OUTCOME OF HYPERTENSIVE DISORDERS OF PREGNANCY AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN ADMITTED TO JIMMA UNIVERSITY MEDICAL CENTER, SOUTHWEST ETHIOPIA

Abstract

BACKGROUND: Hypertensive Disorder of Pregnancy (HDP) is one of the most common obstetric complications that occur during pregnancy. It occurs in about 5 - 10 % of pregnancy and accounts for 10 - 15 % of maternal death worldwide. The disorder is also associated with perinatal mortality and complications. This study intends to assess maternal and perinatal outcome of hypertensive disorders of pregnancy. OBJECTIVE: The main objective of this study was to assess outcome of Hypertensive Disorders of Pregnancy and associated factors in Jimma University Medical Center. METHOD: Hospital based cross sectional study was conducted among 202 mothers. Purposive sampling method with consecutive technique was employed using interviewer administered questionnaires. Bivariate and multivariable binary logistic regression analysis was conducted. RESULT: From 1980 total admissions to labor and maternity ward, 202(10.2%) mothers were diagnosed with HDP. Preeclampsia with severity feature was the most (60%) common presentation followed by eclampsia (10.4%). About one third (32 %) of the mother developed at least one maternal complication. Hemolysis elevated liver enzyme and low platelet (HELLP) syndrome was the most common complications (38.5%) followed by aspiration pneumonia (20 %). Five (2.4 %) mothers were died during the study period, three of them were due to eclampsia complicated by pulmonary edema and two were due to preeclampsia with severity feature complicated by acute kidney injury (AKI) with encephalopathy. Place of residency (AOR = 0.142, 95 % CI: 0.025, 0.801) and eclampsia (AOR = 9.852, 95% CI: 2.963, 133) were significantly associated with maternal outcome. CONCLUSION: The presence of preeclampsia with severity features and eclampsia has been associated with poor maternal and perinatal outcomes.