Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region
Abstract Background Despite significant improvements in its management, preeclampsia continues to be one of the frequent causes of postpartum readmission. Increased awareness of the risk factors for postpartum readmission is required to reduce its incidence and related complications. This study dete...
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Wiley
2024-03-01
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| Series: | Public Health Challenges |
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| Online Access: | https://doi.org/10.1002/puh2.154 |
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| author | Enoch Odame Anto Wina Ivy Ofori Boadu Lovelace Kwaku Gyamfi Emmanuel Ekow Korsah Ezekiel Ansah Joseph Frimpong Valentine Christian Kodzo Tsatsu Tamakloe Augustine Tawiah Elizabeth Aboagye Albright Etwi‐Mensah Agartha Odame Anto Christian Obirikorang |
| author_facet | Enoch Odame Anto Wina Ivy Ofori Boadu Lovelace Kwaku Gyamfi Emmanuel Ekow Korsah Ezekiel Ansah Joseph Frimpong Valentine Christian Kodzo Tsatsu Tamakloe Augustine Tawiah Elizabeth Aboagye Albright Etwi‐Mensah Agartha Odame Anto Christian Obirikorang |
| author_sort | Enoch Odame Anto |
| collection | DOAJ |
| description | Abstract Background Despite significant improvements in its management, preeclampsia continues to be one of the frequent causes of postpartum readmission. Increased awareness of the risk factors for postpartum readmission is required to reduce its incidence and related complications. This study determined the prevalence and associated risk factors for postpartum readmission among women with preexisting preeclampsia in a Ghanaian population. Methods This hospital‐based retrospective study was conducted at the obstetrics and gynaecology units of Komfo Anokye Teaching Hospital in Ghana. We reviewed the medical records including sociodemographic and obstetric characteristics of preeclampsia patients. Statistical analyses were performed using Statistical Package for Social Sciences Version 26.0 and GraphPad Prism version 8.0. p‐Value <0.05 was considered statistically significant. Results A total of 208 preeclampsia patients were considered in this study. The rate of postpartum readmission for a hypertensive disorder among women with preeclampsia was 46%. After adjusting for multiple confounders in the multivariate logistic model, having a family history of hypertension [aOR = 3.512, 95% CI (1.669–7.394), p = 0.0028] was associated with increased odds for postpartum readmission. However, being nulliparous [aOR = 0.321, 95% CI (0.116–0.887), p = 0.0028] was independently associated with a reduced odd for postpartum readmission. Conclusion The rates of postpartum readmission are significantly high among preeclampsia women. Our findings highlight the importance of continued efforts to improve the health outcomes of both mother and newborn, including heightened monitoring of at‐risk patients in the Ghanaian population. |
| format | Article |
| id | doaj-art-bcd05cf6594948ff800bb8b051ed3254 |
| institution | DOAJ |
| issn | 2769-2450 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Public Health Challenges |
| spelling | doaj-art-bcd05cf6594948ff800bb8b051ed32542025-08-20T03:09:45ZengWileyPublic Health Challenges2769-24502024-03-0131n/an/a10.1002/puh2.154Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti RegionEnoch Odame Anto0Wina Ivy Ofori Boadu1Lovelace Kwaku Gyamfi2Emmanuel Ekow Korsah3Ezekiel Ansah4Joseph Frimpong5Valentine Christian Kodzo Tsatsu Tamakloe6Augustine Tawiah7Elizabeth Aboagye8Albright Etwi‐Mensah9Agartha Odame Anto10Christian Obirikorang11Department of Medical Diagnostics Faculty of Allied Health Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi GhanaDepartment of Medical Diagnostics Faculty of Allied Health Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi GhanaDepartment of Medical Diagnostics Faculty of Allied Health Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi GhanaDepartment of Medical Diagnostics Faculty of Allied Health Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi GhanaDepartment of Medical Diagnostics Faculty of Allied Health Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi GhanaDepartment of Medical Diagnostics Faculty of Allied Health Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi GhanaDepartment of Medical Diagnostics Faculty of Allied Health Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi GhanaKomfo Anokye Teaching Hospital Kumasi GhanaDepartment of Medical Diagnostics Faculty of Allied Health Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi GhanaDepartment of Medical Diagnostics Faculty of Allied Health Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi GhanaDepartment of Obstetrics and Gynaecology Ho Teaching Hospital Ho GhanaDepartment of Molecular Medicine School of Medicine and Dentistry College of Health Science Kwame Nkrumah University of Science and Technology Kumasi GhanaAbstract Background Despite significant improvements in its management, preeclampsia continues to be one of the frequent causes of postpartum readmission. Increased awareness of the risk factors for postpartum readmission is required to reduce its incidence and related complications. This study determined the prevalence and associated risk factors for postpartum readmission among women with preexisting preeclampsia in a Ghanaian population. Methods This hospital‐based retrospective study was conducted at the obstetrics and gynaecology units of Komfo Anokye Teaching Hospital in Ghana. We reviewed the medical records including sociodemographic and obstetric characteristics of preeclampsia patients. Statistical analyses were performed using Statistical Package for Social Sciences Version 26.0 and GraphPad Prism version 8.0. p‐Value <0.05 was considered statistically significant. Results A total of 208 preeclampsia patients were considered in this study. The rate of postpartum readmission for a hypertensive disorder among women with preeclampsia was 46%. After adjusting for multiple confounders in the multivariate logistic model, having a family history of hypertension [aOR = 3.512, 95% CI (1.669–7.394), p = 0.0028] was associated with increased odds for postpartum readmission. However, being nulliparous [aOR = 0.321, 95% CI (0.116–0.887), p = 0.0028] was independently associated with a reduced odd for postpartum readmission. Conclusion The rates of postpartum readmission are significantly high among preeclampsia women. Our findings highlight the importance of continued efforts to improve the health outcomes of both mother and newborn, including heightened monitoring of at‐risk patients in the Ghanaian population.https://doi.org/10.1002/puh2.154hypertensionmaternal and child healthpostpartum readmissionpreeclampsiapregnancyprevalence |
| spellingShingle | Enoch Odame Anto Wina Ivy Ofori Boadu Lovelace Kwaku Gyamfi Emmanuel Ekow Korsah Ezekiel Ansah Joseph Frimpong Valentine Christian Kodzo Tsatsu Tamakloe Augustine Tawiah Elizabeth Aboagye Albright Etwi‐Mensah Agartha Odame Anto Christian Obirikorang Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region Public Health Challenges hypertension maternal and child health postpartum readmission preeclampsia pregnancy prevalence |
| title | Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region |
| title_full | Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region |
| title_fullStr | Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region |
| title_full_unstemmed | Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region |
| title_short | Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region |
| title_sort | preeclampsia in ghana a study on the prevalence and risk factors of postpartum readmission in the ashanti region |
| topic | hypertension maternal and child health postpartum readmission preeclampsia pregnancy prevalence |
| url | https://doi.org/10.1002/puh2.154 |
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