Preeclampsia Treatment Outcomes and Associated Factors among Pregnant Women With Preeclampsia at All Africa leprosy, TB and Rehabilitation Training (A.L.E.R.T) Specialized Hospital, Addis Ababa, Ethiopia
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Date
2024-01-15
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Addis Ababa University
Abstract
Background: The best way to characterize preeclampsia is as a syndrome particular to pregnancy that can impact almost all organ systems. Globally it contributes to 76,000 maternal deaths and 500,000 infant deaths annually. The second most common cause of maternal fatalities is preeclampsia. It is also a significant contributor to maternal and neonatal mortality as well as morbidity, particularly in low- and middle-income nations.
Objective: To assess preeclampsia treatment outcomes and associated factors among pregnant women with preeclampsia at ALERT specialized hospital, Addis Ababa Ethiopia.
Method: Institution based prospective cohort study was carried out among pregnant mothers with preeclampsia attending inpatient, emergency and delivery services of ALERT specialized hospital from July 25 to December 31, 2023. Descriptive statistics was presented with frequency tables and charts. Binary logistic regression model was employed to evaluate the relationship between the independent variable and treatment outcomes. All statistical tests will be significant at P-value less than 0.05.
Result: In this study a total of 203 mothers with preeclampsia were participated. Majority of them 125 (61.6%)were between the ages of 25 and 34. The average age was 27.42 years with a standard deviation of 4.68. There was 23.6% NICU admission and 4(2%) neonatal deaths. Though 43 (21.2%) maternal complications had registered; there was no maternal death. Maternal age greater than 35 [AOR=4.66, 95%CI,(1.71-12.74)].Birth weight less than 2000g [AOR=5.66, 95%CI, (2.16-14.81)], BP at admission >=140/90 [AOR=3.05, 95%CI, (1.09-8.55)] and gestational age <37 weeks [AOR=7.44, 95% CI, (3.48-1..89)] were statistically significant to treatment outcomes.
Conclusion and recommendation: Although the prognosis for preeclamptic and eclamptic women has improved, several maternal complications continue to be major issues. We suggest continuous awareness creation to the public and frequent ANC follow ups in order to effectively prevent and treat preeclampsia as well as eclampsia in pregnancy. Optimizing prenatal care and implementing screening protocols are key.
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Preeclampsia Treatment Outcomes, ALERT, Prospective Cohort