Mesh : Pregnancy Female Humans Adult Pre-Eclampsia / epidemiology Ethiopia / epidemiology Risk Factors Maternal Age Hypertension Prevalence

来  源:   DOI:10.1371/journal.pone.0287038   PDF(Pubmed)

Abstract:
Preeclampsia is a serious condition that is linked to poor perinatal outcomes. In Ethiopia, the overall prevalence of preeclampsia and its associated factors is uncertain. Therefore, the purpose of this review was to find the prevalence of pre-eclampsia and its determinants in Ethiopia.
To find primary studies, PubMed, Google Scholar, HINAR, Scopus, the Web of Sciences, and grey literature searches were used between January 1, 2013, and January 1, 2023, in Ethiopia. A Microsoft Excel sheet was used to extract data. The pooled prevalence of pre-eclampsia was predicted using a random-effect model.
Twenty-nine studies were included. The pooled prevalence of pre-eclampsia was 11.51% (95% CI: 8.41, 14.61). Age > 35 years old (AOR = 2.34, 95%CI, 1.74-2.94; p-value = 0.64), housewife (AOR = 2.76, 95%CI, 1.2-4.32; p-value = 0.37), previous history of pre-eclampsia (AOR = 4.02, 95%CI, 2.91-5.55; p-value = 0.09), family history of hypertension (OR = 1.84, 95%CI, 1.39-2.3; p-value = 0.4), history of chronic hypertension (AOR = 2.44, 95%CI, 1.8-3.08; p-value = 0.67), history of multiple pregnancies (AOR = 1.45, 95%CI, 1.09-1.8; p-value = 0.38), and alcohol intake during pregnancy (AOR = 1.53, 95%CI, 1.03-2.04; p-value = 0.03) were the determinants of pre-eclampsia.
When compared to previous studies, the overall pooled prevalence of pre-eclampsia was high. Pre-eclampsia is associated with maternal age >35 years, being a housewife, having a history of preeclampsia, having a history of chronic hypertension, having a family history of hypertension, having diabetes mellitus, drinking alcohol during pregnancy, and having multiple pregnancies.
摘要:
背景:先兆子痫是一种严重的疾病,与不良的围产期结局有关。在埃塞俄比亚,子痫前期的总体患病率及其相关因素尚不确定.因此,本综述的目的是了解埃塞俄比亚先兆子痫的患病率及其决定因素.
方法:为了找到主要研究,PubMed,谷歌学者,HINAR,Scopus,WebofSciences,在2013年1月1日至2023年1月1日期间,在埃塞俄比亚使用了灰色文献检索。使用MicrosoftExcel表格来提取数据。使用随机效应模型预测先兆子痫的合并患病率。
结果:纳入29项研究。合并的子痫前期患病率为11.51%(95%CI:8.41,14.61)。年龄>35岁(AOR=2.34,95CI,1.74-2.94;p值=0.64),家庭主妇(AOR=2.76,95CI,1.2-4.32;p值=0.37),先兆子痫病史(AOR=4.02,95CI,2.91-5.55;p值=0.09),高血压家族史(OR=1.84,95CI,1.39-2.3;p值=0.4),慢性高血压病史(AOR=2.44,95CI,1.8-3.08;p值=0.67),多胎妊娠史(AOR=1.45,95CI,1.09-1.8;p值=0.38),妊娠期间的酒精摄入量(AOR=1.53,95CI,1.03-2.04;p值=0.03)是先兆子痫的决定因素。
结论:与以前的研究相比,总体合并的先兆子痫患病率较高.先兆子痫与产妇年龄>35岁有关,作为一个家庭主妇,有先兆子痫病史,有慢性高血压病史,有高血压家族史,患有糖尿病,怀孕期间饮酒,还有多胎妊娠.
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