Association between iron-folic acid supplementation and pregnancy-induced hypertension among pregnant women in public hospitals, Wolaita Sodo, Ethiopia 2021: a case- control study

Abstract Background Pregnancy-induced hypertension is the new onset of high blood pressure after 20 weeks of gestation in women with previously normal blood pressure. To the best of our knowledge, no study has been conducted in our country to investigate the association between this pregnancy proble...

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Main Authors: Abiyot Wolie Asres, Serawit Samuel, Wakgari Binu Daga, Atsede Tena, Afework Alemu, Shimelash Bitew Workie, Mihiretu Alemayehu, Habtamu Messel
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15794-6
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author Abiyot Wolie Asres
Serawit Samuel
Wakgari Binu Daga
Atsede Tena
Afework Alemu
Shimelash Bitew Workie
Mihiretu Alemayehu
Habtamu Messel
author_facet Abiyot Wolie Asres
Serawit Samuel
Wakgari Binu Daga
Atsede Tena
Afework Alemu
Shimelash Bitew Workie
Mihiretu Alemayehu
Habtamu Messel
author_sort Abiyot Wolie Asres
collection DOAJ
description Abstract Background Pregnancy-induced hypertension is the new onset of high blood pressure after 20 weeks of gestation in women with previously normal blood pressure. To the best of our knowledge, no study has been conducted in our country to investigate the association between this pregnancy problem and iron-folic acid supplementation. The aim of this study was to determine the association between iron-folic acid supplementation and pregnancy-induced hypertension (PIH) in pregnant women at public hospitals in the Wolaita Sodo zone. Methods An institution-based case–control study was conducted among pregnant women who visited public hospitals in the Wolaita Sodo zone from March 3, 2022, to August 30, 2022. A consecutive sampling method was used to select the study participants. The total sample size was 492, of which 164 were cases and 328 were controls. The data were collected by conducting face-to-face interviews and measurements. The data were entered into EpiData version 4.6 and exported to STATA 14 for analysis. Those variables with a p-value less than 0.05 were considered statistically significant. Descriptive statistics and odds ratios were presented using texts, tables, and figures. Results A total of 471 women participated in this study, yielding a response rate of 96%. The cases had a mean age of 25 ± 4.43, while the controls had a mean age of 25 ± 3.99. The mean age at first pregnancy among cases was 20 ± 2.82 and among controls was 20 ± 2.97. The average number of deliveries for cases and controls was 1.97 ± 1.41 and 1.95 ± 1.38, respectively. There is no significant association between iron-folic acid supplementation and PIH. Pregnant women with high hemoglobin levels had higher odds of PIH as compared to those without it (AOR = 3.65; 95% CI: 1.0–12.9). Eating kocho (AOR = 14.4; 95% CI: 1.2–16.7) was positively associated with PIH. Conclusions There is no association between iron-folic acid supplementation during pregnancy and pregnancy-induced hypertension. Pregnant women with high hemoglobin levels had higher odds of PIH as compared to those without it. There is an association between kocho consumption and PIH. More research should be done using stronger designs.
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spelling doaj.art-f16053f3ad4c4c9a91c47f38e3bb9cf02023-05-14T11:30:43ZengBMCBMC Public Health1471-24582023-05-0123111110.1186/s12889-023-15794-6Association between iron-folic acid supplementation and pregnancy-induced hypertension among pregnant women in public hospitals, Wolaita Sodo, Ethiopia 2021: a case- control studyAbiyot Wolie Asres0Serawit Samuel1Wakgari Binu Daga2Atsede Tena3Afework Alemu4Shimelash Bitew Workie5Mihiretu Alemayehu6Habtamu Messel7Department of Epidemiology and Biostatistics, School of Public Health, Wolaita Sodo UniversityDepartment of Epidemiology and Biostatistics, School of Public Health, Wolaita Sodo UniversityDepartment of Reproductive Health and Nutrition, School of Public Health, Wolaita Sodo UniversitySchool of Public Health, Wolaita Sodo UniversityDepartment of Pediatrics, School of Medicine, Wolaita Sodo UniversityDepartment of Epidemiology and Biostatistics, School of Public Health, Wolaita Sodo UniversitySchool of Public Health, Wolaita Sodo UniversityHealth Professionals Education Partnership Initiative Project Office, Addis Ababa UniversityAbstract Background Pregnancy-induced hypertension is the new onset of high blood pressure after 20 weeks of gestation in women with previously normal blood pressure. To the best of our knowledge, no study has been conducted in our country to investigate the association between this pregnancy problem and iron-folic acid supplementation. The aim of this study was to determine the association between iron-folic acid supplementation and pregnancy-induced hypertension (PIH) in pregnant women at public hospitals in the Wolaita Sodo zone. Methods An institution-based case–control study was conducted among pregnant women who visited public hospitals in the Wolaita Sodo zone from March 3, 2022, to August 30, 2022. A consecutive sampling method was used to select the study participants. The total sample size was 492, of which 164 were cases and 328 were controls. The data were collected by conducting face-to-face interviews and measurements. The data were entered into EpiData version 4.6 and exported to STATA 14 for analysis. Those variables with a p-value less than 0.05 were considered statistically significant. Descriptive statistics and odds ratios were presented using texts, tables, and figures. Results A total of 471 women participated in this study, yielding a response rate of 96%. The cases had a mean age of 25 ± 4.43, while the controls had a mean age of 25 ± 3.99. The mean age at first pregnancy among cases was 20 ± 2.82 and among controls was 20 ± 2.97. The average number of deliveries for cases and controls was 1.97 ± 1.41 and 1.95 ± 1.38, respectively. There is no significant association between iron-folic acid supplementation and PIH. Pregnant women with high hemoglobin levels had higher odds of PIH as compared to those without it (AOR = 3.65; 95% CI: 1.0–12.9). Eating kocho (AOR = 14.4; 95% CI: 1.2–16.7) was positively associated with PIH. Conclusions There is no association between iron-folic acid supplementation during pregnancy and pregnancy-induced hypertension. Pregnant women with high hemoglobin levels had higher odds of PIH as compared to those without it. There is an association between kocho consumption and PIH. More research should be done using stronger designs.https://doi.org/10.1186/s12889-023-15794-6Iron-folic-acid supplementationAssociationPregnant womenCase–controlEthiopia
spellingShingle Abiyot Wolie Asres
Serawit Samuel
Wakgari Binu Daga
Atsede Tena
Afework Alemu
Shimelash Bitew Workie
Mihiretu Alemayehu
Habtamu Messel
Association between iron-folic acid supplementation and pregnancy-induced hypertension among pregnant women in public hospitals, Wolaita Sodo, Ethiopia 2021: a case- control study
BMC Public Health
Iron-folic-acid supplementation
Association
Pregnant women
Case–control
Ethiopia
title Association between iron-folic acid supplementation and pregnancy-induced hypertension among pregnant women in public hospitals, Wolaita Sodo, Ethiopia 2021: a case- control study
title_full Association between iron-folic acid supplementation and pregnancy-induced hypertension among pregnant women in public hospitals, Wolaita Sodo, Ethiopia 2021: a case- control study
title_fullStr Association between iron-folic acid supplementation and pregnancy-induced hypertension among pregnant women in public hospitals, Wolaita Sodo, Ethiopia 2021: a case- control study
title_full_unstemmed Association between iron-folic acid supplementation and pregnancy-induced hypertension among pregnant women in public hospitals, Wolaita Sodo, Ethiopia 2021: a case- control study
title_short Association between iron-folic acid supplementation and pregnancy-induced hypertension among pregnant women in public hospitals, Wolaita Sodo, Ethiopia 2021: a case- control study
title_sort association between iron folic acid supplementation and pregnancy induced hypertension among pregnant women in public hospitals wolaita sodo ethiopia 2021 a case control study
topic Iron-folic-acid supplementation
Association
Pregnant women
Case–control
Ethiopia
url https://doi.org/10.1186/s12889-023-15794-6
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