Magnitude and associated factors of Pregnancy‑Induced Hypertension Among Women Who Gave Birth in Public Hospitals of East Wollega Zone, Oromia, Ethiopia: A cross-sectional study

Authors

  • Chaltu File Teka Wollega University
  • Walkite Olani Wollega University
  • Robsan Gudeta Wollega University

DOI:

https://doi.org/10.20372/mhsr.v2i1.1923

Keywords:

Pregnancy-induced hypertension, Mothers, Delivery services, East Wollega Zone

Abstract

Background: Pregnancy-induced hypertension represents a major health concern that typically develops after the twentieth week of gestation. It stands as the second leading contributor to maternal deaths, both direct and indirect.

Objective: To assess the magnitude and determinants of pregnancy-induced hypertension among mothers delivering in East Wallaga public hospitals, Oromia, Ethiopia.

Methods: A cross-sectional study was carried out in public hospitals of East Wallaga Zone between January 1 and May 30, 2023. Data were collected through face-to-face interviews and by reviewing maternal medical records with a semi-structured questionnaire. The collected information was entered into EpiData version 3.1 and subsequently analyzed with SPSS version 20.

Results: The study comprised 252 mothers, with a mean age of 29.6 years (SD = 5.98; range: 18-45). The magnitude of pregnancy-induced hypertension was 7.5%. Factors independently associated with pregnancy-induced hypertension included twin delivery (AOR = 5.09; 95% CI: 3.58-34.2), diabetes mellitus (AOR = 8.42; 95% CI: 1.19-63.69), family history of hypertension (AOR = 2.68; 95% CI: 1.84-39.06), family history of pregnancy-induced hypertension (AOR = 3.11; 95% CI: 2.32-41.5), and experiencing stressful life events during pregnancy (AOR = 2.89; 95% CI: 1.58-52.7).

Conclusion: The magnitude of pregnancy-induced hypertension observed in this study was higher. Health care providers at all levels should prioritize early identification of the highlighted risk factors to mitigate complications associated with pregnancy-induced hypertension.

Downloads

Download data is not yet available.

Author Biography

Walkite Olani, Wollega University

Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia

References

Uma, M.S., Bhuvana, S., Annamalai, R. and Muthayya, M., 2022. Visual morbidity and spectrum of ophthalmic changes in pregnancy induced hypertension. Journal of Family Medicine and Primary Care, 11(6), pp.2488-2492.

Kinshella, M.L.W., Omar, S., Scherbinsky, K., Vidler, M., Magee, L.A., von Dadelszen, P., Moore, S.E. and Elango, R., 2022. Maternal nutritional risk factors for pre-eclampsia incidence: findings from a narrative scoping review. Reproductive Health, 19(1), pp.1-13.

Liu, Y. and Meng, Q., 2022. Risk of gestational hypertension and preeclampsia in pregnant mothers with new onset blood pressure of 120–129/≤ 89 mmHg: a meta-analysis of prospective studies. Hypertension in Pregnancy, 41(1), pp.1-8.

Grover, S., Brandt, J.S., Reddy, U.M. and Ananth, C.V., 2022. Chronic hypertension, perinatal mortality and the impact of preterm delivery: a population‐based study. BJOG: An International Journal of Obstetrics & Gynaecology, 129(4), pp.572-579.

Nwagbara, U.I., Osuala, E.C., Chireshe, R., Babatunde, G.B., Okeke, N.O., Opara, N. and Hlongwana, K.W., 2022. Mapping evidence on factors contributing to maternal and child mortality in sub-Saharan Africa: A scoping review protocol. PloS one, 17(8), p. e0272335.

Schneider S, Freerksen N, Röhrig S, Hoeft B, Maul H. Gestational diabetes and preeclampsia–similar risk factor profiles? Early Hum Dev. 2012;88(3):179–84. Singh, S., Numan, A., Sharma, D., Shukla, R., Alexander, A., Jain, G.K., Ahmad, F.J. and Kesharwani, P., 2022. Epidemiology, virology

and clinical aspects of hantavirus infections: an overview. International Journal of Environmental Health Research, 32(8), pp.1815-1826.

Goldstein, S.A., Savu, A., Islam, S., Ward, C.C., Krasuski, R.A., Grotegut, C.A., Newby, L.K., Hornberger, L.K., Windram, J. and Kaul, P., 2022. Risk factors and outcomes associated with hypertensive disorders of pregnancy in maternal congenital heart disease. JACC: Advances, 1(2), p.100036.

Mou, A.D., Barman, Z., Hasan, M., Miah, R., Hafsa, J.M., Das Trisha, A. and Ali, N., 2021. Prevalence of preeclampsia and the associated risk factors among pregnant mother in Bangladesh. Scientific Reports, 11(1), pp.1-9.

. Raru, T.B., Ayana, G.M., Yuya, M., Merga, B.T., Kure, M.A., Negash, B., Birhanu, A., Alemu, A., Dessie, Y. and Dheresa, M., 2022. Magnitude, Trends, and Determinants of Institutional Delivery Among Reproductive Age Mother in Kersa Health and Demographic Surveillance System Site, Eastern Ethiopia: A Multilevel Analysis. Frontiers in Global Mother's Health, 3.

Yimer, N.B., Gedefaw, A., Tenaw, Z., Liben, M.L., Meikena, H.K., Amano, A. and Abajobir, A.A., 2022. Adverse obstetric outcomes in public hospitals of southern Ethiopia: the role of parity. The Journal of Maternal-Fetal & Neonatal Medicine, 35(10), pp.1915-1922.

Gaym, A., Bailey, P., Pearson, L., Admasu, K., Gebrehiwot, Y. and Team, E.N.E.A., 2011. Disease burden due to pre-eclampsia/eclampsia and the Ethiopian health system's response. International Journal of Gynecology & Obstetrics, 115(1), pp.112-116.

Federal Democratic Republic of Ethiopia Ministry of Health. Health Sector Development Program IV 2010/11 – 2014/15.

Dolea, C. and AbouZahr, C., 2003. Global burden of hypertensive disorders of pregnancy in the year 2000. GBD 2000 Working Paper, World Health Organization, Geneva. http://www. who. int/evidence/bod. 2003“Global Burden of Obstructed Labor in the Year 2000.” GBD 2000 Working Paper, World Health Organization, Geneva. http://www. who. int/evidence/bod.

Gudeta, T.A. and Regassa, T.M., 2019. Pregnancy induced hypertension and associated factors among mother attending delivery service at mizan-tepi university teaching hospital, tepi general hospital and gebretsadik shawo hospital, southwest, Ethiopia. Ethiopian journal of health sciences, 29(1).

Tenaw, Z., Kassa, Z.Y., Kassahun, G. and Ayenew, A., 2019. Maternal preference, mode of delivery and associated factors among mother who gave birth at public and private hospitals in Hawassa City, Southern Ethiopia. Annals of Global Health, 85(1).

Wolde, Z., Segni, H. and Woldie, M., 2011. Hypertensive disorders of pregnancy in Jimma University specialized hospital. Ethiopian journal of health sciences, 21(3).

Tessema, G.A., Tekeste, A. and Ayele, T.A., 2015. Preeclampsia and associated factors among pregnant mother attending antenatal care in Dessie referral hospital, Northeast Ethiopia: a hospital-based study. BMC pregnancy and childbirth, 15(1), pp.1-7.

Belay, A.S. and Wudad, T., 2019. Prevalence and associated factors of pre-eclampsia among pregnant mother attending anti-natal care at Mettu Karl referral hospital, Ethiopia: cross-sectional study. Clinical hypertension, 25(1), pp.1-8.

Lin, L., Huai, J., Su, R., Wang, C., Li, B. and Yang, H., 2021. Incidence and Clinical Risk Factors for Preeclampsia and Its Subtypes: A Population-Based Study in Beijing, China. Maternal-Fetal Medicine, 3(02), pp.91-99.

Haile, T.G., Assefa, N., Alemayehu, T., Mariye, T., Geberemeskel, G.G., Bahrey, D., Mebrahtom, G., Demisse, B., Gebrekidan, H. and Getachew, T., 2021. Determinants of Preeclampsia among Mother Attending Delivery Services in Public Hospitals of Central Tigray, Northern Ethiopia: A Case-Control Study. Journal of Pregnancy, 2021.

Ogunwole, S.M., Mwinnyaa, G., Wang, X., Hong, X., Henderson, J. and Bennett, W.L., 2021. Preeclampsia Across Pregnancies and Associated Risk Factors: Findings from a High‐Risk US Birth Cohort. Journal of the American Heart Association, 10(17), p. e019612

Hinkosa, L., Tamene, A. and Gebeyehu, N., 2020. Risk factors associated with hypertensive disorders in pregnancy in Nekemte referral hospital, from July 2015 to June 2017, Ethiopia: case-control study. BMC Pregnancy and Childbirth, 20(1), pp.1-9.

Wanamo, T.E., Wodera, A.L. and Debaba, D., 2021. Pregnancy induced hypertension and associated factors among pregnant mother in Madda Walabu University Goba referral hospital, Southeast Ethiopia. International Journal of Clinical Skills, 15(5), p.181.

Shegaze, M., Markos, Y., Estifaons, W., Taye, I. and Gemeda, E., 2016. Magnitude and associated factors of preeclampsia among pregnant mother who attend antenatal Care Service in Public Health Institutions in Arba Minch town, southern Ethiopia, 2016. Gynecol Obstet (Sunnyvale), 6(419), pp.2161-0932.

Paola Aghajanian P, Ainbinder S, Andrew E. Vicki VB, Heather B, Helene B et al. Current Diagnosis and Treatment in Obstetrics and Gynecology, the McGraw-Hill., 2006.

Van Middendorp D, Asbroek A, Yaw Bio F, Edusei A . Rural and urban differences in blood pressure and pregnancy-induced hypertension among pregnant mother in Ghana. Globalization and Health 2013, 9:59.

Farid, E.Z.E., Abdel-wahed, H.A. and Hemida, H.A.A., 2022. Evaluation of Addition Of Sildenafil Citrate On Fetal Growth And Doppler Indices In Treatment of Pregnancy Induced Hypertension. Egyptian Journal of Medical Research, 3(1), pp.68-83.

Cardwell, M.S., 2013. Stress: pregnancy considerations. Obstetrical & gynecological survey, 68(2), pp.119-129.

Lou, Y., He, P., Jiang, H., Xiang, L. and Gao, X., 2023. Analysis of the characteristics of blood lipid metabolism in twin pregnancy. Journal of Investigative Medicine, 71(1), pp.53-57.

Morgan, N., Christensen, K., Skedros, G., Kim, S. and Schliep, K., 2022. Life stressors, hypertensive disorders of pregnancy, and preterm birth. Journal of Psychosomatic Obstetrics & Gynecology, 43(1), pp.42-50.

Ain, S.N., Gull, S., Qulsum, R., Khan, Z.A. and Qureshi, U.A., 2023. Prevalence of pregnancy induced hypertension and associated factors in Kashmiri mother attending a tertiary care hospital at Srinagar: a cross sectional study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 12(2), pp.387-391.

Manik, R.K., Dubey, S. and Joshi, A., 2023. The Effect of Possible Yogic Practices in Management of Pregnancy Induced Hypertension. Journal of Survey in Fisheries Sciences, 10(1S), pp.4237-4246.

Bekele, H., 2023. Bajrond Eshetu, Bikila Balis*, Woreknesh Daba, Bazie Mekonnen, Tamirat Getachew, Ephrem Yohanes Roga, Sisay Habte, Habtamu Bekele*, Indeshaw Ketema and Adera Debella. Gestational diabetes mellitus and long-term maternal outcomes, 16648714.

Berhe, A.K., Kassa, G.M., Fekadu, G.A. and Muche, A.A., 2018. Prevalence of hypertensive disorders of pregnancy in Ethiopia: a systemic review and meta-analysis. BMC pregnancy and childbirth, 18(1), pp.1-11.

Pedersen, M., Stayner, L., Slama, R., Sørensen, M., Figueras, F., Nieuwenhuijsen, M.J., Raaschou-Nielsen, O. and Dadvand, P., 2014. Ambient air pollution and pregnancy-induced hypertensive disorders: a systematic review and meta-analysis. Hypertension, 64(3), pp.494-500.

van den Hooven, E.H., de Kluizenaar, Y., Pierik, F.H., Hofman, A., van Ratingen, S.W., Zandveld, P.Y., Mackenbach, J.P., Steegers, E.A., Miedema, H.M. and Jaddoe, V.W., 2011. Air pollution, blood pressure, and the risk of hypertensive complications during pregnancy: the generation R study. Hypertension, 57(3), pp.406-412.

Published

2025-12-27

How to Cite

Teka, C. F., Olani, W., & Gudeta, R. (2025). Magnitude and associated factors of Pregnancy‑Induced Hypertension Among Women Who Gave Birth in Public Hospitals of East Wollega Zone, Oromia, Ethiopia: A cross-sectional study. Medical and Health Sciences Research Journal, 2(1), 22–37. https://doi.org/10.20372/mhsr.v2i1.1923

Issue

Section

Articles

Categories

Plaudit