Determinants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control Study
Background. It has been estimated that approximately 14% of maternal death has resulted due to pregnancy-induced hypertension. Evidence also suggests that pregnancy-induced hypertension may result in adverse maternal and child outcomes. The aim of this study was to assess the determinants of pregnan...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2021/6947499 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547631227731968 |
|---|---|
| author | Yitagesu Belayhun Yibeltal Kassa Niguse Mekonnen Wakgari Binu Mahilet Tenga Bereket Duko |
| author_facet | Yitagesu Belayhun Yibeltal Kassa Niguse Mekonnen Wakgari Binu Mahilet Tenga Bereket Duko |
| author_sort | Yitagesu Belayhun |
| collection | DOAJ |
| description | Background. It has been estimated that approximately 14% of maternal death has resulted due to pregnancy-induced hypertension. Evidence also suggests that pregnancy-induced hypertension may result in adverse maternal and child outcomes. The aim of this study was to assess the determinants of pregnancy-induced hypertension among mothers attending antenatal and delivery services at public health hospitals in Wolaita zone, southern Ethiopia. Methods. An institutionally based unmatched case-control study was conducted at three public hospitals. A total of 283 study participants were recruited for this study. Cases were selected consecutively as they were being diagnosed for pregnancy-induced hypertension, and two controls were selected for each case. Data were collected via the face-to-face interview technique using a pretested questionnaire. Unconditional logistic regression analysis was used to identify the independent predictor variables and produced odds ratio (OR) as a measure of association. Results. The mean ± (SD) ages of cases and controls were 26.1 ± 5.4 and 26.1 ± 4.5 years, respectively. Being rural residents (AOR: 2.25, 95% CI: 1.09–4.65), illiterate (AOR: 3.12, 95% CI: 1.20–8.08), having the history of pregnancy-induced hypertension (AOR: 6.62, 95% CI: 2.48–17.71), history of kidney disease (AOR: 3.14, 95% CI: 1.05–9.38), and family history of hypertension (AOR: 5.59, 95% CI: 2.73–11.45) were determinants that increased the odds of suffering from hypertensive disorders of pregnancy. More importantly, eating vegetables and fruit reduces the odds of suffering from pregnancy-induced hypertension by 77% (AOR: 0.23, 95% CI: 0.06–0.79). Conclusion. Being rural residents, illiterate, having a history of pregnancy-induced hypertension, and history of kidney disease, as well as the family history of hypertension were identified determinates of hypertensive disorders of pregnancy in the study area. Furthermore, fruit and vegetable intakes were identified as protective factors for pregnancy-induced hypertension. Therefore, early diagnosis and intervention of this disorder are warranted to reduce adverse outcomes. |
| format | Article |
| id | doaj-art-4784677b50ce4cc88033e922552b59ce |
| institution | Kabale University |
| issn | 2090-0392 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj-art-4784677b50ce4cc88033e922552b59ce2025-02-03T06:43:52ZengWileyInternational Journal of Hypertension2090-03922021-01-01202110.1155/2021/6947499Determinants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control StudyYitagesu Belayhun0Yibeltal Kassa1Niguse Mekonnen2Wakgari Binu3Mahilet Tenga4Bereket Duko5Health Development Planning and Economic AdministrationSchool of Public HealthSchool of Public HealthSchool of Public HealthMedical Services DirectorateFaculty of Heath SciencesBackground. It has been estimated that approximately 14% of maternal death has resulted due to pregnancy-induced hypertension. Evidence also suggests that pregnancy-induced hypertension may result in adverse maternal and child outcomes. The aim of this study was to assess the determinants of pregnancy-induced hypertension among mothers attending antenatal and delivery services at public health hospitals in Wolaita zone, southern Ethiopia. Methods. An institutionally based unmatched case-control study was conducted at three public hospitals. A total of 283 study participants were recruited for this study. Cases were selected consecutively as they were being diagnosed for pregnancy-induced hypertension, and two controls were selected for each case. Data were collected via the face-to-face interview technique using a pretested questionnaire. Unconditional logistic regression analysis was used to identify the independent predictor variables and produced odds ratio (OR) as a measure of association. Results. The mean ± (SD) ages of cases and controls were 26.1 ± 5.4 and 26.1 ± 4.5 years, respectively. Being rural residents (AOR: 2.25, 95% CI: 1.09–4.65), illiterate (AOR: 3.12, 95% CI: 1.20–8.08), having the history of pregnancy-induced hypertension (AOR: 6.62, 95% CI: 2.48–17.71), history of kidney disease (AOR: 3.14, 95% CI: 1.05–9.38), and family history of hypertension (AOR: 5.59, 95% CI: 2.73–11.45) were determinants that increased the odds of suffering from hypertensive disorders of pregnancy. More importantly, eating vegetables and fruit reduces the odds of suffering from pregnancy-induced hypertension by 77% (AOR: 0.23, 95% CI: 0.06–0.79). Conclusion. Being rural residents, illiterate, having a history of pregnancy-induced hypertension, and history of kidney disease, as well as the family history of hypertension were identified determinates of hypertensive disorders of pregnancy in the study area. Furthermore, fruit and vegetable intakes were identified as protective factors for pregnancy-induced hypertension. Therefore, early diagnosis and intervention of this disorder are warranted to reduce adverse outcomes.http://dx.doi.org/10.1155/2021/6947499 |
| spellingShingle | Yitagesu Belayhun Yibeltal Kassa Niguse Mekonnen Wakgari Binu Mahilet Tenga Bereket Duko Determinants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control Study International Journal of Hypertension |
| title | Determinants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control Study |
| title_full | Determinants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control Study |
| title_fullStr | Determinants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control Study |
| title_full_unstemmed | Determinants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control Study |
| title_short | Determinants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control Study |
| title_sort | determinants of pregnancy induced hypertension among mothers attending public hospitals in wolaita zone south ethiopia findings from unmatched case control study |
| url | http://dx.doi.org/10.1155/2021/6947499 |
| work_keys_str_mv | AT yitagesubelayhun determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy AT yibeltalkassa determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy AT nigusemekonnen determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy AT wakgaribinu determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy AT mahilettenga determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy AT bereketduko determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy |