PREVALANCE AND ASSOCIATED FACTORS OF PREGNANCY INDUCED HYPERTNESION DISORDER AMONG WOMEN DELIVRED IN GELEMSO GENERAL HOSPITAL, OROMIA REGIONAL STATE, EASTERN ETHIOPIA

Abstract

Background: Pregnancy-induced hypertension is causing striking maternal, fetal and neonatal mortality and morbidity both in developed and developing countries. Even though there are many studies done elsewhere in the globe, there is limited data on pregnancy induced hypertension disorders and its associated factor in resource poor countries like Ethiopian including the study area. Objective: To determine the prevalence and associated factors of pregnancy induced hypertension disorder among women delivered in Gelemso General Hospital, Oromia Regional State, Eastern Ethiopia. Methods: Institutional based document review retrospective “cross-sectional “study design was conducted on 765 selected women who delivered at Gelemso General Hospital in five years. Systematic sampling technique was used to select the study participants. The collected data were entered, using Epi Data 3.02 exported and analyzed by Statistical Package for Social Science version 22. Bivariate and multivariate analysis were employed to assess the relationship between independent variables and dependent variable. Odds ratio along with 95% CI was estimated to identify factors associated with the outcome variable. The Level of significance was declared at P-value ≤ 0.05. Result: Out of 708 study participants, 70 (9.9%) had confirmed pregnancy induced hypertension disorder. From those 35 (50%) were sever preeclampsia, 16 (22.9%) were eclampsia, 11(15.7%) were mild preeclampsia, 4(5.7%) gestational hypertension and 4(5.7%) super imposed preeclampsia. Having multiple pregnancy [AOR=4,95%CI: (1.82,8.78)], pervious history of hypertension [ AOR=3.6,95% CI: (1.25,10.36)], rural residence [AOR=2.3,95% CI:(1.22, 4.33)] ,being nullity parity [AOR=2.5 , 95% CI :(1.13, 5.57) and age less than or equal to 20 years of age [ AOR=3.8,95% CI: (1.36,10.57) were statically and significantly associated with pregnancy induced hypertension disorders. Conclusion: Nearly ten percent of women deliverd at Gelemso General Hospital were developed pregnancy induced hypertension disorder. However, it was more common among women who had multiple pregnancy, pervious history of hypertension, rural residence, nulliparous and age less than or equal to 20 year.