Adverse neonatal outcomes in women with pre-eclampsia in Mulago Hospital, Kampala, Uganda: a cross-sectional study

Kowal, Paul; Tumwesigye, Nazarius Mbona; Wandabwa, Julius; Wamuyu-Maina, Gakenia; Bimenya, G. S.; Okong, Pius

doi:10.11604/pamjs.supp.2014.17.1.3014

Cited by 34 publications

(34 citation statements)

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“…In this study, approximately one-third (28.8%) of the newborns delivered from women with PIH were admitted to the neonatal intensive care unit (NICU). This finding was consistent with the study conducted in Uganda (32.1%) and Ghana (24.7%) (21,47) but higher than a study conducted in Iran (13%) (31). The higher risk of newborn baby admission to NICU might be related to the effect of PIH on low birth weight, birth asphyxia, and preterm births.…”

Section: Discussionsupporting

confidence: 92%

“…The incidence of stillbirth among women with PIH in this study was 10%. This result was more or less consistent with the study conducted in Uganda (13.1% and Ethiopia (10%) (21,24) but higher than the study conducted in Zimbabwe (5.4%), Ghana (6.8%) (20,41). This difference might be related with the difference in the access and quality of antenatal care and obstetric care service among health care institutions.…”

Section: Discussionsupporting

confidence: 86%

“…Different studies conducted in developed and developing countries on adverse perinatal outcomes of pregnancy-induced hypertension showed that PIH was associated with higher rates of morbidity and mortality such as preterm delivery, low birth weight, birth asphyxia, stillbirth and early neonatal death (14)(15)(16)(17)(18)(19). Similarly, studies conducted in Africa revealed that adverse perinatal outcomes such as perinatal death, low birth weight, preterm birth and, birth asphyxia were associated with PIH (20)(21)(22). However, the risk and incidence of adverse perinatal outcomes of PIH vary across countries, populations and ethnic-geographic areas.…”

Section: Introductionmentioning

confidence: 99%

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Effect of pregnancy induced hypertension on adverse perinatal outcomes in Tigray regional state, Ethiopia: a prospective cohort study

Berhe

Ilesanmi

Aimakhu

et al. 2019

Preprint

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Background: Pregnancy-induced hypertension is the development of new hypertension with or without proteinuria after 20 weeks of pregnancy. The prevalence of pregnancy-induced hypertension in Ethiopia ranges from 2.2 to 18.3%. Similarly, a study conducted in Tigray regional state indicated a higher prevalence of pregnancy-induced hypertension. However, so far little is known about the adverse perinatal outcomes of pregnancy-induced hypertension in Tigray Regional State, Ethiopia. Therefore the objective of this study was to assess the effect of pregnancy-induced hypertension on adverse perinatal outcomes in Tigray Regional State, Ethiopia. Methods: a prospective cohort study was conducted on a total sample of 782 pregnant women attending antenatal care in hospitals of Tigray regional state, Ethiopia. Data were collected using interviewer-administered questionnaire and review of their medical records from February 1, 2018, to February 30, 2019. Maternal age, wealth status, educational status, residence, gravidity, type of pregnancy, mode of delivery, anemia status and maternal undernutrition variables were controlled in the statistical models. A modified Poisson regression model with robust standard errors was used to analyze Relative risk. Results: In this study, the overall incidence of adverse perinatal outcome was higher among women with pregnancy-induced hypertension than normotensive women (66.4% vs 22.2%). After adjusted for confounders women with pregnancy-induced hypertension were born babies with a higher risk of low birth weight (adjusted RR(95%CI)= 5.1(3.4,7.8)), birth asphyxia (aRR=2.6(1.9,3.8)), small for gestational age (aRR=3.3(2.3,4.6)), preterm delivery (aRR=5.2(3.4,7.9)), stillbirth (aRR=3.46(1.40,8.54)), admission to neonatal intensive care unit (aRR=5.1(3.1,8.4)) and perinatal death (aRR=3.6(1.8,7.4)) compared to normotensive pregnant women. Conclusions: Higher incidences of adverse perinatal outcomes were occurred among women pregnancy-induced hypertension in Tigray regional state, Ethiopia. Hence health care providers should strengthen prevention, early diagnosis and prompt management of pregnancy-induced hypertension to reduce adverse perinatal outcomes of pregnancy-induced hypertension. Keywords: Adverse perinatal outcomes, pregnancy-induced hypertension, Tigray, Ethiopia

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

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Effect of pregnancy induced hypertension on adverse perinatal outcomes in Tigray regional state, Ethiopia: a prospective cohort study

Berhe

Ilesanmi

Aimakhu

et al. 2019

Preprint

View full text Add to dashboard Cite

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“…[20] The neonatal complications associated with preeclampsia include intrauterine growth retardation, Intrauterine deaths, complications associated with preterm deliveries, intracranial haemorrhage, respiratory distress, surfactant deficiency induced hyaline membrane disease, neonatal sepsis, bronchopulmonary dysplasia and need for NICU admissions. [21] As the only definitive management of severe eclampsia is delivery it becomes of utmost importance to keep in mind the effect such a preterm delivery might have on newborn. Severe pre eclampsia was found to have also been associated with low apgar scores in newborn babies.…”

Section: Discussionmentioning

confidence: 99%

Maternal and Fetal Outcome in Eclampsia

Praveenkumar¹,

Patil²,

Pachpande³

2017

AIMDR

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Background: (1)To study maternal outcome in eclampsia in relation to respiratory complications, fever, DIC, renal system affection and electrolyte imbalance. (2) To study the fetal outcome in eclampsia in relation to small for gestational age, intrauterine death, neonatal mortality, perinatal mortality and need for NICU admission.Study Design: It was a crosssectional prospective study conducted at Government Medical College Nagpur over a period of 3 months (14 May to 14 July). Methods: The study was approved by the Institutional ethical committee. All patients admitted in the department of obstetrics and gynaecology at government medical college Nagpur with eclampsia was enrolled for the study as per the criteria given. It was a a cross-sectional prospective study conducted from 14 May to 14 July (3 months) on women admitted with eclampsia after the gestational age of 20 weeks and presented with convulsions. The outcome in relation to maternal and neonatal morbidity and mortality was studied on the basis of various complications and defined parameters. Result: A total of 43 patients were enrolled in the study. The most common age group of patients who had eclampsia after 20 weeks of gestation belonged to age group of 21-25 years followed by more than 25 years and the least common age group was between 18-20 years of age. The mean age was found to be 24.23 years. Out of the studied cases 21 (48.83%) were primigravida and 22 (51.16%) were multigravidae. 16 (37.20%) patients visited doctor for ANC visits once or twice while 8 (18.60%) patients visited the doctor thrice, 9 patients made 4 ANC visits while 10 patients were such that they didn't made even a single ANC visit before getting admitted in our hospital with seizures. Patients with term pregnancies made up 34.88% of the total patients while 65.11% patients were preterm. The most common signs and symptoms seen in these patients were Headache (92%), Nausea and vomiting (90%), Epigastric pain (32%), anasarca (23%) and sudden blindness (6%). Out of 43 patients normal vaginal delivery took place in 22 (51.16%) and LSCS was done in 21 (48.83%) of the patients. The most common indication of LSCS in patients with eclampsia was fetal distress (47.61%) followed by unfavourable cervix (28.57%), failure of induction (14.28%) and contracted pelvis (9.52%). The most common complications seen in patients with eclampsia included Respiratory complications like aspiration pneumonia, pleural effusion and pulmonary oedema, which were seen in 11 (25.58%) patients followed by fever (23.25%) and haematuria (23.25%). The least common complications encountered were cardiomyopathy and cerebrovascular accidents which were seen in 2 patients (4.65%) each. Serious complications like disseminated intravascular coagulopathy, renal failure and deranged hepatic functions were seen in 16.27%, 6.97% and 13.95% respectively. convulsions to delivery interval was found to be a significant determinant of outcome and complications were found to be more common if this period exceeded more t...

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“…Dentre as mulheres com pré-DMG a mortalidade perinatal destacou-se por coincidir com risco aumentado (A24 36 A Síndrome Hipertensiva Gestacional e o Diabetes Mellitus Gestacional oneram prejuízos à saúde materna, fetal e ou neonatal [13][14][15][16][17][19][20][22][23][25][26][27][29][30][31][32][33][34][35][36][37][38]40,[42][43][47][48]…”

Section: Trends Of Preeclampsia/eclampsia and Maternal And Neonatal Ounclassified

Características evidenciadas em recém-nascidos de gestantes hipertensas e diabéticas: revisão sistemática da literatura

Albrecht¹,

Zanesco²,

Ribeiro³

et al. 2019

J. nurs. health.

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Objetivo: evidenciar quais são as repercussões no leito vascular e as características dos neonatos de gestantes com Síndromes Hipertensivas Gestacionais e/ou Diabetes Mellitus Gestacional. Método: trata-se de uma revisão sistemática de literatura, as buscas da pesquisa foram realizadas no mês de julho do ano de 2017, nas bases de dados da Literatura Latino-Americana do Caribe em Ciências da Saúde e na National Library of Medicine. Os dados foram tabulados em planilhas do Excel, sendo aplicada a análise de conteúdo. Resultados: os recém-nascidos de mães hipertensas estiveram relacionados a prematuridade e baixo peso para a idade gestacional, enquanto os recém-nascidos de mães diabéticas são relacionados a uma maior idade gestacional ao nascimento e peso considerado grande para a idade gestacional. Considerações finais: salienta-se a importância do acompanhamento através do pré-natal desde os primórdios da gestação, como medida protetiva à saúde materno-infantil.

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Adverse neonatal outcomes in women with pre-eclampsia in Mulago Hospital, Kampala, Uganda: a cross-sectional study

Cited by 34 publications

References 0 publications

Effect of pregnancy induced hypertension on adverse perinatal outcomes in Tigray regional state, Ethiopia: a prospective cohort study

Effect of pregnancy induced hypertension on adverse perinatal outcomes in Tigray regional state, Ethiopia: a prospective cohort study

Maternal and Fetal Outcome in Eclampsia

Características evidenciadas em recém-nascidos de gestantes hipertensas e diabéticas: revisão sistemática da literatura

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