PREVALENCE AND ASSOCIATED FACTORS OF PREECLAMPSIA AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE IN AGENA PRIMARY HOSPITAL AGENA TOWN,EZHA WOREDA, GURAGHE ZONE, CENTRAL ETHIOPIA,2024

Abstract

Background: Preeclampsia is a rapidly progressive condition characterized by elevated blood pressure and protein in the urine. It is the leading causes of maternal and perinatal morbidity and mortality worldwide and accounts for up to 12% of all yearly worldwide maternal deaths and it is responsible for 25% of fetal and neonatal deaths In Ethiopia, 16% of direct maternal mortality and 10% of all maternal mortality (direct and in direct) was due to pre-eclampsia. A maternal mortality trend analysis showed an increasing trend of pre-eclampsia in Ethiopia. However, there are few studies in Ethiopia, these have different objectives and study populations. Hence, this study can assess the prevalence and associated factors of pre-eclampsia among pregnant women in Agena primaryHospital.Objective : To assess the prevalence and associated factors of pre-eclampsia among pregnant women attending antenatal care at Agena Primary hospital Ezha woreda Guraghe zone,centralEthiopia,From December 24 to January 6 2024Method:A hospital-based cross-sectional study was conducted at Agena Primary hospital between December 24 to January 6 ,2024 G.C. A total of 141 pregnant women was enrolled in the study. Astructured questionnaire via face-to-face interview technique was used for data collection. The datawas collected, edited, tailed, coded, entered and analyzed by SPSS version 25. Descriptive statistics was used used to to summarize and present the data using tables, figures, and graphs. Bivariateanalysis was used to assess the association between the dependent variable and independent variables. Variables with P value less than or equal to 0.25 were included in multivariable analysis. Variables with P value less than 0.05 will be considered as factors associated with pre-eclampsia Result; A total of 141participants were enrolled in the study with a 100% response rate. The prevalence of pre-eclampsia among pregnant women who attended ANC at Agena primary hospital was 19.1%. Significant variables such as past history of pre-eclampsia (AOR = 7.144 ; 95%CI:(1.910,26.726) ,family history of hypertension (AOR =3.545 ; 95% CI:(1.068,11.769) , kidney disease(AOR = 5.035; 95%CI:(1.407,19.188), Diabetes mellitus (AOR =5.035;95%CI:(1.324,19.151) and age 18-30 (AOR =0.167 ; 95% CI:(0.043,0.648) were significantly associated with pre-eclampsia Conclusion. There is high prevalence of pre-eclampsia on the study area. Previous history of preeclampsia, kidney disease, family history of hypertension, Diabetes Mellitus and age 18-30 were associated factors of pre-eclampsia. Therefore, health professionals working in health institutions give more attention to controlling hypertension during antenatal service