Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia

Zerihun Figa; Tesfaye Temesgen; Etaferahu Belekle; Abas Ahimed; Ruth Tilahun

doi:doi:10.11648/j.ijbecs.20210703.14

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Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia

Zerihun Figa, Tesfaye Temesgen, Etaferahu Belekle, Abas Ahimed, Ruth Tilahun

Published in International Journal of Biomedical Engineering and Clinical Science (Volume 7, Issue 3)

Received: 22 December 2020 Accepted: 5 January 2021 Published: 15 September 2021

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Abstract

Background: Pre-eclampsia is hypertension in pregnancy after 20weeks of gestation characterized blood pressure greater than 140/90 mm Hg, using the Korotkoff phase V sound for the diastolic value, on two occasions 4 hours apart. It is one of a spectrum of pregnancy disorders which result in different complications including maternal death. Methodology: Retrospective cross-sectional study design was employed. A total of 295 samples were recruited and systematic sampling technique was used to select study subjects who were admitted with preeclampsia from January1, 2016 and December 31, 2018 at Dilla University Referral Hospital. Medical records review was done using pretested data abstraction tool. Data was entered in EpiData version 4.4.2.1and exported into SPSS (statistical package of social science) version 25.0 for analysis. Binary and multiple logistic regressions were used to identify association between variables. Adjusted odds ratio along with 95% confidence interval was estimated to assess the strength of the association, and a p-value ≤ 0.05 was used to declare the level of statistical significance. Results: In this study 295 medical charts of pre-eclamptic women were reviewed. The most 210 (72.2%) of the participants were between the age of 20-34years. Severe type of preeclampsia was 174 (58.0%). HELLP syndrome was the most common complication of severe preeclampsia 81 (66.6%) followed by DIC, renal failure and liver failure, 25 (20.5%), 9 (7.4%) and 1 (0.8%) respectively. Maternal deaths due to preeclampsia were 6 this gives case fatality of 2%. In multivariable logistic regression, rural residence has 5.038 times more risk of unfavorable maternal outcome [AOR=5.038, 95%CI 1.971-12.879], gestational age ≤33 weeks has 3.67 times higher risk of unfavorable maternal outcome [AOR=3.67, 95%CI 1.829-7.364] and admission of women with diagnosis of sever preeclampsia has 6.42 times higher risk of unfavorable maternal outcome [AOR=6.42, 95%CI 2.017-21.103]. Conclusion and recommendation: Although there was current envisaged on maternal health improvement, this study has shown that maternal complications were common among pre-eclamptic women. The most common maternal complications due to preeclampsia were HELLP syndrome, DIC and renal failure. Health care professionals specially who work at PHC center should take appropriate trainings on immediate management and counseling a women coming for ANC and prompt referral for preeclampsia women with severity sign.

Published in	International Journal of Biomedical Engineering and Clinical Science (Volume 7, Issue 3)
DOI	10.11648/j.ijbecs.20210703.14
Page(s)	65-72
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Preeclampsia, Maternal Outcome, Maternal Death, Ethiopia

References

[1]	Steegers EA, von Dadelszen P, Duvekot JJ, Pijnenborg R. Pre-eclampsia. Lancet, 2010, 21; 376 (9741): 631–44.
[2]	Say L, Chou D, Gemmill A, Tunçalp Ö, Moller A-B, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. The Lancet Global Health. 2014; 2 (6): e323-e33.
[3]	Ghulmiyyah L, Sibai B, editors. Maternal mortality from preeclampsia/eclampsia. Seminars in perinatology; 2012: Elsevier.
[4]	Urquia M, Glazier R, Gagnon A, Mortensen LH, Nybo Andersen AM, Janevic T, et al. Disparities in pre-eclampsia and eclampsia among immigrant women giving birth in six industrialised countries. BJOG: An International Journal of Obstetrics & Gynaecology. 2014; 121 (12): 1492-500.
[5]	Denies B. Collection of Micro-Demographic Studies. Greenwood Press 2013; 1: 24.
[6]	Mohammedseid SI, Megersa TN, Kumbi S, Ayalew MB. Maternal Outcomes of Pre-eclampsia in an Ethiopian Gynecologic Hospital. Annals of Medical and Health Sciences Research. 2017.
[7]	Nigusse cherei Am. The Maternal Outcomes and its Determinants among Pregnan Women Complicated by Severe Preeclampsia at Hidar 11 Hospital. International Research Journal of Public Health. 2018; 2 (24).
[8]	Mekbeb T, Ketsela K. Pre-eclampsia/eclampsia at Yekatit 12 Hospital, Addis Ababa, Ethiopia (1987-1989). East African medical journal. 1991; 68 (11): 893-9.
[9]	Ugwu E, Dim C, Okonkwo C, Nwankwo T. Maternal and perinatal outcome of severe pre-eclampsia in Enugu, Nigeria after introduction of Magnesium sulfate. Nigerian journal of clinical practice. 2011; 14 (4): 418-21.
[10]	Wolde Z, Segni H, Woldie M. Hypertensive disorders of pregnancy in Jimma University specialized hospital. Ethiopian journal of health sciences. 2011; 21 (3).
[11]	Khawaja NP, Parveen A, Hussain U, Zahid B, Rehman R. Frequency and Obstetric outcome of hypertensive disorders of pregnancy. Pakistan Journal of Medical and Health Sciences. 2003; 3 (2): 113.
[12]	Hossain N, Shah N, Khan N, Lata S, Khan NH. Maternal and Perinatal outcome of Hypertensive Disorders of Pregnancy at a Tertiary care Hospital. Journal of Dow University of Health Sciences. 2015; 5 (1).
[13]	Ajah LO, Ozonu NC, Ezeonu PO, Lawani LO, Obuna JA, Onwe EO. The feto-maternal outcome of preeclampsia with severe features and eclampsia in Abakaliki, South-East Nigeria. Journal of clinical and diagnostic research: JCDR. 2016; 10 (9): QC18.
[14]	Ngowa JDK, Kasia JM, Alima J, Domgue JF, Ngassam A, Bogne JB, et al. Maternal and perinatal complications of severe preeclampsia in three referral hospitals in Yaoundé, Cameroon. Open Journal of Obstetrics and Gynecology. 2015; 5 (12): 723-30.
[15]	Seyom E, Abera M, Tesfaye M, Fentahun N. Maternal and fetal outcome of pregnancy related hypertension in Mettu Karl Referral Hospital, Ethiopia. Journal of ovarian research. 2015; 8 (1): 10.
[16]	Nankali A, Malek-Khosravi S, Zangeneh M, Rezaei M, Hemati Z, Kohzadi M. Maternal complications associated with severe preeclampsia. The Journal of Obstetrics and Gynecology of India. 2013; 63 (2): 112-5.
[17]	Kansaria JJ, Parulerkar S. Critical care in Pre-eclampsiaEclampsia. Bombay Hosp J. 2008; 50 (1): 19-25.
[18]	Subramanyam S, Razaak A, Ahmed I, RPSC K, Rao P. Hypertension in Pregnancy: A study in a teaching Hospital. JEBMH. 12: 1881-4.
[19]	Grum T, Seifu A, Abay M, Angesom T, Tsegay L. Determinants of pre-eclampsia/Eclampsia among women attending delivery Services in Selected Public Hospitals of Addis, Ethiopia. BMC Journal of Pregnancy and Childbirth 2017 17 (307).
[20]	Nathan HL, Seed PT, Hezelgrave NL, De Greeff A, Lawley E, Conti-Ramsden F, et al. Maternal and perinatal adverse outcomes in women with pre-eclampsia cared for at facility-level in South Africa: a prospective cohort study. Journal of global health. 2018; 8 (2).
[21]	Acharya S, Pal M. Maternal and Perinatal Complications in Pre-eclampsia. Journal of Universal College of Medical Sciences. 2015; 3 (1): 21-5.
[22]	Lisonkova S, Sabr Y, Mayer C, Young C, Skoll A, Joseph K. Maternal morbidity associated with early-onset and late-onset preeclampsia. Obstetrics & Gynecology. 2014; 124 (4): 771-81.
[23]	Endeshaw G, Berhan Y. Perinatal outcome in women with hypertensive disorders of pregnancy: a retrospective cohort study. International scholarly research notices. 2015; 2015.
[24]	Sharma C, Gupta S, Tyagi M, Mani P, Dhingra J. Maternal & Perinatal outcome in Hypertensive Disorders of Pregnancy in a Tertiary Care Hospital in Northern India. Obstet Gynecol Int J. 2017; 6 (6): 00229.

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Zerihun Figa, Tesfaye Temesgen, Etaferahu Belekle, Abas Ahimed, Ruth Tilahun. (2021). Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia. International Journal of Biomedical Engineering and Clinical Science, 7(3), 65-72. https://doi.org/10.11648/j.ijbecs.20210703.14

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ACS Style

Zerihun Figa; Tesfaye Temesgen; Etaferahu Belekle; Abas Ahimed; Ruth Tilahun. Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia. Int. J. Biomed. Eng. Clin. Sci. 2021, 7(3), 65-72. doi: 10.11648/j.ijbecs.20210703.14

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AMA Style

Zerihun Figa, Tesfaye Temesgen, Etaferahu Belekle, Abas Ahimed, Ruth Tilahun. Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia. Int J Biomed Eng Clin Sci. 2021;7(3):65-72. doi: 10.11648/j.ijbecs.20210703.14

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@article{10.11648/j.ijbecs.20210703.14,
  author = {Zerihun Figa and Tesfaye Temesgen and Etaferahu Belekle and Abas Ahimed and Ruth Tilahun},
  title = {Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia},
  journal = {International Journal of Biomedical Engineering and Clinical Science},
  volume = {7},
  number = {3},
  pages = {65-72},
  doi = {10.11648/j.ijbecs.20210703.14},
  url = {https://doi.org/10.11648/j.ijbecs.20210703.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20210703.14},
  abstract = {Background: Pre-eclampsia is hypertension in pregnancy after 20weeks of gestation characterized blood pressure greater than 140/90 mm Hg, using the Korotkoff phase V sound for the diastolic value, on two occasions 4 hours apart. It is one of a spectrum of pregnancy disorders which result in different complications including maternal death. Methodology: Retrospective cross-sectional study design was employed. A total of 295 samples were recruited and systematic sampling technique was used to select study subjects who were admitted with preeclampsia from January1, 2016 and December 31, 2018 at Dilla University Referral Hospital. Medical records review was done using pretested data abstraction tool. Data was entered in EpiData version 4.4.2.1and exported into SPSS (statistical package of social science) version 25.0 for analysis. Binary and multiple logistic regressions were used to identify association between variables. Adjusted odds ratio along with 95% confidence interval was estimated to assess the strength of the association, and a p-value ≤ 0.05 was used to declare the level of statistical significance. Results: In this study 295 medical charts of pre-eclamptic women were reviewed. The most 210 (72.2%) of the participants were between the age of 20-34years. Severe type of preeclampsia was 174 (58.0%). HELLP syndrome was the most common complication of severe preeclampsia 81 (66.6%) followed by DIC, renal failure and liver failure, 25 (20.5%), 9 (7.4%) and 1 (0.8%) respectively. Maternal deaths due to preeclampsia were 6 this gives case fatality of 2%. In multivariable logistic regression, rural residence has 5.038 times more risk of unfavorable maternal outcome [AOR=5.038, 95%CI 1.971-12.879], gestational age ≤33 weeks has 3.67 times higher risk of unfavorable maternal outcome [AOR=3.67, 95%CI 1.829-7.364] and admission of women with diagnosis of sever preeclampsia has 6.42 times higher risk of unfavorable maternal outcome [AOR=6.42, 95%CI 2.017-21.103]. Conclusion and recommendation: Although there was current envisaged on maternal health improvement, this study has shown that maternal complications were common among pre-eclamptic women. The most common maternal complications due to preeclampsia were HELLP syndrome, DIC and renal failure. Health care professionals specially who work at PHC center should take appropriate trainings on immediate management and counseling a women coming for ANC and prompt referral for preeclampsia women with severity sign.},
 year = {2021}
}

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TY - JOUR
T1 - Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia
AU - Zerihun Figa
AU - Tesfaye Temesgen
AU - Etaferahu Belekle
AU - Abas Ahimed
AU - Ruth Tilahun
Y1 - 2021/09/15
PY - 2021
N1 - https://doi.org/10.11648/j.ijbecs.20210703.14
DO - 10.11648/j.ijbecs.20210703.14
T2 - International Journal of Biomedical Engineering and Clinical Science
JF - International Journal of Biomedical Engineering and Clinical Science
JO - International Journal of Biomedical Engineering and Clinical Science
SP - 65
EP - 72
PB - Science Publishing Group
SN - 2472-1301
UR - https://doi.org/10.11648/j.ijbecs.20210703.14
AB - Background: Pre-eclampsia is hypertension in pregnancy after 20weeks of gestation characterized blood pressure greater than 140/90 mm Hg, using the Korotkoff phase V sound for the diastolic value, on two occasions 4 hours apart. It is one of a spectrum of pregnancy disorders which result in different complications including maternal death. Methodology: Retrospective cross-sectional study design was employed. A total of 295 samples were recruited and systematic sampling technique was used to select study subjects who were admitted with preeclampsia from January1, 2016 and December 31, 2018 at Dilla University Referral Hospital. Medical records review was done using pretested data abstraction tool. Data was entered in EpiData version 4.4.2.1and exported into SPSS (statistical package of social science) version 25.0 for analysis. Binary and multiple logistic regressions were used to identify association between variables. Adjusted odds ratio along with 95% confidence interval was estimated to assess the strength of the association, and a p-value ≤ 0.05 was used to declare the level of statistical significance. Results: In this study 295 medical charts of pre-eclamptic women were reviewed. The most 210 (72.2%) of the participants were between the age of 20-34years. Severe type of preeclampsia was 174 (58.0%). HELLP syndrome was the most common complication of severe preeclampsia 81 (66.6%) followed by DIC, renal failure and liver failure, 25 (20.5%), 9 (7.4%) and 1 (0.8%) respectively. Maternal deaths due to preeclampsia were 6 this gives case fatality of 2%. In multivariable logistic regression, rural residence has 5.038 times more risk of unfavorable maternal outcome [AOR=5.038, 95%CI 1.971-12.879], gestational age ≤33 weeks has 3.67 times higher risk of unfavorable maternal outcome [AOR=3.67, 95%CI 1.829-7.364] and admission of women with diagnosis of sever preeclampsia has 6.42 times higher risk of unfavorable maternal outcome [AOR=6.42, 95%CI 2.017-21.103]. Conclusion and recommendation: Although there was current envisaged on maternal health improvement, this study has shown that maternal complications were common among pre-eclamptic women. The most common maternal complications due to preeclampsia were HELLP syndrome, DIC and renal failure. Health care professionals specially who work at PHC center should take appropriate trainings on immediate management and counseling a women coming for ANC and prompt referral for preeclampsia women with severity sign.
VL - 7
IS - 3
ER -

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Author Information

Zerihun Figa

Department of Midwifery, College of Health and Medical Science, Dilla University, Dilla, Ethiopia
Tesfaye Temesgen

Department of Midwifery, College of Health and Medical Science, Dilla University, Dilla, Ethiopia
Etaferahu Belekle

Department of Emergency Critical Nursing, College of Health and Medical Science, Dilla University, Dilla, Ethiopia
Abas Ahimed

Department of Midwifery, College of Health and Medical Science, Dilla University, Dilla, Ethiopia
Ruth Tilahun

Department of Midwifery, College of Health and Medical Science, Dilla University, Dilla, Ethiopia

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Zerihun Figa, Tesfaye Temesgen, Etaferahu Belekle, Abas Ahimed, Ruth Tilahun. (2021). Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia. International Journal of Biomedical Engineering and Clinical Science, 7(3), 65-72. https://doi.org/10.11648/j.ijbecs.20210703.14

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ACS Style

Zerihun Figa; Tesfaye Temesgen; Etaferahu Belekle; Abas Ahimed; Ruth Tilahun. Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia. Int. J. Biomed. Eng. Clin. Sci. 2021, 7(3), 65-72. doi: 10.11648/j.ijbecs.20210703.14

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AMA Style

Zerihun Figa, Tesfaye Temesgen, Etaferahu Belekle, Abas Ahimed, Ruth Tilahun. Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia. Int J Biomed Eng Clin Sci. 2021;7(3):65-72. doi: 10.11648/j.ijbecs.20210703.14

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@article{10.11648/j.ijbecs.20210703.14,
  author = {Zerihun Figa and Tesfaye Temesgen and Etaferahu Belekle and Abas Ahimed and Ruth Tilahun},
  title = {Assessment of Maternal Outcome Among Preeclamptic Women at Dilla University Referral Hospital, Dilla Ethiopia},
  journal = {International Journal of Biomedical Engineering and Clinical Science},
  volume = {7},
  number = {3},
  pages = {65-72},
  doi = {10.11648/j.ijbecs.20210703.14},
  url = {https://doi.org/10.11648/j.ijbecs.20210703.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20210703.14},
  abstract = {Background: Pre-eclampsia is hypertension in pregnancy after 20weeks of gestation characterized blood pressure greater than 140/90 mm Hg, using the Korotkoff phase V sound for the diastolic value, on two occasions 4 hours apart. It is one of a spectrum of pregnancy disorders which result in different complications including maternal death. Methodology: Retrospective cross-sectional study design was employed. A total of 295 samples were recruited and systematic sampling technique was used to select study subjects who were admitted with preeclampsia from January1, 2016 and December 31, 2018 at Dilla University Referral Hospital. Medical records review was done using pretested data abstraction tool. Data was entered in EpiData version 4.4.2.1and exported into SPSS (statistical package of social science) version 25.0 for analysis. Binary and multiple logistic regressions were used to identify association between variables. Adjusted odds ratio along with 95% confidence interval was estimated to assess the strength of the association, and a p-value ≤ 0.05 was used to declare the level of statistical significance. Results: In this study 295 medical charts of pre-eclamptic women were reviewed. The most 210 (72.2%) of the participants were between the age of 20-34years. Severe type of preeclampsia was 174 (58.0%). HELLP syndrome was the most common complication of severe preeclampsia 81 (66.6%) followed by DIC, renal failure and liver failure, 25 (20.5%), 9 (7.4%) and 1 (0.8%) respectively. Maternal deaths due to preeclampsia were 6 this gives case fatality of 2%. In multivariable logistic regression, rural residence has 5.038 times more risk of unfavorable maternal outcome [AOR=5.038, 95%CI 1.971-12.879], gestational age ≤33 weeks has 3.67 times higher risk of unfavorable maternal outcome [AOR=3.67, 95%CI 1.829-7.364] and admission of women with diagnosis of sever preeclampsia has 6.42 times higher risk of unfavorable maternal outcome [AOR=6.42, 95%CI 2.017-21.103]. Conclusion and recommendation: Although there was current envisaged on maternal health improvement, this study has shown that maternal complications were common among pre-eclamptic women. The most common maternal complications due to preeclampsia were HELLP syndrome, DIC and renal failure. Health care professionals specially who work at PHC center should take appropriate trainings on immediate management and counseling a women coming for ANC and prompt referral for preeclampsia women with severity sign.},
 year = {2021}
}

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