Knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in Ghana
Objectives: Hypertensive disorders of pregnancy contribute significantly to maternal and neonatal morbidity and mortality globally. Health-seeking behaviour is influenced by adequate knowledge of the condition. However, current data on pregnant women’s knowledge of the condition and health-seeking b...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-03-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121221088432 |
| _version_ | 1818775323452375040 |
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| author | Evans Kofi Agbeno Joseph Osarfo Gloria Brempomaa Owusu Douglas Opoku Aninng Betty Anane-Fenin Judith Agyemang Amponsah Joycelyn A Ashong Anthony Ofori Amanfo Sebastian Ken-Amoah Harrison Tetteh Kudjonu Mouhajer Mohammed |
| author_facet | Evans Kofi Agbeno Joseph Osarfo Gloria Brempomaa Owusu Douglas Opoku Aninng Betty Anane-Fenin Judith Agyemang Amponsah Joycelyn A Ashong Anthony Ofori Amanfo Sebastian Ken-Amoah Harrison Tetteh Kudjonu Mouhajer Mohammed |
| author_sort | Evans Kofi Agbeno |
| collection | DOAJ |
| description | Objectives: Hypertensive disorders of pregnancy contribute significantly to maternal and neonatal morbidity and mortality globally. Health-seeking behaviour is influenced by adequate knowledge of the condition. However, current data on pregnant women’s knowledge of the condition and health-seeking behaviour are relatively scant in Ghana and has not been previously studied in the Central Region where hypertensive disorders of pregnancy was the leading cause of maternal mortality from 2016 to 2018. The study sought to generate data to fill this knowledge gap. Methods: A cross-sectional study was conducted among 404 pregnant women attending antenatal clinic at the Cape Coast Teaching Hospital from 1 April to 30 September 2020. Data on sociodemographic characteristics, including age, level of education and parity, and knowledge of hypertensive disorders of pregnancy, including its risk factors, clinical presentations and complications, were collected using structured questionnaires. The outcome variable, knowledge of hypertensive disorders of pregnancy, was a composite variable categorized as adequate and inadequate knowledge. Descriptive statistics were generated and association between independent and outcome variables were explored using chi-square and Fisher’s exact tests and logistic regression methods. Results: Sixty-two participants (15.4%) showed adequate knowledge of hypertensive disorders of pregnancy. About 62% (251/404) of respondents had heard about hypertensive disorders of pregnancy. Of those who had heard of hypertensive disorders of pregnancy, 29.4% (72/245) correctly indicated the condition was underlined by hypertension in pregnancy ⩾ 20 weeks gestation. Women with tertiary education were six times more likely to have adequate hypertensive disorders of pregnancy knowledge than those with basic education. Women with parity 1–4 were 52% less likely to have adequate knowledge compared to nulliparous women. Conclusion: The remarkably low proportion of pregnant women with adequate knowledge of hypertensive disorders of pregnancy in the study is worrisome because of its potential adverse implication for the health of mothers and their babies. Re-packaging the antenatal health education programme and its delivery is needed for greater impact as far as hypertensive disorders of pregnancy morbidity/mortality is concerned. |
| first_indexed | 2024-12-18T10:55:13Z |
| format | Article |
| id | doaj.art-f5a3fc7db6aa49ab8d86ce75fade79b1 |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-12-18T10:55:13Z |
| publishDate | 2022-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-f5a3fc7db6aa49ab8d86ce75fade79b12022-12-21T21:10:21ZengSAGE PublishingSAGE Open Medicine2050-31212022-03-011010.1177/20503121221088432Knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in GhanaEvans Kofi Agbeno0Joseph Osarfo1Gloria Brempomaa Owusu2Douglas Opoku Aninng3Betty Anane-Fenin4Judith Agyemang Amponsah5Joycelyn A Ashong6Anthony Ofori Amanfo7Sebastian Ken-Amoah8Harrison Tetteh Kudjonu9Mouhajer Mohammed10Department of Obstetrics and Gynaecology, School of Medical Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Community Medicine, School of Medicine, University of Health and Allied Sciences, Ho, GhanaGreater Accra Regional Hospital, Accra, GhanaSchool of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Obstetrics & Gynaecology, Cape Coast Teaching Hospital, Cape Coast, GhanaDepartment of Obstetrics & Gynaecology, Cape Coast Teaching Hospital, Cape Coast, GhanaDepartment of Obstetrics & Gynaecology, Cape Coast Teaching Hospital, Cape Coast, GhanaDepartment of Obstetrics and Gynaecology, School of Medical Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Obstetrics and Gynaecology, School of Medical Sciences, University of Cape Coast, Cape Coast, GhanaEastern Regional Hospital, Koforidua, GhanaDepartment of Obstetrics & Gynaecology, Cape Coast Teaching Hospital, Cape Coast, GhanaObjectives: Hypertensive disorders of pregnancy contribute significantly to maternal and neonatal morbidity and mortality globally. Health-seeking behaviour is influenced by adequate knowledge of the condition. However, current data on pregnant women’s knowledge of the condition and health-seeking behaviour are relatively scant in Ghana and has not been previously studied in the Central Region where hypertensive disorders of pregnancy was the leading cause of maternal mortality from 2016 to 2018. The study sought to generate data to fill this knowledge gap. Methods: A cross-sectional study was conducted among 404 pregnant women attending antenatal clinic at the Cape Coast Teaching Hospital from 1 April to 30 September 2020. Data on sociodemographic characteristics, including age, level of education and parity, and knowledge of hypertensive disorders of pregnancy, including its risk factors, clinical presentations and complications, were collected using structured questionnaires. The outcome variable, knowledge of hypertensive disorders of pregnancy, was a composite variable categorized as adequate and inadequate knowledge. Descriptive statistics were generated and association between independent and outcome variables were explored using chi-square and Fisher’s exact tests and logistic regression methods. Results: Sixty-two participants (15.4%) showed adequate knowledge of hypertensive disorders of pregnancy. About 62% (251/404) of respondents had heard about hypertensive disorders of pregnancy. Of those who had heard of hypertensive disorders of pregnancy, 29.4% (72/245) correctly indicated the condition was underlined by hypertension in pregnancy ⩾ 20 weeks gestation. Women with tertiary education were six times more likely to have adequate hypertensive disorders of pregnancy knowledge than those with basic education. Women with parity 1–4 were 52% less likely to have adequate knowledge compared to nulliparous women. Conclusion: The remarkably low proportion of pregnant women with adequate knowledge of hypertensive disorders of pregnancy in the study is worrisome because of its potential adverse implication for the health of mothers and their babies. Re-packaging the antenatal health education programme and its delivery is needed for greater impact as far as hypertensive disorders of pregnancy morbidity/mortality is concerned.https://doi.org/10.1177/20503121221088432 |
| spellingShingle | Evans Kofi Agbeno Joseph Osarfo Gloria Brempomaa Owusu Douglas Opoku Aninng Betty Anane-Fenin Judith Agyemang Amponsah Joycelyn A Ashong Anthony Ofori Amanfo Sebastian Ken-Amoah Harrison Tetteh Kudjonu Mouhajer Mohammed Knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in Ghana SAGE Open Medicine |
| title | Knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in Ghana |
| title_full | Knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in Ghana |
| title_fullStr | Knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in Ghana |
| title_full_unstemmed | Knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in Ghana |
| title_short | Knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in Ghana |
| title_sort | knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in ghana |
| url | https://doi.org/10.1177/20503121221088432 |
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