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