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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. 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

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  1. Hypertensive Disorders of Pregnancy (HDP) among pregnant women in Mukono district- Uganda Gloria Naggayi ,James Bagonza,Roy Mayega, Noah Kiwanuka

  2. Outline • Introduction and background • Objectives • Location of study site • Methodology • Analysis • Results • Conclusion • Recommendations • Acknowledgements

  3. 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.

  4. 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

  5. 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

  6. Location of study area Mukono district

  7. 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

  8. 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.

  9. 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)

  10. Prevalence of HDP among pregnant women in Mukono District

  11. Distribution of HDP types among pregnant women in Mukono District

  12. Factors associated with HDP among pregnant women in Mukono District

  13. 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

  14. 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

  15. Acknowledgements • Makerere University , College of Health Sciences, School of Public Health • Field Epidemiology Training Program Uganda

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