Risk factors of gestational hypertension for pregnant women

Authors

  • Gahda Ali Hashim Department of Maternal and Neonate Nursing, College of Nursing, University of Kerbala, Holy Karbala, Iraq

Keywords:

gestational hypertension, risk factors, pregnant woman

Abstract

Background: Gestational hypertension (GH) is characterized by the new onset of hypertension after 20 weeks gestation without any maternal or fetal features of preeclampsia, followed by return of blood pressure to normal within 3 months post-partum. At first presentation, this diagnosis will include some women (up to 25%) who are in the process of developing preeclampsia, but have not yet developed proteinuria or other manifestations.

Objectives: Determination of risk factors of gestation hypertension among pregnant women and to find out the relationship between some demographic characteristic and gestation hypertension.

Methods: A case-control study design was conducted at maternity and obstetric teaching hospital in holy Karbala city to identify risk factors of hypertension for women during pregnancy. The study was initiated from the period of 25 October (2022) to 22 April (2023). A non-probability (convenience sampling) of 25 patients who has been diagnosed with gestational hypertension and 25 Patients who doesn’t diagnose with gestational hypertension. A simple random sampling was used to select 25 pregnant women with no hypertension and 25 pregnant women with diagnosed gestational hypertension at Gynecology and Obstetrics Teaching Hospital in Karbala City of Iraq. Valid and reliable checklist tool was used to evaluate the risk factors of gestational hypertension for pregnant women, while the questionnaire used to collect demographic data.

Results: The results reveal there about 48% of sample have gestational hypertension within 15-25 years and about 40% of primary school have gestational hypertension also show about 80% housewife sample have gestational hypertension and44%from enough Economic situation about 48% of gestational hypertension sample sometime eat foods that contain fat before and during pregnancy

Conclusion: Based on the findings of the present study, the result of this study reveals high significant relationship with some risk factors like, genetic factors (renal diseases) and significant concerning item, add salt to the foods was eaten and age.

References

Ahmad AS, Samuelsen SO. Hypertensive disorders in pregnancy and fetal death at different gestational lengths: a population study of 2 121 371 pregnancies. BJOG. 2012;119:1521-1528.

Bakker R, Steegers EA, Hofman A, Jaddoe VW. Blood pressure in different gestational trimesters, fetal growth, and the risk of adverse birth outcomes: the generation R study. Am J Epidemiol. 2011;174:797-806.

Bhattacharya S, Campbell DM. The incidence of severe complications of preeclampsia. Hypertens Pregnancy. 2005;24:181-190.

Brichant G, Dewandre PY, Foidart JM, Brichant JF. Management of severe preeclampsia. Acta Clin Belg. 2010;65:163-169.

Bujold E, Roberge S, Lacasse Y, Bureau M, Audibert F, Marcoux S, et al. Prevention of Preeclampsia and Intrauterine Growth Restriction with Aspirin Started in Early Pregnancy: A Meta Analysis. Obstetrics & Gynecology. 2010;116(2 Part 1):402–14. DOI: 10.1097/AOG.0b013e3181e9322a.

Caritis S, Sibai BM, Hauth J, Lindheimer MD, Klebanoff M, Thom E, et al. Low-dose aspirin to prevent pre-eclampsia in women with high risk. National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units. N Engl J Med. 1998;338(3):701-705.

Chaim SRP, Oliveira SMJV, Kimura AF. Pregnancy-induced hypertension and the neonatal outcome. Acta Paul Enferm. 2008;21(1):53-58.

Chaim SRP, Oliveira SMJV, Kimura AF. Pregnancy-induced hypertension and the neonatal outcome. Acta Paul Enferm. 2008;21(1):53-58.

Chesley LC. Diagnosis of pre-eclampsia. Obstet Gynecol. 1985;65:423425.

Chhabra S, Kakani A. Maternal mortality due to eclamptic and non-eclamptic hypertensive disorders: a challenge. J Obstet Gynaecol. 2007;27:25-29.

Conrad KP. Possible mechanisms for changes in renal hemodynamics during pregnancy: studies from animal models. Am J Kidney Dis. 1987;9:253-263.

Davison JM, Hytten FE. Glomerular filtration during and after pregnancy. J Obstet Gynecol (Brit Common). 1974;81:588-595.

Dekker G, Sibai B, Primary S. Secondary, and tertiary prevention of preeclampsia, Lancet. 2001;357(2):209-215.

Gant NF, Daley GL, Chand S, Whalley PJ. McDonald PC: A study of angiotensin II pressor response throughout primigravid pregnancy. J Clin Invest. 1973;52:2682–2689.

Global health risks, 2009.

Gong YH, Jia J, Lu DH, Dai L, Bai Y, Zhou R. Outcome and risk factors of early onset severe preeclampsia. Chin Med J (Engl). 2012;125:2623-2627.

Gulmezoglu AM, Hofmeyr GJ. Bed rest in hospital for suspected impaired fetal growth (Cochrane Review). In: The Cochrane Library, 1999, Issue 2.

Hall DR, Odendaal HJ, Steyn DW, Grove D. Expectant management of early onset, severe preeclampsia: maternal outcome. BJOG. 2000;107:1252-7.

Khumanthem PD, Chanam MS, Samjetshabam RD. Maternal mortality and its causes in a tertiary center. J Obstet Gynaecol India. 2012;62:168-171.

Liu CM, Chang SD, Cheng PJ. Relationship between prenatal care and maternal complications in women with preeclampsia: implications for continuity and discontinuity of prenatal care. Taiwan J Obstet Gynecol. 2012;51:576-582.

Losonczy G, Brown G, Venuto RC. Increased peripheral resistance during reduced uterine perfusion pressure hypertension in pregnant rabbits. Am J Med Sci. 1992;303:233-240.

Magee LA, Helewa M, Moutquin J-M, et al. Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy. J Obstet Gynaecol Can. 2008;30(3, Suppl):S1-48.

Mitka M. Any hypertension during pregnancy raises risk for several chronic diseases: JAMA. 2013;309:971-972.

Awad K, Ali P, Frishman WH, et al. Pharmacologic approaches for the management of systemic hypertension in pregnancy. Heart Dis. 2000;2:125.

Rumbold A DL, Crowther CA, Haslam RR. Antioxidants for preventing pre-eclampsia. Cochrane Database Syst Rev, 2008, 1(25).

Caritis S, Sibai B, Hauth J, et al. “Predictors of pre-eclampsia in women at high risk. National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units,” American Journal of Obstetrics and Gynecology. 1998;179(4):946-951.

Saudan P, Brown MA, Buddle ML, Jones M. Does gestational hypertension become pre-eclampsia? British Journal of Obstetrics and Gynaecology. 1998;105(11):1177-84.

Wildman K, Bouvier-Colle MH. Maternal mortality as an indicator of obstetric care in Europe, BJOG 111, 2004, 164-169.

World Health Organization. ICD-10. International statistical classification of diseases and related health problem, 2004.

Downloads

Published

2024-02-17

How to Cite

[1]
G. A. . Hashim, “Risk factors of gestational hypertension for pregnant women”, J. A. Med. Sci, vol. 4, no. 1, pp. 23–29, Feb. 2024.

Issue

Section

Articles