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

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
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  • APA Style

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

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

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

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

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

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