关键词: Factors case-control ethiopia preeclampsia pregnancy-induced hypertension pregnant women

Mesh : Pregnancy Humans Female Ethiopia / epidemiology Pregnant Women Case-Control Studies Pre-Eclampsia / epidemiology etiology Risk Factors

来  源:   DOI:10.1080/08037051.2023.2255687

Abstract:
Little is known about the factors contributing to preeclampsia in Ethiopia. Therefore, this study was conducted to determine factors associated with preeclampsia among pregnant women in public hospitals.
An institution based unmatched case-control study was conducted. Women with preeclampsia were cases, and those without preeclampsia were controls. The study participants were selected using the consecutive sampling method with a case-to-control ratio of 1:2. The data were collected through measurements and a face-to-face interview. Then the data were entered using Epi Info and exported to STATA 14 for analysis. The findings were presented in text, tables, and figures.
About 51 (46.4%) of cases and 81 (36.8%) of controls had no formal education. Multiple gestational pregnancies (AOR = 2.75; 95% CI: 1.20-6.28); history of abortion (AOR = 3.17, 95% CI: 1.31-7.70); change of paternity (AOR = 3.16, 95% CI: 1.47-6.83); previous use of implants (AOR = 0.41; 95% CI: 0.13-0.96); and fruit intake during pregnancy (AOR = 0.36, 95% CI: 0.18-0.72) were associated factors of preeclampsia.
History of abortion, change of paternity, and multiple gestational pregnancies were risk factors for preeclampsia. Fruit intake during pregnancy and previous use of implant contraceptives were negatively associated with preeclampsia. Further studies should be conducted regarding the effect of prior implant use on preeclampsia. Healthcare providers should give special attention to women with a history of abortion and multiple gestational pregnancies during the ANC follow-up period.
Pregnancy-induced hypertension (PIH) is the second leading cause (14.0%) of maternal mortality next to haemorrhage.Preeclampsia is a common pregnancy problem that results in serious maternal and foetal complications.Preeclampsia is associated with an increased risk of adverse foetal, neonatal, and maternal outcomes.The majority of deaths due to preeclampsia could be prevented through timely and effective care provision for pregnant women.There are limited studies conducted on the factors associated with preeclampsia in Ethiopia.
摘要:
关于导致埃塞俄比亚先兆子痫的因素知之甚少。因此,本研究旨在确定公立医院孕妇中与先兆子痫相关的因素.
进行了一项基于机构的无匹配病例对照研究。先兆子痫的妇女有病例,那些没有先兆子痫的人是对照组。使用病例与对照比为1:2的连续抽样方法选择研究参与者。数据是通过测量和面对面访谈收集的。然后使用EpiInfo输入数据,并输出到STATA14进行分析。调查结果以文字形式呈现,tables,和数字。
约51例(46.4%)和81例(36.8%)的对照组没有接受过正规教育。多胎妊娠(AOR=2.75;95%CI:1.20-6.28);流产史(AOR=3.17,95%CI:1.31-7.70);亲子关系变化(AOR=3.16,95%CI:1.47-6.83);以前使用过植入物(AOR=0.41;95%CI:0.13-0.96);妊娠期水果摄入量与子痫前期相关(AOR=0.72%CI
堕胎史,亲子关系的改变,多胎妊娠是先兆子痫的危险因素。怀孕期间的水果摄入量和先前使用植入避孕药与先兆子痫呈负相关。关于先前使用植入物对先兆子痫的影响,应进行进一步研究。在ANC随访期间,医疗保健提供者应特别注意有流产史和多胎妊娠史的妇女。
妊娠高血压(PIH)是仅次于出血的第二大孕产妇死亡原因(14.0%)。先兆子痫是一种常见的妊娠问题,会导致严重的母婴并发症。先兆子痫与不良胎儿的风险增加有关,新生儿,和产妇结局。通过为孕妇提供及时有效的护理,可以预防大多数先兆子痫导致的死亡。在埃塞俄比亚,对与先兆子痫相关的因素进行的研究有限。
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