Factors associated with severe preeclampsia and eclampsia in Jahun, Nigeria

Guerrier, Gilles; Oluyide, Bukola; Keramarou, Maria; Grais, Rebecca F.

doi:10.2147/ijwh.s47056

Cited by 54 publications

(65 citation statements)

References 12 publications

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“…The association between occupation as housewife and preeclampsia/eclampsia was statistically significant. A similar finding was obtained from a study done in Nigeria 17 . This could be due to stress-related factors arising from low socio-economic status and low wealth index.…”

Section: Discussionsupporting

confidence: 89%

Determinants of preeclampsia and eclampsia among women delivering in county hospitals in Nairobi, Kenya

et al. 2020

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Background: Preeclampsia is defined as the onset of a new episode of high blood pressure in a woman usually after 20 weeks gestation plus proteinuria, whereas eclampsia is defined as generalized seizures in a pregnant woman who generally has preeclampsia criteria. Preeclampsia and eclampsia are hypertensive disorders of pregnancy and thus, among the top causes of maternal death worldwide. The objective of this study was to investigate risk factors for preeclampsia/eclampsia. Methods: This was a hospital-based unmatched case-control study carried out among women of reproductive age (15-49 years) who have given birth at Nairobi County Hospitals and admitted to the postnatal ward July-September 2019 with a sample size of 352 participants (88 cases and 264 controls). All cases were selected, while controls were simple random sampled, as per eligibility criteria. Information or data were gathered using a structured interviewer-administered questionnaire and data abstraction tool. Descriptive analysis was carried out, where, categorical variables were presented in percentages or proportions, whereas; continuous variables were presented in means, standard deviations, and range. This was followed by a bivariable mixed-effect logistic regression analysis and a multivariable mixed-effect logistic regression analysis using the significant variables from bivariable analysis. Results: Of all the 88 cases enrolled in the study 5 (5.68%) had eclampsia and 83 (94.32%) had preeclampsia. There was a significant association between personal history of hypertension (AOR=7.1; 95% CI: 2.6-19.3, p=0.001), Occupation as a housewife (AOR=3.1; 95% CI: 1.1-8.8, p=0.034), nulliparity (AOR=7.5; 95% CI: 1.5-37.5, p=0.015) , primiparity (AOR=2.1; 95% CI: 1.1-4.2, p=0.031), advanced maternal age 35-49 years (AOR=5.9; 95% CI: 1.1-33.3, p=0.042), and the occurrence of preeclampsia/eclampsia. Conclusions: The following conclusions were made regarding the study findings: Personal history of hypertension, older/advanced maternal age (35-49 years), occupation, and parity were factors significantly associated with preeclampsia/eclampsia.

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Section: Discussionsupporting

confidence: 89%

Determinants of preeclampsia and eclampsia among women delivering in county hospitals in Nairobi, Kenya

et al. 2020

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“…Another risk factor for preeclampsia is primiparity. The present findings were contrary to other studies in which the chances of developing preeclampsia are higher in primiparous women (12)(13) .…”

Section: Discussioncontrasting

confidence: 99%

Maternal characteristics and risk factors for preeclampsia in pregnant women

Ferreira¹,

Moura²,

Gomes³

et al. 2019

Rev Rene

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Objective: to investigate maternal characteristics and risk factors for development of preeclampsia in pregnant women. Methods: documentary and retrospective study based on medical records of pregnant women of six Family Health Strategy teams. Information of 94 pregnant women was collected through a form and used in the study. Results: the pregnant women were aged between 15 and 47 years. The risk factors for development of preeclampsia in the sample were primiparity 40 (42.6%), chronic hypertension 4 (4.3%), multiple pregnancy 9 (9.6%), diabetes mellitus and obesity 8 (8.6%), and age >40 years (1.1%). Conclusion: there were some risk factors for the development of preeclampsia in the evaluated registries, such as primiparity, chronic hypertension, diabetes mellitus and obesity. Descriptors: Risk Factors; Pre-Eclampsia; Prenatal Care; Pregnancy, High-Risk.Objetivo: investigar as características maternas e os fatores de risco para o desenvolvimento da pré-eclâmpsia em gestantes. Métodos: estudo documental e retrospectivo, conduzido em fichas de cadastro de gestantes de seis equipes da Estratégia Saúde da Família. Foram utilizadas as informações de 94 gestantes, sendo esses dados coletados por meio de um formulário. Resultados: as gestantes possuíam idade entre 15 e 47 anos. Os fatores de risco para o desenvolvimento de pré-eclâmpsia presentes na amostra foram a primiparidade 40 (42,6%), a hipertensão crônica 4 (4,3%), a gravidez múltipla 9 (9,6%), o diabetes mellitus e a obesidade 8 (8,6%) e a idade >40 anos (1,1%). Conclusão: houve a presença de alguns fatores de risco para o desenvolvimento da pré-eclâmpsia nos cadastros avaliados, como primiparidade, hipertensão crônica, diabetes mellitus e obesidade.

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“…As regard to gravidity, the rate of preeclampsia is higher in primigravida and the rate decrease with increase gravidity. The study agreed with El-Nakhal, [26] & Guerrier et al, [31] & El-Moselhy et al, [24] which revealed that being primigravida is a risk factor that increased the risk of development of PE.…”

Section: Contradictory Findings Have Been Reported Bysupporting

confidence: 91%

“…On the other hand, middle social level is significant protective factors. Also Guerrier et al, [31] revealed that low socio-educational status was strongly associated with PE/eclampsia. Conversely, a study by Tanaka et al, [42] have found socioeconomic circumstances to be negatively associated with preeclampsia.…”

Section: Contradictory Findings Have Been Reported Bymentioning

confidence: 95%

Effect of Socioeconomic Status on Preeclampsia Cross Sectional Study

Youssef¹,

Mohamed

Habib³

et al. 2018

The Medical Journal of Cairo University

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Background: Preeclampsia (PE) is defined as a pregnancy specific syndrome usually occurs after 20 week gestation, it is determined by increased blood pressure (>140mmHg systolic or >90mmHg diastolic) accompanied by proteinuria (>0.3gm protein in a 24h specimen). Preeclampsia is multifactorial disease with environmental, socioeconomic and seasonal influence. It also has genetic predisposition. Preeclampsia affects approximately 5 to 7% of all pregnancies. And it remains the major cause of maternal and fetal morbidity and mortality.Aim of Study: Is detect the possible association between SES of the pregnant woman and PE and to assess whether the rate of PE or its severity is affected by different SES levels.

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Factors associated with severe preeclampsia and eclampsia in Jahun, Nigeria

Cited by 54 publications

References 12 publications

Determinants of preeclampsia and eclampsia among women delivering in county hospitals in Nairobi, Kenya

Determinants of preeclampsia and eclampsia among women delivering in county hospitals in Nairobi, Kenya

Maternal characteristics and risk factors for preeclampsia in pregnant women

Effect of Socioeconomic Status on Preeclampsia Cross Sectional Study

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