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

Berhe, Abadi Kidanemariam; Ilesanmi, A. O.; Aimakhu, CO; Mulugeta, Afework

doi:10.21203/rs.2.14708/v5

Cited by 1 publication

(2 citation statements)

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“…Pregnancy-induced hypertension (PIH) is de novo hypertension arising at 20 weeks or more gestational stage of pregnancy that may or may not induce proteinuria 1 . The main frequent health comorbidity in pregnancy is hypertension.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Pregnancy-Induced Hypertension and Pregnancy Outcomes

Khalid,

Ejaz,

Arif

et al. 2023

PJMHS

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Background: The most frequent medical comorbidity during pregnancy is hypertension, rendering an elevated menace of unfavorable outcomes for equally mother and infant. It is a substantial public health concern, characterized by eclampsia, chronic hypertension, and preeclampsia. Objectives: The study determined occurrence of pregnancy-induced hypertension (PIH) and pregnancy outcomes, in the locality of Pakistan. Methods: The cross-sectional research appraised 05 districts of Pakistan in 2021-22. The study comprised 1920 patients affected with PIH. The demographic characteristics, laboratory and clinical values and pregnancy outcomes were recorded on the approved questionnaire. Results: Prevalence of PIH in pregnant females in study area was recorded as 13.70%. A significant proportion of PIH-affected females had genetic predisposition (51.14%), followed by abortion history (15.52%), history of hormonal imbalance (9.94%), history of Cesarean section (7.50%) and history of stillbirth (0.88%). Pregnancy outcome revealed that 16 (0.833%) women died of the PIH, 31 suffered from renal failure, 36 from pulmonary edema, 4.06% were affected with abruptio placentae and 103 suffered from HELLP syndrome. Similarly, the neonatal complications revealed that 27 fetuses died to mothers’ PIH, 111 suffered from asphyxia (5.78%) at the time of birth and 13 infants were abnormal and had different congenital anomalies. Practical implication: It emphasized the need for improved prenatal care, early detection of pregnancy-induced hypertension, and meticulous management of the condition in order to improve maternal and neonatal outcomes, especially in high prevalence regions such as Pakistan. Conclusion: The frequency of PIH in Pakistan was high (13.70%) and women had a greater risk of adverse pregnancy outcomes. With good prenatal care and continuous monitoring of the mother and fetus, perinatal outcomes including maternal morbidity and infant mortality can be avoided. Keywords: Asphyxia; Hypertension; Neonatal mortality; Perinatal outcomes.

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Section: Introductionmentioning

confidence: 99%

“…Women with PIH have a five times greater risk of perinatal death compared to those without this ailment 3 . 2-8% of pregnancies in Western world are intricated by PIH, while in meager developing nations, PIH prevalence is hiked to 16.7% 1,4 .…”

Section: Introductionmentioning

confidence: 99%