Agestandardized to whos 20002025 world standard population age structure 22,23, the prevalence was 19. Hypertensive disorder of pregnancy prevalence and associated. However the incidence of hdp does not appear to be uniform across the country. The prevalence of pregnancyinduced hypertension in ethiopia ranges from 2. Prevalence, awareness, treatment and control of hypertension. Blood pressure, pregnancy induced hypertension, pregnancy, ghana background the fifth goal of the united nations millennium development goals for 2015 is to reduce the maternal mortality. However, so far little is known about the adverse perinatal outcomes of pregnancy induced hypertension in tigray regional state, ethiopia. Consequently, there is increasing prevalence of lifestyleassociated diseases such as obesity, hypertension, coronary heart disease, and type 2 diabetes.
Prevalence of hypertension in pregnancy potential risk factors. The subgroup analysis by region and year of study showed a higher prevalence of hypertensive disorders of pregnancy in southern nations, nationalities, and peoples region, 10. Approximately 12% of the maternal deaths are associated with hypertensive disorders in pregnancy such as pregnancy induced hypertension pih. The prevalence of pregnancy induced hypertension in ethiopia ranges from 2. The prevalence of pregnancy induced hypertension among women. The incidence of pih differed significantly between greater accra region. The aim of this study was to determine the prevalence of pregnancy induced hypertension among women attending antenatal clinic at 37 military hospital in accra. Citescore values are based on citation counts in a given year e.
Hypertensive disorders in pregnancy hdp remain a major clinical challenge in contemporary obstetric practice due to the associated burden of high maternal and perinatal adversities 14. Rural and urban differences in blood pressure and pregnancy. Pregnancy induced hypertension pih is one of the most common causes of both maternal and. Harare city experienced an increase in referrals due to pih to central hospitals from 2009 to 2011. Public health perspectives of preeclampsia in developing. The prevalence of gestational hypertension, preeclampsia chronic. Research findings show that the level of knowledge of pregnancy induced hypertension among expectant mothers aged 18 to 40 years with pih complications in ekitistate nigeria is so low 15%. Prevalence of hypertension during pregnancy hypertension during pregnancy may be preexisting chronic or may start in the 2nd half of pregnancy gestational hypertension. Hypertension is a major risk factor for many cardiovascular diseases in developing countries. The prevalence of adult hypertension in ghana appears to be increasing and ranges from 19% to 48%. High rate of hypertension has been associated with low levels of awareness as focus has been on communicable diseases until recently.
Oct 02, 2015 pregnancy induced hypertension pih is defined as bp. Includes chronic hypertension and pregnancy induced hypertension 4. Risk factors associated with pregnancy induced hypertension in. Therefore, the objective of this study was to assess the effect of pregnancyinduced hypertension on. Methods this was a facilitybased crosssectional study which was conducted among health workers and pregnant women attending antenatal clinic at 37 military hospital in accra.
The uploader spent hisher valuable time to create this pregnancy induced hypertension powerpoint presentation slides, to share hisher useful content with the world. During 20052008, the overall ageadjusted prevalence of hypertension control among persons with hypertension aged. Therefore, the objective of this study was to assess the effect of pregnancy induced hypertension on. In ghana, hdp are the third leading cause of maternal deaths 9% after haemorrhage 22% and induced abortion 11% 5. Measuring regional and district variations in the incidence of pregnancy induced hypertension pih in ghana. Sarker s a, nazma s, most l b, lobaba s l, md f a, md k h. Pregnancy induced hypertension and associated factors among. Left unchecked, the increasing prevalence of overweight and obesity in ghana will exacerbate pih levels in ghana. The prevalence of pregnancy induced hypertension among women admitted for delivery in the three hospitals were 33 7. Findings from the 202014 national ambulatory medical care survey pdf icon pdf 575 kab. Original research article risk factors associated with. Men, adults aged 1844 years, mexican americans, foreignborn, and persons without health insurance had a lower prevalence of hypertension control than their counterparts.
Development and validation of a prediction model for gestational. Pregnancyinduced hypertension pih is a pregnancyspecific condition that occurs after the 20th week of gestation. Review of public health perspectives of preeclampsia in developing countries and implications for health system strengthening. Effect of pregnancy induced hypertension on adverse perinatal. Prevalence of obesity among pregnant women in greater accra. A diastolic blood pressure of 90mmhg or more that either predates pregnancy or develops before 20 weeks gestation 4, 9. Classifying hypertension in pregnancy caregivers have been and continue to be confused by the multiple terminologies, some complex and detailed, used to classify the hypertensive disorders of pregnancy. Prevalence of pregnancy induced hypertension was 10. Gestational hypertension also referred to as pregnancyinduced hypertension pih is a condition characterized by high blood pressure during pregnancy. Methods institutional based crosssectional study were conducted from apriljune 2017 in gondar town public health institutions, northwest ethiopia. National policy for the prevention and control of chronic non. Assistant professor, department of clinical pharmacy, bharati vidyapeeth deemed university, poona college of pharmacy, pune, maharashtra, india.
Preeclampsia and associated factors among pregnant women. Pregnancy induced hypertension is influenced by varying and complex interrelated factors and multivariate logistic analysis showed that risk of pregnancy induced hypertension increases with age. A case control study was conducted among pr egnant women visiting komfo an okye. The prevalence of teenage pregnancy has become very common in the ghanaian society, especially among the youth who are at the primary and junior high school jhs level of education prevalence of teenage pregnancy in basic schools in ghana, 2007.
Prevalence of pregnancy induced hypertension and pregnancy. Dietary determinants of pregnancy induced hypertension in isfahan zamzam paknahad, narges talebi, leila azadbakht abstract background. In a singaporean study, tan and salmon, 1988 reported that the prevalence of preeclampsia in the hot, dry months of february, march and april was about twice as high. Research open access rural and urban differences in blood. This is consistent with the study conducted in ghana 23 and in the.
This is more serious and can complicate chronic hypertension. The prevalence of preeclampsia in developing countries ranges from 1. Putative risk factors of pregnancyinduced hypertension among ghanaian pregnant women. Measuring regional and district variations in the incidence of. Study of the prevalence of hypertension and complications of. Gestational diabetes mellitus among women attending prenatal. This study also showed that rural residence adjusted odds ratio aor5. Hypertension in pregnancy among rural women in katsina. Hypertension during pregnancy affects about 68% of pregnant women. Recurrence of pregnancy induced hypertension in second pregnancy 144 p j m h s vol.
Pdf hypertensive pregnancy is an important cause of maternal mortality with several risk. They are common medical conditions in pregnancy responsible for approximately 14% of maternal deaths globally 5. Characteristics of visits to primary care physicians by adults diagnosed with hypertension. Figure 1 shows that the most prevalent risk factor was family history of hypertension 45. For most studies, the prevalence of hypertension was lower in women. However, very little is known about pih and associated determinants in many ssa countries such as ghana. Although, several countries have documented the prevalence of pih, little is known about the occurrence and seasonal variations in the incidence of pih in ghana. Pdf measuring regional and district variations in the incidence of. Notion1, donewell bangure1 and prosper chonzi2 abstract background. Recurrence of pregnancy induced hypertension in second. Jul 14, 2010 hypertension is a major risk factor for many cardiovascular diseases in developing countries. A study conducted in ghana revealed that pregnancy induced hypertension has contributed for 8. Measuring regional and district variations in the incidence.
Recurrence of pregnancy induced hypertension in second pregnancy. Prevalence and determinants of pregnancy induced hypertension. It is classified as mild sbp 140149 and dbp 9099 mm hg, moderate sbp 150159 and dbp 100109 mmhg and severe sbp. It is associated with adverse pregnancy outcomes as well as maternal morbidity and mortality. There is a significant burden of hdp in the ghanaian. The prevalence of pregnancy induced hypertension among women attending delivery service in the three hospitals of this study was 33 7. Gestational hypertension can lead to a serious condition called preeclampsia, also referred to as toxemia.
Study of the prevalence of hypertension and complications. Pregnancy induced hypertension and associated factors. Incidence of pregnancy induced hypertension and prescription pattern of antihypertensive drugs in pregnancy. Pregnancy induced hypertension powerpoint presentation. Seasonal variation in the occurrence of pregnancyinduced. Hypertension, the leading single cause of morbidity and mortality worldwide, is a growing public health problem in subsaharan africa ssa. Table 4 shows prevalence of pregnancy induced hypertension was 7. However, very little is known about pih and associated determinants in many ssa countries such as. For example, the terms toxemia, gestosis, pregnancyinduced hypertension, and preeclamptic toxemia have each been used to. Likewise, a study conducted in dessie referral hospital and ghana municipality showed that advanced maternal age was significantly associated with. The proportion of gestational hypertension among all the women with hypertensive disorders was 50. The ghana maternal health survey conducted in 2007. The prevalence was highest in the central region at 28. It is defined as systolic blood pressure sbp 140 mmhg and diastolic blood pressure dbp 90 mmhg.
Incidence of pregnancy induced hypertension and prescription. Pdf prevalence of pregnancy induced hypertension and. It increases the likelihood of progression into preeclampsia or adverse. Hypertension in pregnancy among rural women in katsina state. Prevalence of pregnancy induced hypertension and its bad. Jan 14, 2011 during 20052008, the overall ageadjusted prevalence of hypertension control among persons with hypertension aged. Statistical significant association was found between pregnancy induced hypertension and age group p0. We conducted a crosssectional analysis of blood pressure data collected through a cohort study in four ssa countries, to estimate the prevalence of pre. Prevalence of hypertensive disorders of pregnancy in ethiopia. Hypertensive disorders in pregnancy among pregnant women in a.
Background hypertensive disorders of pregnancy are among the leading causes of maternal and erinatal deaths in develop ping countries, and many studies have been conducted in this field 1. The objective of this study was to determine the prevalence of hypertensive disorders of pregnancy hdp, the morphological variations of human placenta in hdp, and maternal and perinatal outcomes in hdp. Materials and methods this was a prospective casecontrol study, conducted at komfo anokye teaching hospital kath, ghana. Prevalence of pregnancy induced hypertension and pregnancy outcomes among women seeking maternity services in harare, zimbabwe. This study also determined the frequencies of the various types of hypertensive disorders in pregnancy at kbth. Hypertensive disorders in pregnancy among pregnant women. However, so far little is known about the adverse perinatal outcomes of pregnancyinduced hypertension in tigray regional state, ethiopia. Most downloaded pregnancy hypertension articles elsevier. In ghana, pih is identified as one of the commonest cause of pregnancy complications with 7. Classification of hypertensive disorders in pregnancy hdp 10 a. Of the 3906 participants, 1033 were classified as hypertensive, giving an overall prevalence of hypertension was 26. The prevalence of hypertension was generally lower in rural compared to urban populations. The prevalence of the hypertensive disorders in pregnancy 17 % found in this study was similar to 21.
To assess the prevalence of pregnancy induced hypertension disorder and associated factors among pregnant women attending antenatal care service at gondar town public health institutions. Pregnancy induced hypertension pih is one of the most common causes of both maternal and neonatal morbidity, affecting about 5 8 % of pregnant women. In ghana, maternal mortality ratio remains excessively high and hdp are responsible for about. Dietary determinants of pregnancy induced hypertension in. Pregnancy induced hypertension pih is defined as bp. Definitions and stratification of hypertension in pregnancy 7 a. Prevalence of pregnancy induced hypertension and pregnancy outcomes among women seeking maternity services in harare, zimbabwe monica muti1, mufuta tshimanga1, gombe t. Hypertension, pregnancy induced hypertension, preeclampsia, eclampsia, chronic hypertension 1. Prevalence of hypertension and controlled hypertension. Few studies have estimated and compared the burden of hypertension across different ssa populations.
Menopause is associated with a twofold increase in risk of hypertension, with a prevalence of 75% in postmenopausal women in the us. Eclampsia includes preeclampsia with the presence of. Recurrence of hypertensive disorder in second pregnancy after preeclampsia n16 type of disorder n %age normal 11 68. Prevalence, placenta development and perinatal outcomes of. Pdf prevalence of pregnancy induced hypertension and its.
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