尼日利亚贝宁市贝宁大学教学医院孕妇妊娠期高血压疾病的患病率、危险因素及管理

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摘要

背景:本研究是一项基于医院的回顾性横断面设计研究,旨在调查在贝宁市贝宁大学教学医院产前门诊就诊的孕妇妊娠期高血压疾病的患病率、危险因素和管理情况。采用分层比例抽样技术,对2015年6月- 2020年6月在该院接受妊娠期高血压疾病管理的358例患者的二级资料进行回顾性分析。数据分析采用描述性统计,多项回归分析,所有测量变量的显著性水平为0.05。结果:平均±SD = 31.15±5.954年。其中超过一半(60.3%)为多胎妊娠。60.1%为妊娠中期。预约时的平均血压为146/95 mmHg。56.1%的人超重,17.6%的人肥胖。平均±SD ANC访问次数为10.71±5.411次。研究中孕妇妊娠期高血压疾病的5年患病率为10.9%。结论:本研究机构HDP患病率较高,以子痫前期患病率最高。因此,我们强烈建议使用筛查工具来预测、早期诊断和及时干预HDP
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Prevalence, Risk Factors and Management of Hypertensive Disorders of Pregnancy Among Pregnant Women in University of Benin Teaching Hospital, Benin City, Nigeria
Background: This facility-based retrospective cross sectional design study examined the prevalence, risk factors and management of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic in the University of Benin Teaching Hospital, Benin City Materials and Methods: A stratified proportionate sampling technique were adopted to review a total of 358 secondary data of patients who were managed for hypertensive disorders of pregnancy from June 2015 – June 2020 in the study institution. Data were analyzed using descriptive statistics, multinomial regression analysis at 0.05 the level of significance for all measured variables. Results: The mean ± SD = 31.15 ± 5.954 years. More than half 60.3% of them were multigravida. 60.1% were in second trimester. Mean BP at booking was 146/95 mmHg. 56.1% were overweight while 17.6% were obese. The mean ± SD ANC visits was 10.71 ± 5.411 times. The five-year prevalence rate of hypertensive disorders of pregnancy among pregnant women in the study setting is 10.9%. Conclusion: There is high prevalence of HDP in the study institution with preeclampsia most prevalent. Therefore, we strongly recommend the utilization of screening tools for the prediction, early diagnoses as well as timely intervention HDP
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