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Case Studies | Health and Medical Sciences | Somalia | Volume 13 Issue 12, December 2024 | Popularity: 6.4 / 10

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Prevalence of Hypertensive Disorders in the Third Trimester of Pregnancy Among Women Attending ANC at Banadir Hospital, Mogadishu, Somalia

Abdikarim Adan Osman

Abstract: Hypertension complicates pregnancy in the form of gestational hypertension, pre-eclampsia and eclampsia continue to be major causes of maternal and fetal morbidity and mortality in developing countries. To the authors? knowledge, there is a dearth of data on the occurrence of these disorders in Somalia or other rural and resource-poor regions such as Banadir Hospital in Mogadishu. The objectives of this study are: To determine the magnitude of hypertensive disorders in the third trimester among pregnant women attending antenatal care at Banadir Hospital and To identify the socio-demographic, lifestyle and medical risk factors associated with hypertensive disorders. Given this background, the main aim of this study was to establish the prevalence of hypertensive disorders among pregnant women in the third trimester at Banadir Hospital, Mogadishu. Besides, the study aimed at establishing the assocaiations between socio-demographic characteristics, lifestyle characteristics, and incidence of hypertensive disorders. The study is based on health behavioural theory of health and data which show that health behaviour depends on socio-demographic and lifestyles. The current study was a descriptive cross-sectional study that recruited 171 pregnant women in the third trimester of pregnancy attending ANC at Banadir Hospital. Sample selection followed a purposive technique of stratified random sampling to enhance the ensured diversity of the participants on the basis of different characteristics. Information was obtained using self-administered questionnaires addressing socio-demographic data, past medical history and lifestyle profile, and physical examination, BMI derived from height and weight measurements, blood pressure. Both descriptive and inferential statistics were used in the analysis of the collected data and ethical clearance was sought to secure participant anonymity and consent. According to the study, 65% of participants supported or highly supported the view that hypertensive disorders are prevalent among the pregnant women during the third trimester. The data on hypertensive disorders were comparable with international statistics, 30% of patients agreed with the statement that the frequency of hypertensive disorders has increased in the past year. It also found a moderate consensus about socio-demographic determinants including age, and socioeconomic status as well as lifestyle factors including diet and physical activity playing a very important role in the occurrence of hypertensive disorders. The findings revealed that hypertensive disorders affected pregnant women in their third trimester at Banadir Hospital, and the women had high awareness of the prevalence of hypertensive disorders. On one hand, respondents cross-sectioned shared a correspondingly perceived prevalence, on the other, perceived frequency and adequacy of management demonstrated a relatively lower cross-sectional consensus. That social demographic and lifestyle factors are useful in accounting for the prevalence was recognized and hence inform the development of specific public health interventions to address these risks. The conclusions drawn include; there is the need to improve the early identification and follow up of hypertensive disorders, increase the usage of appropriate communication mediums in form of health promotion campaigns, to improve maternal health services in Banadir Hospital; and there is a need to conduct future follow up studies on the effects of the interventions on the prevalence of hypertensive disorders over time.

Keywords: Hypertensive Disorders, Gestational Hypertension, Preeclampsia, Eclampsia, Prevalence, Socio-demographic Factors, Lifestyle Factors, Antenatal Care, Maternal Health, Banadir Hospital, Somalia, Third Trimester

Edition: Volume 13 Issue 12, December 2024

Pages: 1607 - 1613

DOI: https://www.doi.org/10.21275/SR241218224735

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