Pdf determination, knowledge and prevalence of pregnancy. Pregnancy induced hypertension and associated factors. Prevalence of pregnancy induced hypertension and pregnancy outcomes among women seeking maternity services in harare, zimbabwe monica muti1, mufuta tshimanga1, gombe t. Morikawa m, yamada t, yamada t, cho k, sato s, minakami h. Pregnancy induced hypertension pih is one of the most common causes. Study on the influence of pregnancyinduced hypertension. Hypertensive disorders of pregnancy are a major health burden in the obstetric population as it is one of the leading causes. Women with chronic hypertension also experience cardiovascular and cerebrovascular complications later in life. Hypertension during pregnancy affects about 68% of pregnant women. It is defined as systolic blood pressure sbp 140 mmhg and diastolic blood pressure dbp 90 mmhg. Gestational hypertension also referred to as pregnancy induced hypertension pih is a condition characterized by high blood pressure during pregnancy gestational hypertension can lead to a serious condition called preeclampsia, also referred to as toxemia. It is an important cause of fetomaternal morbidity and mortality, particularly in developing countries. Who library cataloguinginpublication data who recommendations for prevention and treatment of preeclampsia and eclampsia. Eopet early onset preeclampsia is of concern as 42% had onset of hypertension before 34 weeks while 55% were reported to have hypertension after 34 weeks.
It is classified as mild sbp 140149 and dbp 9099 mmhg, moderate sbp 150159 and dbp 100109 mmhg and severe sbp. Global burden of hypertensive disorders of pregnancy in. However, with good blood pressure control, you and your baby are more likely to stay healthy. This is more serious and can complicate chronic hypertension. The prevalence of pregnancy induced hypertension was 7. Study of the prevalence of hypertension and complications. Chronic hypertension in pregnancy is an important risk factor for maternal, fetal, and infant morbidity and mortality. Hypertensive disorders of pregnancy complicate 5%8% of pregnancies and are associated with increased risks of perinatal morbidity and mortality and maternal morbidity. The pooled prevalence of pregnancyinduced hypertension pih and. Pdf on feb 28, 2018, daniel eze ejike and others published determination, knowledge and prevalence of pregnancyinduced hypertensioneclampsia among. Address, family history of chronic hypertension, family history of pregnancy induced hypertension, kidney diseases, psychological stress during pregnancy were the factors contributing pregnancy induced hypertension. The ner in the new format since 2011 reveals prevalence of pregnancy hypertension continues to be 9 % and that of preeclampsia 5 %. Pih might affect angiogenesis in preterm neonates, but its association with. Prevalence of pregnancy induced hypertension and its bad.
Pih pregnancy induced hypertension prams pregnancy risk assessment monitoring system. Further large scale depth study can be conducted to get more precise result. The prevalence of pregnancy induced hypertension pih and preeclampsia pe are 510% and 24%, respectively. Maternal health epidemiology important definitions in maternal mortality and morbidity maternal death. The information in hypertension in pregnancy should not be viewed as a body of rigid rules. Close monitoring of significant parameters can prevent maternal fetal morbidity and complications of pregnancy induced hypertension. Hypertensive disorders in pregnancy hdp represent a group of conditions associated with high blood pressure during pregnancy. Hypertension during pregnancy prevention and health promotion. Therefore, the aim of this study was to estimate the national pooled prevalence of hypertensive disorders of pregnancy from studies conducted in different parts of the country. The association of pregnancyinduced hypertension with. It is associated with adverse pregnancy outcomes as well as maternal morbidity and mortality. In the united states, high blood pressure happens in 1 in every 12 to 17 pregnancies among women ages 20 to 44. Ldh is a useful biochemical marker that reflects the severity of preeclampsia and it was associated with low birth weight in gestational hypertension in concentration dependent manner. The objective of this study aims to determine prevalence of gestational hypertension, monitor the prescription pattern and selection of antihypertensive drugs in pregnancy.
It is classified as mild sbp 140149 and dbp 9099 mm hg, moderate sbp 150159 and dbp 100. Prevalence of hypertension during pregnancy hypertension during pregnancy may be preexisting chronic or may start in the 2nd half of pregnancy gestational hypertension. Preeclampsia fact sheet overview preeclampsia, sometimes referred to as toxemia or pregnancy induced hypertension pih, is a disorder that occurs during pregnancy and affects both the mother and the fetus. The pooled prevalence of pregnancyinduced hypertension pih and preeclampsia eclampsia alone were 6. The prevalence of pregnancy induced hypertension among women attending delivery service were 7. The prevalence of maternal and fetal complications associated with hdp vary by region and healthcare facility type. Changes in the prevalence of chronic hypertension in. Globally, nearly 10% of all pregnancies are complicated by hypertension and is responsible for a huge burden of maternal as well as prenatal morbidity and mortality. A superimposed pregnancy induced hypertension may develop on those with chronic hypertension. The term prevalence of gestational hypertension usually refers to the estimated population of people who are managing gestational hypertension at any given time. Epidemiology of preeclampsia and the other hypertensive. Labels such as pregnancy induced hypertension and pregnancy associated hypertension, previously used to describe the syndrome of hypertension in pregnancy with or without proteinuria and oedema, have been replaced by the more specific entities.
Introduction pregnancy induced hypertension pih is a global problem 1 which hypertension in pregnancy affects about 522% of pregnancies worldwide 2. The overall prevalence of hypertensive disorders pregnancy wasin 7. By continuing to use our website, you are agreeing to our use of cookies. Despite being the leading cause of maternal death and a major contributor of maternal and perinatal morbidity, the mechanisms responsible for the pathogenesis of pih have not yet been fully elucidated. The death of a woman while pregnant or within 42 days of the termination of pregnancy, irrespective of the duration and site of pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or. Bad birth outcome of pregnancy induced hypertension, 24. Pregnancy induced hypertension pih is classified according to the severity of hypertension. Epidemiology of the hypertensive disorders of pregnancy. Epidemiology of preeclampsia and the other hypertensive disorders of pregnancy. It is a rapidly progressive condition characterized by elevated blood pressure, swelling and protein in the urine.
Hypertensive disorders in pregnancy among pregnant women. Prevalence of hypertensive disorders of pregnancy in. However, there is paucity of information on the prevalence of pregnancy induced hypertension and associated factors in the study area. To explore the effect of pregnancy induced hypertension pih on neonatal birth weight and provide the necessary reference value for the maternal and children health service. The japan society of hypertension made practice guidelines in 2014, and the. The estimated prevalence of chronic hypertension in pregnancy in united states is 3% and has been increasing over time. The aims of the study were to find the prevalence of hypertensive. Pdf prevalence of pregnancy induced hypertension and its bad. Seasonal variation in the prevalence of pregnancy induced hypertension in japanese women.
The term incidence of gestational hypertension refers to the annual diagnosis rate, or the number of new cases of gestational hypertension diagnosed each year. Pregnancy induced hypertension and associated factors among. Prevalence of pregnancy induced hypertension among the. Although hypertensive disorders of pregnancy are the leading cause of poor perinatal outcomes in ethiopia, there is no study that shows the national prevalence. The pooled prevalence of pregnancyinduced hypertension pih and preeclampsiaeclampsia alone were 6. Pregnancy induced hypertension pih is one of the most common causes of both maternal and. This increase in prevalence has been attributed to the increased prevalence of obesity and delay in childbearing to ages, when chronic hypertension is more common 100. Pregnancy induced hypertension pih, which includes both gestational hypertension and preeclampsia, is a common and morbid pregnancy complication for which the pathogenesis remains unclear. Impact of pregnancyinduced hypertension on stillbirth and.
A diastolic blood pressure of 90mmhg or more that either predates pregnancy or develops before 20 weeks gestation 4, 9. Harare city experienced an increase in referrals due to pih to central hospitals from 2009 to 2011. High blood pressure in pregnancy has become more common. When protein is in the urine with gestational hypertension, it is known as preeclampsia. Prevalence of pregnancy induced hypertension and pregnancy outcomes among women seeking maternity services in harare, zimbabwe article pdf available in. Women diagnosed with chronic hypertension early in pregnancy have increased risk of preeclampsia. Pih is an emerging clinical and public health problem at chitungwiza central hospital with a prevalence estimated at 7. The prevalence of pregnancy induced hypertension among women admitted for delivery in the three hospitals were 33 7. Pregnancy induced hypertension, a condition specific to. Determination, knowledge and prevalence of pregnancy. Pdf prevalence of pregnancy induced hypertension and. We sought to estimate the prevalence of hypertensive disorders of pregnancy hdp in saudi. Healthcare professionals women who develop hypertension during pregnancy, who have hypertension and wish to conceive, and who have had a pregnancy complicated by hypertension, and their relatives and carers.
Hypertension, pregnancy induced hypertension, preeclampsia, eclampsia, chronic hypertension 1. Hence this study was conducted to explore magnitude of pregnancy induced hypertension and associated factors among pregnant women, in karamara hospital, jigjiga city of somali regional state. Sarker s a, nazma s, most l b, lobaba s l, md f a, md k h. Gestational hypertension hypertension without the development of significant prote inuria hypertension in pregnancy hypertension found when blood pressure is. Similarly, wolde et al determined the prevalence of hypertensive disorders in pregnancy at a teaching hospital in ethiopia as 8. And a total of 28 045 singleton live infants and their mothers were recruited using a stratified, multistage, probability.
Emerging evidence suggests that insulin resistance, which has been linked to essential hypertension, may play a role in pih. According to this study, the prevalence of pregnancy induced hypertension was high. Hypertension in pregnancy was developed by the task force on hypertension in pregnancy. A descriptive cross sectional study was carried out and. Prevalence of pregnancy induced hypertension and pregnancy. Statistical significant association was found between pregnancy induced hypertension and socioeconomic status. Epidemiology of hypertensive disorders in pregnancy. Hypertensive disorders of pregnancy rank high among the causes of maternal mortality and morbidity. The prevalence of preeclampsia, gestational hypertension, chronic hypertension, and eclampsia were 5. Notion1, donewell bangure1 and prosper chonzi2 abstract background. Women with prior preeclampsia are at increased risk of hypertension, cardiovascular disease, and renal disease suzuki et al. Prevalence of hypertensive disorders of pregnancy in ethiopia. Pregnancy induced hypertension pih complicates 610% of pregnancies. Incidence of pregnancy induced hypertension and prescription pattern of antihypertensive drugs in pregnancy.
Pregnancy induced hypertension pih is one of the most common causes of both maternal and neonatal morbidity, affecting about 5 8 % of pregnant women. Epidemiology of pregnancyinduced hypertension oxford. Pdf prevalence of pregnancy induced hypertension and its. Background hypertensive disorders of pregnancy are among the leading causes of maternal and erinatal deaths in develop ping countries, and many studies have been conducted in this field 1. Prevalence and incidence of gestational hypertension. Hypertension is a common medical prob lem that affects 20% 30% of the adult population and more than 5 8% of all pregnancies in the world%. The guidelines are general and intended to be adapted to many different situations.
Includes chronic hypertension and pregnancy induced hypertension 4. The reference lists of already identified studies were screened to retrieve additional articles. The prevalence of pregnancy induced hypertension among women attending delivery service was 7. Prevalence, risk factors, and fetal and maternal outcomes of. Pih is restricted to hypertension in pregnant women who have no preexisting overt chronic hypertension or renal diseases and no high. Pregnancy induced hypertension pih is estimated to affect 7% to 10% of all pregnancies in the united states. Phi is an emerging clinical and public health problem in nigeria. Gestational hypertension is the most common medical problem and remains an important cause of maternal and fetal morbidity and mortality and implicated in 1015% of maternal death worldwide. A crosssectional study was carried out in shaanxi province of china in 20. Download pdf bmc pregnancy and childbirth biomed central.
Care seeking behavior, expectant mothers, knowledge, pregnancy induced hypertension pih. Assistant professor, department of clinical pharmacy, bharati vidyapeeth deemed university, poona college of pharmacy, pune, maharashtra, india. Pregnancy induced hypertension pih is one of the most common. Global burden of hypertensive disorders of pregnancy in the year 2000. High blood pressure, also called hypertension, is very common. Pregnancy induced hypertension pih is one of the most common causes of both maternal and neonatal morbidity. Hypertensive disorders represent one of the most common medical complications of pregnancy. The objectives of the study is to estimate the prevalence of pregnancy induced hypertension during pregnancy in a selected rural health center in bangladesh.