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Prevalence and demographic distributions of Pre-Eclampsia among Pregnant Women at Ho Teaching Hospital

Open Journal of Obstetrics and Gynecology 2024年第4期14卷 621-636页

作者： Adwoa Nyarko Joshua A. Kunfah David Z. Kolbilla Collins Adombire Akayuure Jamilatu B. Kappiah Sylvanus Kampo Department of Physician Assistantship School of Medicine University of Health and Allied Sciences Ho Ghana Department of Anaesthesia Wa Regional Hospital Wa Ghana Department of Obstetrics and Gynecology School of Medicine University for Development Studies Tamale Ghana Department of Nursing School of Nursing and Midwifery C. K. Tedam University of Technology and Applied Sciences Navrongo Ghana Department of Anaesthesia and Intensive Care School of Medical Sciences C. K. Tedam University of Technology and Applied Sciences Navrongo Ghana

Background: In Sub-Saharan Africa, pre-eclampsia remains a major health problem contributing to high rates of maternal mortality. Despite this condition having adverse effects on maternal and child health, its prevalence and associated risk factors are still significant, especially in developing countries including Ghana. This study aimed to assess the prevalence and demographic distributions associated with pre-eclampsia among pregnant women at the Ho Teaching Hospital. Methods: A facility-based retrospective study was conducted by reviewing available data or hospital records of pregnant mothers admitted to the labor and maternity wards from January 2018 to December 2020. All pregnant women who were diagnosed with pre-eclampsia within this period were included in the study. The data were collected using a structured checklist. Results: 5609 data on pregnant women from 2018 to 2020 were recorded. Out of the 5609 data recorded, 314 pre-eclampsia cases were recorded giving an overall prevalence of 5.6%. The yearly prevalence for 2018, 2019, and 2020 were 4.6%, 5.6%, and 6.6%, respectively. The most recorded pre-eclampsia cases were seen among women within the age group of 18 - 24 years. The data showed that 112 (35.7%) of the pregnant women who had pre-eclampsia were nulliparous. Pre-eclampsia-associated maternal and fetal complications were;preterm delivery 221 (70.4%), intrauterine fetal death 62 (19.7%), eclampsia 9 (2.9%), HELLP syndrome 5 (1.6%) and maternal death 17 (5.4%). Associated factors of pre-eclampsia were parity, level of education, and occupation (p ≤ 0.05). Conclusion: The findings of this study showed a rising trend in the incidence of pre-eclampsia over the years at the Ho Teaching Hospital. Parity, level of education, and occupation were found to be associated with developing pre-eclampsia.

关键词： Pre-Eclampsia Prevalence demographic distributions Risk Factors Antenatal Maternal

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