Frequency Of Hypertension Associated With Pregnancy Among The Pregnant Women Attending Maternal And Child Care Centers In Belbeis City
Asmaa Mahmoud Abdelaziz;
Abstract
This study was conducted as a cross sectional study to determine the frequency of hypertension among pregnant women attending antenatal care clinics in two (MCH) centers in Belbies city at Sharkia Governorate during the period from the first of September 2014 to the end of April 2015 and to study risk factors affecting the occurrence of hypertension during pregnancy.
Results of current study revealed that: the prevalence of hypertension among 554 pregnant women attending two (MCH) centers in Belbies city was (4.5%).
The mean systolic blood pressure of the pregnant women was (115.9 ± 11.9) at first reading and (114.7 ± 10.8) at second time. Mean diastolic blood pressure was (75.0 ± 8.0) at first time and (74.5 ± 7.2) at second reading.
None of the hypertensives women (0%) suffering from proteinuria compared to (0.6%) of normotensive pregnant women and this was statistically non-significant. Hypertensive presented with lower limb edema (45.8%)compared to normotensives (7.9%) and this was statistically significant.There were no cases of preeclampsia among all studied females.
Asregards risk factors predisposing to the development of hypertension during pregnancy, it was found that, increased maternal age, larger family size, smoking and obesity predispose to pregnancy associated hypertension.
Also, it was found that women with DM, renal disease in current pregnancy and history of hypertension in previous pregnancy, were at higher risk to develop hypertension during pregnancy more than non-diabetics and those without renal disease or had hypertension in previous pregnancy.
However, there was no significant difference between normotensives and hypertensives as regard educational level, gestational age,twin pregnancy, parity, Hb level,methods of contraception, number of rooms, job, and job stress, salty and fatty food intake. Also, familial history of hypertension and Familial history of hypertension with pregnancy were not related to history of hypertension.
Presence of hypertension before pregnancy, past history of twin pregnancy, past history of taking medicines for long time and presence of lower limb edema or albumin in urine in previous pregnancy were not associated with presence of hypertension.
By logistic regression analysis, maternal age was the only significant predictor for pregnancy associated hypertension.
Therefore, increased efforts should be made by the health care physicians in (MCH) Centers to provide the high risk pregnant women as early as possible with proper antenatal care and management of hypertension during pregnancy.
Health education programs regarding the predisposing factors of development of hypertension during pregnancy and preventive measures of this disease should be recommended.
Results of current study revealed that: the prevalence of hypertension among 554 pregnant women attending two (MCH) centers in Belbies city was (4.5%).
The mean systolic blood pressure of the pregnant women was (115.9 ± 11.9) at first reading and (114.7 ± 10.8) at second time. Mean diastolic blood pressure was (75.0 ± 8.0) at first time and (74.5 ± 7.2) at second reading.
None of the hypertensives women (0%) suffering from proteinuria compared to (0.6%) of normotensive pregnant women and this was statistically non-significant. Hypertensive presented with lower limb edema (45.8%)compared to normotensives (7.9%) and this was statistically significant.There were no cases of preeclampsia among all studied females.
Asregards risk factors predisposing to the development of hypertension during pregnancy, it was found that, increased maternal age, larger family size, smoking and obesity predispose to pregnancy associated hypertension.
Also, it was found that women with DM, renal disease in current pregnancy and history of hypertension in previous pregnancy, were at higher risk to develop hypertension during pregnancy more than non-diabetics and those without renal disease or had hypertension in previous pregnancy.
However, there was no significant difference between normotensives and hypertensives as regard educational level, gestational age,twin pregnancy, parity, Hb level,methods of contraception, number of rooms, job, and job stress, salty and fatty food intake. Also, familial history of hypertension and Familial history of hypertension with pregnancy were not related to history of hypertension.
Presence of hypertension before pregnancy, past history of twin pregnancy, past history of taking medicines for long time and presence of lower limb edema or albumin in urine in previous pregnancy were not associated with presence of hypertension.
By logistic regression analysis, maternal age was the only significant predictor for pregnancy associated hypertension.
Therefore, increased efforts should be made by the health care physicians in (MCH) Centers to provide the high risk pregnant women as early as possible with proper antenatal care and management of hypertension during pregnancy.
Health education programs regarding the predisposing factors of development of hypertension during pregnancy and preventive measures of this disease should be recommended.
Other data
| Title | Frequency Of Hypertension Associated With Pregnancy Among The Pregnant Women Attending Maternal And Child Care Centers In Belbeis City | Other Titles | دراسةلقياس نسبة حدوث إرتفاع ضغط الدم المصاحب للحمل للحوامل اللاتى يترددن على مراكز رعاية الأمومة والطفولة في مدينة بلبيس | Authors | Asmaa Mahmoud Abdelaziz | Issue Date | 2015 |
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