hypertensive disorders of pregnancy hdp among pregnant women in mukono district uganda n.
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Hypertensive Disorders of Pregnancy (HDP) among pregnant women in Mukono district- Uganda. Gloria Naggayi ,James Bagonza, Roy Mayega, Noah Kiwanuka. Outline. Introduction and background Objectives Location of study site Methodology Analysis Results Conclusion Recommendations

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hypertensive disorders of pregnancy hdp among pregnant women in mukono district uganda

Hypertensive Disorders of Pregnancy (HDP) among pregnant women in Mukono district- Uganda

Gloria Naggayi ,James Bagonza,Roy Mayega,

Noah Kiwanuka

outline
Outline
  • Introduction and background
  • Objectives
  • Location of study site
  • Methodology
  • Analysis
  • Results
  • Conclusion
  • Recommendations
  • Acknowledgements
background
Background
  • HDP: High BP or use antihypertensive treatment with/without proteinuria of ≥30mg/dl
    • High BP: An average systolic BP reading of ≥140mmHg and / average diastolic BP of ≥90mmHg.
background1
Background
  • HDP are one of the major causes of 80% of maternal deaths globally, 6% of maternal deaths in Uganda
  • Changes in maternal characteristics is a risk factor to increase in HDP
  • The probability of HDP detection among pregnant women is 0.28 (UDHS, 2011)
  • Prevalence of HDP and associated factors unknown in Mukono District, Uganda
study objectives
Study objectives
  • To determine the prevalence of Hypertensive Disorders of Pregnancy among pregnant women
  • To identify the distribution of the different types of Hypertensive Disorders of Pregnancy among pregnant women
  • To identify the factors associated with Hypertensive Disorders of Pregnancy among pregnant women
location of study area
Location of study area

Mukono district

methodology
Methodology
  • Cross sectional community survey, March to June 2013
  • Study site: Mukono district, central Uganda
  • Study Population: pregnant women
  • Sample size: 372
  • Multi-stage sampling technique was used
  • Structured questionnaire
    • 2 BP measurements
    • A urine sample taken and tested on site for protein
  • Ethics approval: MUSPH Higher Degrees Research and Ethics Committee
data analysis
Data analysis
  • Uni-variate, bivariate and multivariate analysis (logistic regression) was done
  • Prevalence of HDP was calculated as the proportion of respondents with HDP per 100
  • HDP was classified to type using a composite of gestation age, proteinuria and antihypertensive use
  • Odds Ratios and 95% CI were the measures of association used.
results
Results
  • Total number of participants: 372 pregnant women
  • Respondents age ranged from 14 to 41 with a mean of 24 years (SD= ±4.78, 95% CI (23.87-24.85)
  • Their gestation age ranged from 2 to 41 weeks with a mean of 22.3 (SD= ±9, 95% CI 21.39-23.23)
conclusion
Conclusion
  • Almost one in every six pregnant women in Mukono district had a HDP however; 61.3% had chronic hypertension
  • Factors associated with Hypertensive Disorders of Pregnancy include;
    • Older maternal age (Age above 20 years)
    • Low diet diversity
    • Non attendance of antenatal care
    • Primagravida
recommendations
Recommendations
  • Hypertension among women in Mukono district needs be addressed
  • Innovations to increase demand for ANC are crucial
  • Quality of diet should be addressed during ANC
acknowledgements
Acknowledgements
  • Makerere University , College of Health Sciences, School of Public Health
  • Field Epidemiology Training Program Uganda