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...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Yitagesu Belayhun, Yibeltal Kassa, Niguse Mekonnen, Wakgari Binu, Mahilet Tenga, Bereket Duko
Formato: article
Lenguaje:EN
Publicado: Hindawi Limited 2021
Materias:
Acceso en línea:https://doaj.org/article/4784677b50ce4cc88033e922552b59ce
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:4784677b50ce4cc88033e922552b59ce
record_format dspace
spelling oai:doaj.org-article:4784677b50ce4cc88033e922552b59ce2021-11-08T02:37:17ZDeterminants of Pregnancy-Induced Hypertension among Mothers Attending Public Hospitals in Wolaita Zone, South Ethiopia: Findings from Unmatched Case-Control Study2090-039210.1155/2021/6947499https://doaj.org/article/4784677b50ce4cc88033e922552b59ce2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6947499https://doaj.org/toc/2090-0392Background. 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.Yitagesu BelayhunYibeltal KassaNiguse MekonnenWakgari BinuMahilet TengaBereket DukoHindawi LimitedarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENInternational Journal of Hypertension, Vol 2021 (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
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
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
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
title 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_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_sort determinants of pregnancy-induced hypertension among mothers attending public hospitals in wolaita zone, south ethiopia: findings from unmatched case-control study
publisher Hindawi Limited
publishDate 2021
url https://doaj.org/article/4784677b50ce4cc88033e922552b59ce
work_keys_str_mv AT yitagesubelayhun determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy
AT yibeltalkassa determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy
AT nigusemekonnen determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy
AT wakgaribinu determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy
AT mahilettenga determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy
AT bereketduko determinantsofpregnancyinducedhypertensionamongmothersattendingpublichospitalsinwolaitazonesouthethiopiafindingsfromunmatchedcasecontrolstudy
_version_ 1718442995609501696