Adverse Maternal and Perinatal Outcomes and Its Associated Factors Among Women Admitted with Hhypertensive Ddisorders of pregnancy in public hospitals in Harari Regional State Ethiopia.

Abstract

Hypertensive disorders of pregnancy remain a major global health issue because of the area of significant public health concern due to associated maternal and perinatal morbidity and mortality. There is information on maternal and perinatal adverse outcomes of hypertensive disorders of pregnancy in Eastern Ethiopia. Objective: The objective of this study was to assess the magnitude of, adverse maternal and perinatal outcomes and its associated factors of hypertensive disorders in pregnancy women who admitted and delivered at selected health facilities in Harar Ethiopia from August 1/2018 to July 31/2023 during the data collection period from August 26/2023 to September 22/2023. Methods: A retrospective cross-sectional study was conducted among randomly selected 703 from 4683 women who admitted to public hospitals and attended delivery in Harar Ethiopia. Data were abstracted by using structured checklist. Data was entered and cleaned using Epi Data 4.6 and then exported to Stata software version 17 for analysis. Bivariate and multivariable logistic regression models were used. Adjusted odd ratio, 95% confidence interval, and p value <0.05 was used to identify associated with adverse maternal and perinatal outcome. Result: The overall prevalence of adverse maternal outcomes was 44.81% (95% CI: 41.08%- 48.57%) and the overall prevalence of adverse perinatal outcomes was 58.18% (95% CI: 54.43%- 61.85%). Having no of ANC follow up (AOR: 1.21- 2.44), primigravida (AOR: 1.44 95%CI: 1.05- 1.96), referrals on arrived (AOR:1.68, 95% CI: 1.13 – 2.50), and having history of medical disease (AOR: 1.91, 95% CI: 1.28 - 2.83) was significantly associated with adverse maternal outcome Maternal age less than 20 years, rural residence, gestational age less than 34 weeks, and mother having eclampsia was significantly associated with adverse perinatal outcome. Conclusions: In this study, the prevalence of adverse perinatal and maternal outcomes was relatively high. ANC follow up, gravidity, referrals on arrival, and having medical history was significantly associated with adverse maternal outcome. Whereas maternal age, maternal residence, gestational age, and mother having eclampsia was significantly associated with adverse perinatal outcome