Grum, Teklit (2016) Risk Factors for Preeclampsia among Women Attending Delivery Services in Selected Public Hospitals in Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Introduction: Preeclampsia, also called pregnancy induced hypertension (PIH) is a pregnancyspecific hypertensive disorder usually occurs after 20 weeks of gestation and affects both the mother and the fetus. It is one of the leading causes of maternal and perinatal morbidity and mortality worldwide. In Ethiopia the major direct obstetric complications including pregnancy induced hypertension account for 85 percent of the maternal deaths as well as many acute and chronic illnesses. Unlike deaths due to other direct causes, eclampsia/ preeclampsia related deaths appear to be increasing and linked to multiple factors, making prevention of the disease a continuous challenge. Yet few studies have been conducted in Ethiopia. Objectives: To assess the risk factors for preeclampsia among women attending delivery services in selected public hospitals in Addis Ababa, Ethiopia. Methods: Hospital based unmatched case control study design was employed. The study was conducted in Addis Ababa in two public hospitals from July, 2015 G.C. to June, 2016 G.C. with sample size of 291 (97 cases and 194 controls). These two public hospitals, Zewditu Memorial hospital and Gandhi Memorial hospital, were purposely selected because these two hospitals were the largest governmental hospitals in Addis Ababa that provide maternity care. Women with preeclampsia were cases and women who had nod diagnosed for preeclampsia were controls. Data was collected using interviewer administered pretested questionnaire. The data was entered in epi Info 7 software and exported to STATA 14 for cleaning and analysis. Descriptive statistics were used to describe the data in relation to relevant variables. Both bivariate and multivariable logistic regression analyses were computed to identify factors associated with preeclampsia. The study was approved by the Ethical Review committee (IRC) of School of Public Health and the Institutional review Board of the college of Health Science Addis Ababa University. Result: factors that were found to have statistically significantly association with preeclampsia were primigravidea (AOR: 2.68, 95% CI: 1.38, 5.22), history of preeclampsia on prior pregnancy (AOR: 4.28, 95% CI: 1.61, 11.43), multiple pregnancy (AOR: 8.22, 95% CI: 2.97, 22.78), receiving nutritional counseling during pregnancy (AOR: 0.22, 95% CI: 0.1, 0.48) and drinking alcohol during pregnancy (AOR: 3.97, 95% CI: 1.8, 8.75). Conclusion and recommendation: the study identified protective and risk factors for preeclampsia. To promptly diagnose and treat preeclampsia health workers should give special attention to women with primigravidea and multiple pregnancy. Besides, health care providers should provide nutritional counseling during ANC, including avoiding drinking alcohol during their pregnancy.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 26 Jul 2018 07:12 |
| Last Modified: | 26 Jul 2018 07:12 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8161 |
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