Department of Epidemiology and Biostatistics, School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Department of Preventive Medicine, School of Public Health, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
Blood Press. 2023 Dec;32(1):2255687. doi: 10.1080/08037051.2023.2255687.
Little is known about the factors contributing to preeclampsia in Ethiopia. Therefore, this study was conducted to determine factors associated with preeclampsia among pregnant women in public hospitals.
An institution based unmatched case-control study was conducted. Women with preeclampsia were cases, and those without preeclampsia were controls. The study participants were selected using the consecutive sampling method with a case-to-control ratio of 1:2. The data were collected through measurements and a face-to-face interview. Then the data were entered using Epi Info and exported to STATA 14 for analysis. The findings were presented in text, tables, and figures.
About 51 (46.4%) of cases and 81 (36.8%) of controls had no formal education. Multiple gestational pregnancies (AOR = 2.75; 95% CI: 1.20-6.28); history of abortion (AOR = 3.17, 95% CI: 1.31-7.70); change of paternity (AOR = 3.16, 95% CI: 1.47-6.83); previous use of implants (AOR = 0.41; 95% CI: 0.13-0.96); and fruit intake during pregnancy (AOR = 0.36, 95% CI: 0.18-0.72) were associated factors of preeclampsia.
History of abortion, change of paternity, and multiple gestational pregnancies were risk factors for preeclampsia. Fruit intake during pregnancy and previous use of implant contraceptives were negatively associated with preeclampsia. Further studies should be conducted regarding the effect of prior implant use on preeclampsia. Healthcare providers should give special attention to women with a history of abortion and multiple gestational pregnancies during the ANC follow-up period.
关于导致埃塞俄比亚子痫前期的因素知之甚少。因此，本研究旨在确定公 立医院孕妇子痫前期的相关因素。
本研究采用基于机构的病例对照研究设计。子痫前期患者为病例，无 子痫前期患者为对照。采用连续抽样法，以 1:2 的病例对照比选择研究对象。通过测 量和面对面访谈收集数据。然后将数据输入 Epi Info 并导出到 STATA 14 进行分析。结果 以文字、表格和图形呈现。
约 51 名（46.4%）病例和 81 名（36.8%）对照没有接受过正规教育。多胎妊娠（AOR = 2.75；95%CI：1.20-6.28）；流产史（AOR = 3.17，95%CI：1.31-7.70）；亲权变更（AOR = 3.16，95%CI：1.47-6.83）；既往使用植入物（AOR = 0.41；95%CI：0.13-0.96）；妊娠期摄入水果（AOR = 0.36，95%CI：0.18-0.72）是子痫前期的相关因素。
流产史、亲权变更和多胎妊娠是子痫前期的危险因素。妊娠期摄入水果和 既往使用植入物避孕药与子痫前期呈负相关。应进一步研究既往使用植入物对子痫前期 的影响。在 ANC 随访期间，医疗保健提供者应特别关注有流产史和多胎妊娠的妇女。
