The reference lists of already identified studies were screened to retrieve additional articles. Hypertensive disorders represent one of the most common medical complications of pregnancy. Similarly, wolde et al determined the prevalence of hypertensive disorders in pregnancy at a teaching hospital in ethiopia as 8. Sarker s a, nazma s, most l b, lobaba s l, md f a, md k h. The japan society of hypertension made practice guidelines in 2014, and the. Pih is restricted to hypertension in pregnant women who have no preexisting overt chronic hypertension or renal diseases and no high. Prevalence of pregnancy induced hypertension and pregnancy outcomes among women seeking maternity services in harare, zimbabwe monica muti1, mufuta tshimanga1, gombe t. Pdf prevalence of pregnancy induced hypertension and. 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. Pregnancy induced hypertension pih is one of the most common causes of both maternal and neonatal morbidity, affecting about 5 8 % of pregnant women. Study on the influence of pregnancyinduced hypertension.
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. Epidemiology of pregnancyinduced hypertension oxford. Prevalence of pregnancy induced hypertension and pregnancy. Phi is an emerging clinical and public health problem in nigeria. The information in hypertension in pregnancy should not be viewed as a body of rigid rules. The objectives of the study is to estimate the prevalence of pregnancy induced hypertension during pregnancy in a selected rural health center in bangladesh. 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. Pih pregnancy induced hypertension prams pregnancy risk assessment monitoring system. It is classified as mild sbp 140149 and dbp 9099 mm hg, moderate sbp 150159 and dbp 100. 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. Bad birth outcome of pregnancy induced hypertension, 24. It is an important cause of fetomaternal morbidity and mortality, particularly in developing countries. 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.
Prevalence of hypertensive disorders of pregnancy in. According to this study, the prevalence of pregnancy induced hypertension was high. Prevalence and incidence of gestational hypertension. However, there is paucity of information on the prevalence of pregnancy induced hypertension and associated factors in the study area. The prevalence of pregnancy induced hypertension among women attending delivery service were 7. A crosssectional study was carried out in shaanxi province of china in 20. A superimposed pregnancy induced hypertension may develop on those with chronic hypertension. Pdf determination, knowledge and prevalence of pregnancy. It is classified as mild sbp 140149 and dbp 9099 mmhg, moderate sbp 150159 and dbp 100109 mmhg and severe sbp. Introduction pregnancy induced hypertension pih is a global problem 1 which hypertension in pregnancy affects about 522% of pregnancies worldwide 2. The estimated prevalence of chronic hypertension in pregnancy in united states is 3% and has been increasing over time. In the united states, high blood pressure happens in 1 in every 12 to 17 pregnancies among women ages 20 to 44. The objective of this study aims to determine prevalence of gestational hypertension, monitor the prescription pattern and selection of antihypertensive drugs in pregnancy.
Prevalence of hypertension during pregnancy hypertension during pregnancy may be preexisting chronic or may start in the 2nd half of pregnancy gestational hypertension. Pregnancy induced hypertension and associated factors among. The prevalence of pregnancy induced hypertension among women attending delivery service was 7. By continuing to use our website, you are agreeing to our use of cookies. The prevalence of pregnancy induced hypertension was 7. Pdf prevalence of pregnancy induced hypertension and its. The pooled prevalence of pregnancyinduced hypertension pih and.
When protein is in the urine with gestational hypertension, it is known as preeclampsia. The overall prevalence of hypertensive disorders pregnancy wasin 7. 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. 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. Includes chronic hypertension and pregnancy induced hypertension 4. Pregnancy induced hypertension pih is one of the most common. Changes in the prevalence of chronic hypertension in. The term prevalence of gestational hypertension usually refers to the estimated population of people who are managing gestational hypertension at any given time.
Pregnancy induced hypertension and associated factors. Global burden of hypertensive disorders of pregnancy in. Pregnancy induced hypertension pih is one of the most common causes. The prevalence of preeclampsia, gestational hypertension, chronic hypertension, and eclampsia were 5. Women with prior preeclampsia are at increased risk of hypertension, cardiovascular disease, and renal disease suzuki et al. Hypertension in pregnancy was developed by the task force on hypertension in pregnancy. Hypertensive disorders of pregnancy are a major health burden in the obstetric population as it is one of the leading causes. The association of pregnancyinduced hypertension with. It is defined as systolic blood pressure sbp 140 mmhg and diastolic blood pressure dbp 90 mmhg. A diastolic blood pressure of 90mmhg or more that either predates pregnancy or develops before 20 weeks gestation 4, 9. Statistical significant association was found between pregnancy induced hypertension and socioeconomic status. 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. Prevalence, risk factors, and fetal and maternal outcomes of. Women with chronic hypertension also experience cardiovascular and cerebrovascular complications later in life.
Maternal health epidemiology important definitions in maternal mortality and morbidity maternal death. The pooled prevalence of pregnancyinduced hypertension pih and preeclampsia eclampsia alone were 6. The pooled prevalence of pregnancyinduced hypertension pih and preeclampsiaeclampsia alone were 6. The prevalence of pregnancy induced hypertension pih and preeclampsia pe are 510% and 24%, respectively. Epidemiology of preeclampsia and the other hypertensive. High blood pressure in pregnancy has become more common.
This is more serious and can complicate chronic hypertension. Further large scale depth study can be conducted to get more precise result. It is associated with adverse pregnancy outcomes as well as maternal morbidity and mortality. However, with good blood pressure control, you and your baby are more likely to stay healthy. Hypertensive disorders in pregnancy among pregnant women.
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. Morikawa m, yamada t, yamada t, cho k, sato s, minakami h. Hypertension, pregnancy induced hypertension, preeclampsia, eclampsia, chronic hypertension 1. Pih is an emerging clinical and public health problem at chitungwiza central hospital with a prevalence estimated at 7. Pdf on feb 28, 2018, daniel eze ejike and others published determination, knowledge and prevalence of pregnancyinduced hypertensioneclampsia among. Prevalence of pregnancy induced hypertension and pregnancy outcomes among women seeking maternity services in harare, zimbabwe article pdf available in.
Although hypertensive disorders of pregnancy are the leading cause of poor perinatal outcomes in ethiopia, there is no study that shows the national prevalence. Harare city experienced an increase in referrals due to pih to central hospitals from 2009 to 2011. The term incidence of gestational hypertension refers to the annual diagnosis rate, or the number of new cases of gestational hypertension diagnosed each year. Seasonal variation in the prevalence of pregnancy induced hypertension in japanese women. Emerging evidence suggests that insulin resistance, which has been linked to essential hypertension, may play a role in pih. Prevalence of pregnancy induced hypertension among the. Hypertensive disorders in pregnancy hdp represent a group of conditions associated with high blood pressure during pregnancy. 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%. High blood pressure, also called hypertension, is very common. Download pdf bmc pregnancy and childbirth biomed central. Who library cataloguinginpublication data who recommendations for prevention and treatment of preeclampsia and eclampsia. Prevalence of hypertensive disorders of pregnancy in ethiopia. The prevalence of pregnancy induced hypertension among women admitted for delivery in the three hospitals were 33 7. Hypertensive disorders of pregnancy complicate 5%8% of pregnancies and are associated with increased risks of perinatal morbidity and mortality and maternal morbidity.
Gestational hypertension hypertension without the development of significant prote inuria hypertension in pregnancy hypertension found when blood pressure is. 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. It is a rapidly progressive condition characterized by elevated blood pressure, swelling and protein in the urine. 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. Care seeking behavior, expectant mothers, knowledge, pregnancy induced hypertension pih. Impact of pregnancyinduced hypertension on stillbirth and. The aims of the study were to find the prevalence of hypertensive. Study of the prevalence of hypertension and complications. Close monitoring of significant parameters can prevent maternal fetal morbidity and complications of pregnancy induced hypertension. The prevalence of maternal and fetal complications associated with hdp vary by region and healthcare facility type. Pregnancy induced hypertension pih complicates 610% of pregnancies. We sought to estimate the prevalence of hypertensive disorders of pregnancy hdp in saudi. Pregnancy induced hypertension pih, which includes both gestational hypertension and preeclampsia, is a common and morbid pregnancy complication for which the pathogenesis remains unclear.
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. A descriptive cross sectional study was carried out and. Epidemiology of preeclampsia and the other hypertensive disorders of pregnancy. Chronic hypertension in pregnancy is an important risk factor for maternal, fetal, and infant morbidity and mortality. Pregnancy induced hypertension, a condition specific to. Hypertension during pregnancy affects about 68% of pregnant women. 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 causes of both maternal and. And a total of 28 045 singleton live infants and their mothers were recruited using a stratified, multistage, probability. Determination, knowledge and prevalence of pregnancy. 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. Pregnancy induced hypertension pih is one of the most common causes of both maternal and neonatal morbidity.
Hypertensive disorders of pregnancy rank high among the causes of maternal mortality and morbidity. 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. Epidemiology of hypertensive disorders in pregnancy. The guidelines are general and intended to be adapted to many different situations. Notion1, donewell bangure1 and prosper chonzi2 abstract background. Pregnancy induced hypertension pih is classified according to the severity of hypertension. Global burden of hypertensive disorders of pregnancy in the year 2000. 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. Women diagnosed with chronic hypertension early in pregnancy have increased risk of preeclampsia. Prevalence of pregnancy induced hypertension and its bad. Pregnancy induced hypertension pih is estimated to affect 7% to 10% of all pregnancies in the united states. The ner in the new format since 2011 reveals prevalence of pregnancy hypertension continues to be 9 % and that of preeclampsia 5 %. Hypertension during pregnancy prevention and health promotion. 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.
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