Assessment Of The Magnitude Of Hyperemesis Gravidarum And Associated Factors Among Pregnant Women Attending Antenatal Care At Public Hospital In West Shoa, Oromia, Ethiopia,

Abstract

Background: Hyperemesis gravidarum represents severe intractable nausea and vomiting before the 20th week of gestation. Although rare, the clinical and social impact of hyperemesis gravidarum can be immense; it can cause serious maternal morbidity or even maternal death. Objective: To assess the magnitude of hyperemesis gravidarum and associated factors among pregnant women attending antenatal care at public hospitals in West Shoa, Oromia, Ethiopia, 2024 Methods: Institution-based cross-sectional study design was conducted among 381 pregnant mothers from May 1-30/ 2024. A systematic random sampling technique was used to select the study subjects. The data were collected by using a structured questionnaire through face-to-face interviews and chart review techniques. The collected data were checked entered into Epi-data version 4.6 and then, exported to SPSS version 25.0 for coded, cleaned and statistical analysis. Both descriptive and analytical statistics were done and displayed by text, tables and figures. AOR with 95% confidence intervals was computed to identify the presence and strength of association, and statistical significant was declared at p-value < 0.05. Model goodness-of-fit was checked by the Hosmer-Lemeshow test. The binary logistic regression model was fitted. Result: Among 381 study participants, 373 were interviewed; resulting in 97.9% of response rate. The magnitude of Hyperemesis gravidarum was found to be 7.2%, (95% CI; 4.8,9.8), residence in rural area (AOR= 6.75; 95% CI: 2.34,19.43), the housewife women (AOR=0.190; 95% CI: 0.046,0.787), family history [AOR= 6.104; 95%CI: 1.765,21.109}, started ANC follow-up at greater than or equal to 12 weeks [AOR= 4.103; 95%CI: 1.223,13.763] and were significantly associated with hyperemesis gravidarum. Conclusion and Recommendations: The study found that the Magnitude of hyperemesis gravidarum in pregnancy women was considerably high. Started ANC follow up, women with a family history of hyperemesis gravidarum; residence, and occupation were significantly associated with hyperemesis gravidarum. Therefore, due attention needed from concerned bodies in order to reduce the occurrence of hyperemesis gravidarum.