Trend analysis of Preeclampsia/Ecclampsia, Maternal and Neonatal Complication among women delivering in Addis Ababa Government Hospitals, Ethiopia: Analysis of 2009-2013 Data.
| dc.contributor.advisor | Worku, Alemayehu | |
| dc.contributor.author | Wagnew, Maereg | |
| dc.date.accessioned | 2021-08-30T07:56:09Z | |
| dc.date.accessioned | 2023-11-05T14:40:31Z | |
| dc.date.available | 2021-08-30T07:56:09Z | |
| dc.date.available | 2023-11-05T14:40:31Z | |
| dc.date.issued | 2014-06 | |
| dc.description.abstract | ABSTRACT Background: Worldwide the burden of preeclampsia has been the major concern particularly in developing countries including, Ethiopia. Preeclampsia is associated with substantial maternal complications, both acute and long-term. Understanding the situation of preeclampsia/eclampsia help to design appropriate intervention means for both maternal and neonatal outcomes. Objectives: To determine the magnitude and trends of preeclampsia /ecclampsia, maternal and neonatal complications among women delivering in Addis Ababa government hospital, Ethiopia. Methods: Retrospectively, 1809 cases from 2009 to 2013 data collected by reviewing of the mothers with preeclampsia/ ecclampsia medical records using data abstraction form. Data entered and cleaned using EPI info and exported to SPSS for analysis. Descriptive analyses were employed. In addition, extended Mantel Haenszel chi square was used to check linear trend. Result: A five year average proportion of preeclampsia/ ecclampsia was 4.2% [95%CI (4.02%, 4.4%)].The proportion of preeclampsia was 2.2% in 2009 and increased to a proportion of 5.58 % in 2013 (p<0.001). The percentage increase over the five years was 154%. Of the total preeclampsia/ ecclampsia mothers, 36 % [95% CI (33.85%, 38.28%)] had at least maternal complication in the five years. It showed a percentage change of maternal complication over the time was 26.5% (p<0.01). The major complication were HELLP syndrome 257(39.5%), aspiration pneumonia 114(17.5%), Pulmonary edema 114(17.5%), and Abrabtio placenta 100 (15.3%). In mean time, the neonatal complication was, 66.4% [95%CI (64.24%, 68.59%)] had at least one neonatal complication in the study five years. Regarding to neonatal complication, a decreasing trend in 2009 (76%) to 2013 (66%), this showed the percentage of change of neonatal complication over time was -13.2%. Still births 363 (30.2%), prematurity 395 (32.8%), respiratory distress syndrome 456 (37.9%), and low birth weight 363 (30.2%) were the commonest cause of neonatal complication. Conclusion and recommendation: The trend of preeclampsia/ ecclampsia and maternal complication over five year period were increased. In contrast, neonatal complication had a significant decrement over the past five year though still the complication of neonate is a big concern in the study. The health facility has to be strength the data keeping system and special attention should be given at all level to alleviate the burden of mothers and the neonate. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/27763 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Preeclampsia,Ecclampsia, Maternal , Neonatal Complication ,women | en_US |
| dc.title | Trend analysis of Preeclampsia/Ecclampsia, Maternal and Neonatal Complication among women delivering in Addis Ababa Government Hospitals, Ethiopia: Analysis of 2009-2013 Data. | en_US |
| dc.type | Thesis | en_US |