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