Cargando…
Incidence and Predictors of Pre-Eclampsia Among Pregnant Women Attending Antenatal Care at Debre Markos Referral Hospital, North West Ethiopia: Prospective Cohort Study
BACKGROUND: Pre-eclampsia is a pregnancy-induced hypertension that occurs after 20 weeks of gestation. It is the leading cause of maternal and perinatal morbidity and mortality globally, but it is higher in developing countries. In Ethiopia, conducting research on the incidence and predictors of pre...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7667502/ https://www.ncbi.nlm.nih.gov/pubmed/33204174 http://dx.doi.org/10.2147/IJWH.S265643 |
_version_ | 1783610325908586496 |
---|---|
author | Birhanu, Molla Yigzaw Temesgen, Habtamu Demeke, Gebreselassie Assemie, Moges Agazhe Alamneh, Alehegn Aderaw Desta, Melaku Toru, Milkiyas Ketema, Daniel Bekele Leshargie, Cheru Tesema |
author_facet | Birhanu, Molla Yigzaw Temesgen, Habtamu Demeke, Gebreselassie Assemie, Moges Agazhe Alamneh, Alehegn Aderaw Desta, Melaku Toru, Milkiyas Ketema, Daniel Bekele Leshargie, Cheru Tesema |
author_sort | Birhanu, Molla Yigzaw |
collection | PubMed |
description | BACKGROUND: Pre-eclampsia is a pregnancy-induced hypertension that occurs after 20 weeks of gestation. It is the leading cause of maternal and perinatal morbidity and mortality globally, but it is higher in developing countries. In Ethiopia, conducting research on the incidence and predictors of pre-eclampsia is crucial due to the paucity of information. METHODS: A prospective cohort study was undertaken using 242 pregnant women between November 1, 2018 and March 30, 2019 at Debre Markos Referral Hospital. All eligible women who fulfilled the inclusion criteria were included in this study. Data were entered into the epic-data Version 4.2 and analyzed using the STATA Version 14.0 software. The Cox-proportional hazard regression model was fitted and Cox-Snell residual test was used to assess the goodness of fit. Pre-eclampsia free survival time was estimated using the Kaplan–Meier survival curve. Both bivariable and multivariable Cox-proportional hazard regression models were fitted to identify predictors of pre-eclampsia. RESULTS: The overall incidence rate of pre-eclampsia was 3.35 per 100 person-years. Having a pre-existing history of diabetes mellitus [AHR=2.7 (95% CI=1.43–8.81)], having a history of multiple pregnancy [AHR=3.4 (95% CI=2.8–6.9)] and being ≥35 years old age [AHR=2.5 (95% CI=1.42–3.54)] were the significant predictors of pre-eclampsia. CONCLUSION: The incidence of pre-eclampsia was high in this study. Having (pre-existing diabetes and multiple pregnancy) and being ≥35 years old age were the significant predictors of pre-eclampsia. Inspiring pregnant women’s health-seeking behavior should provide a chance to diagnose pre-eclampsia early to prevent the medical complication of pre-eclampsia. |
format | Online Article Text |
id | pubmed-7667502 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-76675022020-11-16 Incidence and Predictors of Pre-Eclampsia Among Pregnant Women Attending Antenatal Care at Debre Markos Referral Hospital, North West Ethiopia: Prospective Cohort Study Birhanu, Molla Yigzaw Temesgen, Habtamu Demeke, Gebreselassie Assemie, Moges Agazhe Alamneh, Alehegn Aderaw Desta, Melaku Toru, Milkiyas Ketema, Daniel Bekele Leshargie, Cheru Tesema Int J Womens Health Original Research BACKGROUND: Pre-eclampsia is a pregnancy-induced hypertension that occurs after 20 weeks of gestation. It is the leading cause of maternal and perinatal morbidity and mortality globally, but it is higher in developing countries. In Ethiopia, conducting research on the incidence and predictors of pre-eclampsia is crucial due to the paucity of information. METHODS: A prospective cohort study was undertaken using 242 pregnant women between November 1, 2018 and March 30, 2019 at Debre Markos Referral Hospital. All eligible women who fulfilled the inclusion criteria were included in this study. Data were entered into the epic-data Version 4.2 and analyzed using the STATA Version 14.0 software. The Cox-proportional hazard regression model was fitted and Cox-Snell residual test was used to assess the goodness of fit. Pre-eclampsia free survival time was estimated using the Kaplan–Meier survival curve. Both bivariable and multivariable Cox-proportional hazard regression models were fitted to identify predictors of pre-eclampsia. RESULTS: The overall incidence rate of pre-eclampsia was 3.35 per 100 person-years. Having a pre-existing history of diabetes mellitus [AHR=2.7 (95% CI=1.43–8.81)], having a history of multiple pregnancy [AHR=3.4 (95% CI=2.8–6.9)] and being ≥35 years old age [AHR=2.5 (95% CI=1.42–3.54)] were the significant predictors of pre-eclampsia. CONCLUSION: The incidence of pre-eclampsia was high in this study. Having (pre-existing diabetes and multiple pregnancy) and being ≥35 years old age were the significant predictors of pre-eclampsia. Inspiring pregnant women’s health-seeking behavior should provide a chance to diagnose pre-eclampsia early to prevent the medical complication of pre-eclampsia. Dove 2020-11-10 /pmc/articles/PMC7667502/ /pubmed/33204174 http://dx.doi.org/10.2147/IJWH.S265643 Text en © 2020 Birhanu et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Birhanu, Molla Yigzaw Temesgen, Habtamu Demeke, Gebreselassie Assemie, Moges Agazhe Alamneh, Alehegn Aderaw Desta, Melaku Toru, Milkiyas Ketema, Daniel Bekele Leshargie, Cheru Tesema Incidence and Predictors of Pre-Eclampsia Among Pregnant Women Attending Antenatal Care at Debre Markos Referral Hospital, North West Ethiopia: Prospective Cohort Study |
title | Incidence and Predictors of Pre-Eclampsia Among Pregnant Women Attending Antenatal Care at Debre Markos Referral Hospital, North West Ethiopia: Prospective Cohort Study |
title_full | Incidence and Predictors of Pre-Eclampsia Among Pregnant Women Attending Antenatal Care at Debre Markos Referral Hospital, North West Ethiopia: Prospective Cohort Study |
title_fullStr | Incidence and Predictors of Pre-Eclampsia Among Pregnant Women Attending Antenatal Care at Debre Markos Referral Hospital, North West Ethiopia: Prospective Cohort Study |
title_full_unstemmed | Incidence and Predictors of Pre-Eclampsia Among Pregnant Women Attending Antenatal Care at Debre Markos Referral Hospital, North West Ethiopia: Prospective Cohort Study |
title_short | Incidence and Predictors of Pre-Eclampsia Among Pregnant Women Attending Antenatal Care at Debre Markos Referral Hospital, North West Ethiopia: Prospective Cohort Study |
title_sort | incidence and predictors of pre-eclampsia among pregnant women attending antenatal care at debre markos referral hospital, north west ethiopia: prospective cohort study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7667502/ https://www.ncbi.nlm.nih.gov/pubmed/33204174 http://dx.doi.org/10.2147/IJWH.S265643 |
work_keys_str_mv | AT birhanumollayigzaw incidenceandpredictorsofpreeclampsiaamongpregnantwomenattendingantenatalcareatdebremarkosreferralhospitalnorthwestethiopiaprospectivecohortstudy AT temesgenhabtamu incidenceandpredictorsofpreeclampsiaamongpregnantwomenattendingantenatalcareatdebremarkosreferralhospitalnorthwestethiopiaprospectivecohortstudy AT demekegebreselassie incidenceandpredictorsofpreeclampsiaamongpregnantwomenattendingantenatalcareatdebremarkosreferralhospitalnorthwestethiopiaprospectivecohortstudy AT assemiemogesagazhe incidenceandpredictorsofpreeclampsiaamongpregnantwomenattendingantenatalcareatdebremarkosreferralhospitalnorthwestethiopiaprospectivecohortstudy AT alamnehalehegnaderaw incidenceandpredictorsofpreeclampsiaamongpregnantwomenattendingantenatalcareatdebremarkosreferralhospitalnorthwestethiopiaprospectivecohortstudy AT destamelaku incidenceandpredictorsofpreeclampsiaamongpregnantwomenattendingantenatalcareatdebremarkosreferralhospitalnorthwestethiopiaprospectivecohortstudy AT torumilkiyas incidenceandpredictorsofpreeclampsiaamongpregnantwomenattendingantenatalcareatdebremarkosreferralhospitalnorthwestethiopiaprospectivecohortstudy AT ketemadanielbekele incidenceandpredictorsofpreeclampsiaamongpregnantwomenattendingantenatalcareatdebremarkosreferralhospitalnorthwestethiopiaprospectivecohortstudy AT leshargiecherutesema incidenceandpredictorsofpreeclampsiaamongpregnantwomenattendingantenatalcareatdebremarkosreferralhospitalnorthwestethiopiaprospectivecohortstudy |