Association of Age and Parity with Pregnancy-Induced Hypertension

Authors

  • Abida Ashraf Department of Obs & Gynae, Combined Military Hospital Sibi/National University of Medical Sciences (NUMS) Pakistan
  • Samina Hameed Department of Obs & Gynae, Holy Family Hospital, Rawalpindi Pakistan
  • Yasmin . Department of Obs & Gynae, Mardan Medical Complex, Mardan Pakistan
  • Mansoor Ahmad Department of Anaesthesia, Combined Military Hospital Sibi/National University of Medical Sciences (NUMS) Pakistan
  • Muhammad Zeeshan Saleem Department of Pediatrics, Combined Military Hospital Sibi/National University of Medical Sciences (NUMS) Pakistan
  • Ijaz Ahmed Department of Medicine, Combined Military Hospital Sibi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i3.7812

Keywords:

Age, Gestational hypertension, Normotensive, Parity, Pregnancy-induced hypertension (PIH).

Abstract

 

Objective: To determine the association of age and parity with gestational hypertension.

Study Design: Case-control study.

Place and Duration of Study: Department of Gynaecology and Obstetrics, Combined Military Hospital, Sibi Pakistan, from Oct 2020 to Sep 2021.

Methodology: A total of two hundred and sixty-eight (n=268) patients (134 controls and 134 cases) were included in this study. Data about age, parity, economic status and education status was recorded. Two consecutive readings of blood pressure were recorded in sitting position, 4 hours apart, and the second reading was entered on the proforma.

Results: Mean age of the patients was 28.10±5.61 years and 28.99±6.29 years in cases and controls, respectively. Mean gestational age was 38.46±1.02 weeks in cases and 38.04±1.00 weeks in controls. In cases, primigravida were 88(65.7%) and multigravida were 46(34.3%) and in controls 58(43.3%) were primigravida and 46(56.7%) were multigravida. Odds ratio was 2.50(95% CI: 1.53-4.10), p value was <0.001. In cases, 111 women (82.8%) were from young age group and 23 women (17.2%) belonged to advanced age group. In controls 94 women (70.2%) were of young age group while 40 women (29.8%) belonged to advanced age group (p value was 0.013).

Conclusion: Primigravidae and women of younger age seem to have association with pregnancy induced hypertension

 

Downloads

Download data is not yet available.

References

Singh S, Doyle P, Campbell OMR, Murthy GVS. Management and referral for high-risk conditions and complications during the antenatal period: knowledge, practice and attitude survey of providers in rural public healthcare in two states of India. Reprod Health 2019; 16(1): 100.

https://doi.org/10.1186/s12978-019-0765-y

Meazaw MW, Chojenta C, Muluneh MD, Loxton D. Factors associated with hypertensive disorders of pregnancy in sub-Saharan Africa: A systematic and meta-analysis. PloS One 2020; 15(8): e0237476. https://doi.org/10.1371/journal.pone.0237476

Khan H, Majeed S, Hafizullah M. Peculiar risk factors and complications of Pregnancy Induced Hypertension in a tertiary care hospital of Peshawar. Pak Armed Forces Med J 2009; 59(3): 324-327

Umesawa M, Kobashi G. Epidemiology of hypertensive disorders in pregnancy: prevalence, risk factors, predictors and prognosis. Hypertens Res 2017; 40(3): 213-220

https://doi.org/10.1038/hr.2016.126

Brown MA, Magee LA, Kenny LC, Karumanchi SA, McCarthy FP, Saito S, et al. Hypertensive disorders of pregnancy: ISSHP classification, diagnosis, and management recommendations for international practice. Hypertension. 2018; 72(1): 24-43

https://doi.org/10.1161/HYPERTENSIONAHA.117.10803

Umesawa M, Kobashi G. Epidemiology of hypertensive disorders in pregnancy: prevalence, risk factors, predictors and prognosis. Hypertens Res 2017; 40(3): 213-220

https://doi.org/10.1038/hr.2016.126

Nyaga FU, Bigna JJ, Jingi AM, Nansseu JR, Kaze AD, Fokom-Domgue J, et al. Hypertensive disorders of pregnancy in Africa: a systematic review and meta-analysis. J Hypertens 2018; 36: e250-251

Parveen N, Haider G, Shaikh IA, Din UJ. Presentation of predisposing factors of Pregnancy Induced Hypertension at Isra University Hospital, Hyderabad. JLUMHS 2009 Sep 1; 8(03): 242.

Sajith M, Nimbargi V, Modi A, Sumariya R, Pawar A. Incidence of Pregnancy Induced Hypertension and prescription pattern of antihypertensive drugs in pregnancy. Int J Pharma Sci Res 2014; 23(3): 4.

Khosravi S, Dabiran S, Lotfi M, Asnavandy M. Study of the prevalence of hypertension and complications of hypertensive disorders in pregnancy. Open J Prev Med 2014; 4(11): 860. https://doi.org/10.4236/ojpm.2014.411097

Gudeta TA, Regassa TM. Pregnancy Induced Hypertension and Associated Factors among Women Attending Delivery Service at Mizan-Tepi University Teaching Hospital, Tepi General Hospital and Gebretsadik Shawo Hospital, Southwest, Ethiopia. Ethiop J Health Sci 2019; 29(1): 831-840.

https://doi.org/10.4314/ejhs.v29i1.4

Tessema GA, Tekeste A, Ayele TA. Preeclampsia and associated factors among pregnant women attending antenatal care in Dessie referral hospital, Northeast Ethiopia: a hospital-based study. BMC Pregnancy Childbirth 2015; 15(1): 1-7.

https://doi.org/10.1186/s12884-015-0645-5

Kalim N, Anwar I, Khan J, Blum LS, Moran AC, Botlero R, et al. Postpartum haemorrhage and eclampsia: differences in knowledge and care-seeking behaviour in two districts of Bangladesh. J Health Popul Nutr 2009; 27(2): 156.

https://doi.org/10.3329/jhpn.v27i2.3312

Ayaz A, Muhammad T, Hussain SA, Habib S. Neonatal outcome in pre-eclamptic patients. J Ayub Med Coll 2009; 21(2): 53-55.

Saadat M, Nejad SM, Habibi G, Sheikhvatan M. Maternal and neonatal outcomes in women with preeclampsia. Taiwan J Obstet Gynecol 2007; 46(3): 255-259

https://doi.org/10.1016/S1028-4559(08)60015-5

Kashanian M, Baradaran HR, Alimohammadi R. Risk factors for pre-eclampsia, a study in Iran. J Hypertens 2010; 28(3): e191.

Aimukhametova G, Ukybasova T, Hamidullina Z, Zhubanysheva K, Harun-Or-Rashid M. The impact of maternal obesity on mother and neonatal health: study in a tertiary hospital of Astana, Kazakhstan. Nagoya J Med Sci 2012; 74(1-2): 83

Barden AE, Beilin LJ, Ritchie J, Walters BN, Graham D, Michael CA. Is proteinuric pre-eclampsia a different disease in primigravida and multigravida? Clin Sci 1999; 97(4): 475-483.

https://doi.org/10.1042/cs0970475

Ødegård RA, Vatten LJ, Nilsen ST, Salvesen KÅ, Austgulen R. Risk factors and clinical manifestations of pre‐eclampsia. Int J Gynaecol Obstet 2000; 107(11): 1410-1416.

https://doi.org/10.1111/j.1471-0528.2000.tb11650.x

Garovic VD, White WM, Vaughan L, Saiki M, Parashuram S, Garcia-Valencia O, et al. Incidence and long-term outcomes of hypertensive disorders of pregnancy. J Am Coll Cardiol 2020; 75(18): 2323-2334. https://doi.org/10.1016/j.jacc.2020.03.028

Hauspurg A, Parry S, Mercer BM, Grobman W, Hatfield T, Silver RM, et al. Blood pressure trajectory and category and risk of hypertensive disorders of pregnancy in nulliparous women. Am J Obstet Gynecol 2019; 221(3): 277.e1-277.e8.

https://doi.org/10.1016/j.ajog.2019.06.010

Khashan AS, Evans M, Kublickas M, McCarthy FP, Kenny LC, Stenvinkel P, et al. Preeclampsia and risk of end stage kidney disease: A Swedish nationwide cohort study. PLoS Med 2019; 16(7): e1002875.

https://doi.org/10.1371/journal.pmed.1002875

O’Gorman N, Wright D, Syngelaki A, Akolekar R, Wright A, Poon LC, et al. Competing risks model in screening for preeclampsia by maternal factors and biomarkers at 11-13 weeks gestation. Am J Obstet Gynecol 2016; 214(1): 103.e1-103.e12. https://doi.org/10.1016/j.ajog.2015.08.034

Downloads

Published

28-06-2024

Issue

Section

Original Articles

How to Cite

1.
Ashraf A, Hameed S, . Y, Ahmad M, Saleem MZ, Ahmed I. Association of Age and Parity with Pregnancy-Induced Hypertension. Pak Armed Forces Med J [Internet]. 2024 Jun. 28 [cited 2024 Dec. 25];74(3):740-3. Available from: https://pafmj.org/PAFMJ/article/view/7812