HYPEREMESIS GRAVIDARUM AND ITS ASSOCIATED FACTORS AMONG PREGNANT WOMEN ADMITTED TO OBSTETRIC AND GYNAECOLOGIC CENTER AT WORABE COMPREHENSIVE SPECIALIZED HOSPITAL, SILTE ZONE, JUNE 2022, ETHIOPIA.

Abstract

Background: Hyperemesis gravidarum is defined as a severe form of nausea and vomiting that occurs during pregnancy and characterized by dehydration, considerable weight loss of 3 kg or 5% or more from pre-conception, and ketonuria. In Ethiopia, especially in Silte Zone, a limited study has been conducted on the assessment of HEG and its determinants. Thus, this study is aimed to determine the prevalence and associated factors for HEG among pregnant women admitted to the obstetric and gynecologic center at Worabe Comprehensive Specialized Hospital. Objective: To assess the prevalence and associated factors for hyperemesis gravidarum among pregnant women admitted to the obstetric and gynecologic center at Worabe Comprehensive Specialized Hospital from April 11 to May 11, in 2022, Ethiopia. Methods: Facility-based cross-sectional study design was employed among 254 pregnant women admitted to the obstetric and gynecologic center at Worabe Comprehensive Specialized Hospital from April 11 to May 11 in 2022. PUQE (pregnancy-unique quantification of emesis and nausea) was used to identify severe NVP or HEG. Data was summarized using descriptive statistics, and p-value and adjusted odds ratio (AOR) were used to measure the significance of the association between dependent and independent variables. Results: In this study, the prevalence of HEG among pregnant women attending at Worabe comprehensive specialized hospital was 5.1% (95% CI; 2.4, 8.1). The result showed that being primigravida (AOR = 9.881; 95% CI: 2.678-36.454), having multiple gestations (AOR=5.548; 95% CI: 1.148-26.806), and having a family history of hyperemesis gravidarum (AOR= 4.982; CI 95%:1.453-17.077) were associated with HEG. Conclusions and recommendation: The prevalence of hyperemesis gravidarum was determined to be 5.1% (95% CI: 2.4, 8.1). First gestations, twin pregnancies, and having family history of HEG are significant risk factors for HEG. Thus, special consideration including early identification of those mothers during first ANC visiting, counseling for being visited at early stage of nausea and/vomiting is recommended. Furthermore, additional researches are needed on triggering factors, and negative effects associated with hyperemesis gravidarum are needed.