Risk factors for pre‐eclampsia in Mulago Hospital, Kampala, Uganda
Objective Pre‐eclampsia contributes significantly to maternal, foetal and neonatal morbidity and mortality. The risk factors for pre‐eclampsia have not been well documented in Uganda. In this paper, we describe the risk factors for pre‐eclampsia in women attending antenatal clinics at Mulago Hospital, Kampala.
Methods This casecontrol study was conducted from 1st May 2008 to 1st May 2009. 207 women with pre‐eclampsia were the cases, and 352 women with normal pregnancy were the controls. The women were 15–39 years old, and their gestational ages were 20 weeks or more. They were interviewed about their socio‐demographic characteristics, past medical history and, their past and present obstetric performances.
Results The risk factors were low plasma vitamin C (OR 3.19, 95% CI: 1.54–6.61), low education level (OR 1.67, 95% CI: 1.12–2.48), chronic hypertension (OR 2.29, 95% CI 1.12–4.66), family history of hypertension (OR 2.25, 95% CI: 1.53–3.31) and primiparity (OR 2.76, 95% CI: 1.84–4.15) and para≥5 (3.71, 95% CI:1.84–7.45).
Conclusion The risk factors identified are similar to what has been found elsewhere. Health workers need to identify women at risk of pre‐eclampsia and manage them appropriately so as to prevent the maternal and neonatal morbidity and mortality associated with this condition.
Document Type: Research Article
Affiliations: 1: Makerere University College of Health Sciences, Kampala, Uganda 2: Department of Pathology, Makerere University College of Health Sciences, Kampala, Uganda 3: School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda 4: Department of Obstetrics and Gynaecology, Walter Sisulu University, Mthatha, South Africa 5: Department of Health, Uganda Christian University, Mukono, Uganda
Publication date: 2012-04-01