Effect of Hypertensive Disorders of Pregnancy on Maternal Health Outcomes at Primary Health Care Centers in Gaza Strip – Palestine
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Date
2019-10
Journal Title
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Volume Title
Publisher
SCIENCEDOMAIN international
Abstract
Aims: To identify the possible effects of hypertensive disorders of pregnancy (HDP) on maternal health outcomes of women attended primary health care centers (PHCCs) in Gaza Strip –Palestine.Study Design:A cross-sectional comparative design.Place and Duration of Study:The study was conducted at 6 PHCCs from August 2016 to May 2017.Methodology:Two groups of 215 hypertensive mothers and 215 normotensive mothers in the last pregnancy were recruited by 3-stage stratified random sampling technique. A detailed questionnaire filled through face to face interviews in addition to medical records revision in 2017. Pearson's Chi-square and t-tests were used to compare the outcomes between the two groups.Results:HDP in 215 women were classified as pregnancy-induced hypertension (n = 153, 71.2%) and chronic hypertension (n = 62, 27.8%). The mean age of HDP women was 28.8 ± 6.8 years. About 40.9% live in refugee camps; 23.7% had gravida ≥ 7; 54.6% had BMI > 30 and 21.9% had a history of twice or more abortions. Only 20% of HDP women received preconception care. Cesarean section and assisted delivery were significantly higher among hypertensive mothers (37.2% and 26.9%) compared with non-hypertensive (16.3% and 8.4%) respectively (P= 0.001). Incidence of preeclampsia/eclampsia, antepartum hemorrhage and postpartum hemorrhage, were significantly higher among HDP women (29.3%, P= 0.001; 14%, p=0.001; 7%, P= 0.003 respectively) while no significant differences in abrupio placenta (0.9%; P= 0.25), placenta previa (0.5%, P= 0.75) HELLP syndrome (0.9%, P= 0.24) were found between the two groups. 20.9% mothers with pregnancy-induced hypertension were not recovered and developed chronic hypertension.Conclusion:Women with HDP are at higher risk to have adverse maternal outcomes compared to normotensive women in GS. Preconception care, early diagnosis and prenatal follow-up would improve maternal and fetal prognosis
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Keywords
Hypertensive disorders of pregnancy, maternal health, obstetric profile
Citation
Elqatrawi Khalil Jamil, Eljedi Ashraf Yaqoub. Effect of Hypertensive Disorders of Pregnancy on Maternal Health Outcomes at Primary Health Care Centers in Gaza Strip – Palestine. Journal of Advances in Medicine and Medical Research. 2019 Oct; 30(9): 1-11