Abstract:
Background: Pregnancy-induced hypertension complicates 10% of all pregnancies. Pregnancy-induced hypertension (PIH) is a syndrome of hypertension with or without proteinuria and edema.
Objective: The objective of this study was to identify determinants of Pregnancy induced hypertension among pregnant women attending ANC follow up in public and private hospitals, in Addis Ababa, Ethiopia, 2022.
Methods: A facility based unmatched case control study was conducted from September to October 2022 among 423 (141 cases and 282 controls) who were selected by systematic random sampling technique. The questionnaires were adapted from different English literatures and then translated to Amaric and afaan oromo languages. The data were collected using an interviewer administered questionnaire, entered to Epi info version 7 and exported to SPSS 20 for c analysis. All independent variables that were associated with dependent variable at ≤0.25 (pregnancy induced hypertension) were included in final logistic model. Multivariable logistic regression when p-value less than or equal to 0.05 and 95%CI were used to determine independent determinants of outcome interests.
Results: Totally, 423 study participants were involved in study with response rate 96.5. The mean age of pregnant women was 27± (4.912) and 28.29± (4.477) years among cases and controls respectively. Variables such as family history of hypertension (AOR: 3.75, 95%CI: 1.3, 10.761), Family history of diabetes (AOR=4.235, 95%CI(1.469, 12.194)],History of diabetes [AOR=6.453,95CI(2.542,19.433),Twin pregnancy (AOR: 2.436, 95%CI :( 0.847, 7.014), drinking alcohols (AOR: 2.34, 95%CI, 1.124, 9.327) and use of modern contraceptives (AOR: 0.305, 95%CI: 0.106, 0.876) were statistically significant with pregnancy induced hypertension. .
Conclusion: Having family history of hypertension, family history of diabetes, history of diabetes, Twin pregnancy, drinking alcohols and use of modern contraceptives were identified determinants of pregnancy induced hypertension. Government as well as non-Governments should provide adequate treatment and information pregnant women with diabetes and hypertension.
