression analysis was applied to control for confounders and the results were expressed as odds ratios (OR) and 95% confidence intervals (95%CI).</p> <p><strong>Results : </strong>After adjusting for confounding effect experience of ³2 life events during pregnancy (OR:2.1, 95%CI:1.06–10.9), a maternal BMI of ³25 kg/m2 (OR:2.4, 95%CI:1.1–5.0), maternal age of ³28 years (OR:3.9, 95%C.I:2.0–7.5), history of ante partum haemorrhage (OR:3.4, 95%CI:1.1–10.9) and standing for >1.5 hours at one stretch (OR:3.4, 95%CI:1.6– 7.4) had statistically significant associations with developing PIH.</p> <p><strong>Conclusions</strong>: Psychosocial stress during pregnancy, being an overweight or obese women, age ³28 years, history of antepartum haemorrhage and standing ³1.5 hours at one stretch were risk factors for PIH.</p> <p><strong>Key words </strong>case control study; hypertension; life change events; pregnancy; risk factors; stress </p> <p>DOI: <a href="http://dx.doi.org/10.4038/jccpsl.v16i1.3870">http://dx.doi.org/10.4038/jccpsl.v16i1.3870</a></p><p><em>Journal of the College of Community Physicians of Sri Lanka</em> Vol.16(1) 2011, p35-39</p> |
| first_indexed | 2024-04-13T08:59:46Z |
| format | Article |
| id | doaj.art-2ddf5db240d54f90b84bb8acae6a5ed9 |
| institution | Directory Open Access Journal |
| issn | 1391-3174 2579-1451 |
| language | English |
| last_indexed | 2024-04-13T08:59:46Z |
| publishDate | 2011-12-01 |
| publisher | College of Community Physicians of Sri Lanka |
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| series | Journal of the College of Community Physicians |
| spelling | doaj.art-2ddf5db240d54f90b84bb8acae6a5ed92022-12-22T02:53:11ZengCollege of Community Physicians of Sri LankaJournal of the College of Community Physicians1391-31742579-14512011-12-01161353910.4038/jccpsl.v16i1.38703197Psychosocial stress, standing time and overweight are risk factors for pregnancy induced hypertension: A case control studyN Perera0C Abeysena1Registrar in Community Medicine, Department of Public Health, Faculty of Medicine, University of Kelaniya, RagamaSenior Lecturer, Department of Public Health, Faculty of Medicine, University of Kelaniya, Ragama<p><strong>Objective: </strong>To determine the risk factors for pregnancy induced hypertension (PIH).</p> <p><strong>Methods</strong>: This was a case control study, carried out at Castle Street Hospital for Women during August to September 2006. Hundred mothers newly diagnosed as having PIH were chosen as cases and 100 mothers with uncomplicated pregnancies as controls. Both cases and controls had a period of amenorrhoea of >20 weeks. Psychosocial stress was measured using General Health Questionnaire 30 (GHQ) and the Modified Life Event Inventory (MLEI). Maternal socio-demographic information and other data were collected using an interviewer administered questionnaire and a record sheet. Multivariate logistic regression analysis was applied to control for confounders and the results were expressed as odds ratios (OR) and 95% confidence intervals (95%CI).</p> <p><strong>Results : </strong>After adjusting for confounding effect experience of ³2 life events during pregnancy (OR:2.1, 95%CI:1.06–10.9), a maternal BMI of ³25 kg/m2 (OR:2.4, 95%CI:1.1–5.0), maternal age of ³28 years (OR:3.9, 95%C.I:2.0–7.5), history of ante partum haemorrhage (OR:3.4, 95%CI:1.1–10.9) and standing for >1.5 hours at one stretch (OR:3.4, 95%CI:1.6– 7.4) had statistically significant associations with developing PIH.</p> <p><strong>Conclusions</strong>: Psychosocial stress during pregnancy, being an overweight or obese women, age ³28 years, history of antepartum haemorrhage and standing ³1.5 hours at one stretch were risk factors for PIH.</p> <p><strong>Key words </strong>case control study; hypertension; life change events; pregnancy; risk factors; stress </p> <p>DOI: <a href="http://dx.doi.org/10.4038/jccpsl.v16i1.3870">http://dx.doi.org/10.4038/jccpsl.v16i1.3870</a></p><p><em>Journal of the College of Community Physicians of Sri Lanka</em> Vol.16(1) 2011, p35-39</p>https://jccpsl.sljol.info/articles/3870case control studyhypertensionlife change eventspregnancyrisk factorsstress |
| spellingShingle | N Perera C Abeysena Psychosocial stress, standing time and overweight are risk factors for pregnancy induced hypertension: A case control study Journal of the College of Community Physicians case control study hypertension life change events pregnancy risk factors stress |
| title | Psychosocial stress, standing time and overweight are risk factors for pregnancy induced hypertension: A case control study |
| title_full | Psychosocial stress, standing time and overweight are risk factors for pregnancy induced hypertension: A case control study |
| title_fullStr | Psychosocial stress, standing time and overweight are risk factors for pregnancy induced hypertension: A case control study |
| title_full_unstemmed | Psychosocial stress, standing time and overweight are risk factors for pregnancy induced hypertension: A case control study |
| title_short | Psychosocial stress, standing time and overweight are risk factors for pregnancy induced hypertension: A case control study |
| title_sort | psychosocial stress standing time and overweight are risk factors for pregnancy induced hypertension a case control study |
| topic | case control study hypertension life change events pregnancy risk factors stress |
| url | https://jccpsl.sljol.info/articles/3870 |
| work_keys_str_mv | AT nperera psychosocialstressstandingtimeandoverweightareriskfactorsforpregnancyinducedhypertensionacasecontrolstudy AT cabeysena psychosocialstressstandingtimeandoverweightareriskfactorsforpregnancyinducedhypertensionacasecontrolstudy |