PERINATAL OUTCOMES AND ASSOCIATED FACTORS AMONG MOTHERS WITH HYPERTENSIVE DISORDER OF PREGNANCY IN GURAGE ZONE HOSPITALS, ETHIOPIA

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Date

2025-09

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WOLKITE UNIVERSITY

Abstract

Background: - Hypertensive disorders of pregnancy (HDP) are major contributors to negative maternal and perinatal health outcomes. It affects approximately 10% of all pregnancies and play a significant role in increasing maternal and perinatal illness and death. Globally, HDP account for around 18% of maternal deaths and are associated with about 15% of perinatal deaths. In Ethiopia, the rates of maternal and perinatal mortality linked to HDP are notably higher than those seen in both high-income and many low- and middle-income countries. This study aimed to investigate perinatal outcomes and associated factors among mothers with hypertensive disorder of pregnancy in hospitals located in the Gurage zone of Ethiopia. Methods: -A hospital based retrospective cohort study was conducted from December 2024 to February 2025 among mothers with hypertensive disorder of pregnancy. The study sample consisted of 206 randomly selected women who delivered after 28 weeks of gestation during the study timeframe. Data were collected using a structured questionnaire designed after reviewing relevant literature, and information was extracted from patients’ medical records. Descriptive statistics were used to summarize the findings, while bivariable and multivariable analysis were performed to identify factors associated with adverse perinatal outcomes. Result: The overall prevalence of unfavorable perinatal outcomes was found to be 57 (27.7%) with a 95% confidence interval (21.5-34.3). In the multivariable analysis, rural residence (AOR=2.270, 95% CI=1.088-4.737), preterm gestation (AOR=3.753, 95% CI=1.803-7.816), low birth weight (AOR=2.182, 95% CI=1.060-4.493) and severe preeclampsia (AOR=2.741, 95% CI=1.004-7.478) have shown a statistically significant association with unfavorable perinatal outcomes. Conclusion: Place of residence, gestational age, birth weight, and the type of hypertensive disorder were significantly associated with adverse perinatal outcomes. Therefore, the government should invest in improving road infrastructure, especially in rural areas. It is also essential referral hospitals and nearby health facilities to ensure the provision of adequate antenatal care and to prioritize the early identification and proper management of women with hypertensive disorders of pregnancy.

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Eclampsia, Hypertension, Neonatal, outcomes

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