Obstetric predictors of hypertension: A cross-sectional study of women attending the postnatal clinic of Jos University Teaching Hospital

Abstract

Background:Hypertensive disease in pregnancy (HDP) accounts for high mother and child morbi-mortality and predict future cardiometabolic diseases. This study aimed to identify obstetric predictors of HDP needing preventive action to reduce its consequences; when women present to antenatal clinic (ANC).Materials and Methods:Cross-sectional descriptive this was an Interviewer-administered semi-structured questionnaire-based study of the anthropometric, and blood pressure measurementsin attendees at the postnatal clinic (PNC) of Jos University with ANC records.Setting:Six weeks postnatal clinic (PNC) of Jos University Teaching Hospital (JUTH).Results:The following indices proved predictive of HDP and subsequent hypertension: weight (P = 0.009), hip circumference (P = 0.018), parity (P = 0.043), waist circumference (P = 0.00), abdominal height (P = 0.040), waist/height (P = 0.020), history of developing hypertension in previous pregnancy (P = 0.000), birth weight of baby (P = 0.02), and mode of delivery (P = 0.05).Conclusion:To initiate preventive action on ANC registration in mitigating effects of or outrightly preventing HDP, careful check on anthropometry as well as history of hypertension or operative/preterm delivery in a previous pregnancy is necessary

Factors associated with hypertensive disorders of pregnancy in sub-Saharan Africa: A systematic and meta-analysis

“…For this variable, we found fourteen studies that had analysed the relationship between having a family history of HDP and the developing HDP [ 15 , 17 , 24 , 27 – 31 , 34 , 37 – 41 ]. All of these findings showed there was a positive association between family history of HDP and HDP in pregnant women.…”

“…In this review, we found nine studies that reported on the association between a high BMI and HDP [ 17 , 23 , 24 , 29 – 31 , 36 , 42 , 45 ]. Out of those nine studies, seven studies revealed a significant association between high BMI and HDP [ 23 , 24 , 30 , 31 , 36 , 42 , 45 ].…”

“…A study conducted in Ghana reported that the occurrence of HDP was found to be higher among women that used a contraceptive compared to women who did not use a contraceptive (AOR: 1.7; 95% CI: 1.2, 3.9) [30]. In other studies, the risk of developing HDP was found to be higher in women who used a hormonal contraceptive [17,24,42]. For instance, a study in Nigeria found a significant association between the use of an oral contraceptive and the risk of developing HDP (P<0.0005) [24].…”

“…Finally, we included 27 articles in this systematic review and out of 27 studies, 13 studies were included in the meta-analysis study (see Fig 1). The majority of the articles, 15 articles included in this review were cross-sectional [16,17,[22][23][24][25][26][27][28][29][30][31][32][33][34][35], nine were case-control [15,[36][37][38][39][40][41][42][43], and the remaining three were of a longitudinal study design [34,44,45]. Studies from ten countries were included in this review.…”

“…Moreover, most of the evidence reported about associated factors of HDP were from developed countries. The studies conducted on associated factors for HDP across SSA countries were at the health facility level with small sample sizes [17].…”