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ORIGINAL RESEARCH article

Front. Med.
Sec. Obstetrics and Gynecology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1326333

Obstetrical and Perinatal Outcomes of Women with Preeclampsia at Woldia Comprehensive Specialized Hospital, Northeast, Ethiopia

Provisionally accepted
Desalew Mergiyaw Desalew Mergiyaw 1Henok Kumsa Henok Kumsa 2,3*
  • 1 Godere Mission Health Center, Gambela, Ethiopia, Gambella, Ethiopia
  • 2 Department of Midwifery, College of Health Science, Woldia University, Woldia, Ethiopia
  • 3 Woldia University, Woldiya, Amhara, Ethiopia

The final, formatted version of the article will be published soon.

    Background: Preeclampsia is a multisystem disorder that affects pregnant women.Preeclampsia and its complications are leading causes of maternal and perinatal morbidity and mortality in developing countries. Studies conducted in Ethiopia have primarily concentrated on preeclampsia's trends and prevalence rather than its obstetrical and perinatal consequences.Thus, this study aims to determine the risk of adverse obstetric and perinatal outcomes among women with preeclampsia at Woldia Comprehensive Specialized Hospital, Northeast Ethiopia.Methods: A retrospective cohort study was done among 140 preeclamptic women and 280 normotensive women who gave birth at Woldia Comprehensive Specialized Hospital between December 30, 2020, and December 29, 2022. Maternal records were retrieved using dataextraction tools. The data were entered into Epi-data version 4.6.0.6 and analyzed using SPSS version 26. Binary and multivariable logistic regression models were used to test the associations between independent and outcome variables. The adjusted odds ratio (OR) with a 95% confidence interval (CI) and p-values <0.05, were used to measure the strength of the association and declare the level of statistical significance.The odds of at least one adverse obstetric outcome among preeclamptic women was 2.25 times higher as that among normotensive women [AOR: 2.25, 95% CI: (1.06, 4.77)]. In addition, babies born from preeclamptic women were a higher risk of perinatal death [AOR: 2.90, 95% CI: (1.10, 8.17)], low birth weight [AOR: 3.11, 95% CI: (1.43, 6.7)], birth asphyxia [AOR: 2.53, 95% CI: (1.15, 5.5)], and preterm birth [AOR: 2.21, 95% CI: (1.02, 4.8)] than babies born to normotensive women.Conclusions: More adverse obstetric and perinatal outcomes were observed in women with preeclampsia than those in normotensive women. This study highlights the significantly elevated level of at least one adverse obstetric outcome associated with preeclampsia, low hemoglobin level, and rural residents. Moreover, perinatal death, low birth weight, asphyxia, and preterm birth were significantly associated with preeclampsia.

    Keywords: Preeclampsia, Adverse obstetrical outcomes, adverse perinatal outcomes, adverse obstetrical and perinatal outcomes, Woldia

    Received: 23 Oct 2023; Accepted: 28 Aug 2024.

    Copyright: © 2024 Mergiyaw and Kumsa. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Henok Kumsa, Department of Midwifery, College of Health Science, Woldia University, Woldia, Ethiopia

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