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阿萨姆邦迪布鲁格尔区农村地区孕妇高血压的患病率及相关危险因素

Prevalence and associated risk factors of hypertension among pregnant women in rural areas of Dibrugarh District, Assam.

作者信息

Gogoi Jurimoni, Ahmed Sultana J, Neog Parthajyoti

机构信息

Department of Community Medicine, Nagaland Institute of Medical Sciences and Research (NIMSR), Kohima, India.

Department of Community Medicine, Assam Medical College and Hospital, Dibrugarh, Assam, India.

出版信息

J Family Med Prim Care. 2024 Jul;13(7):2709-2718. doi: 10.4103/jfmpc.jfmpc_1986_23. Epub 2024 Jun 28.

DOI:10.4103/jfmpc.jfmpc_1986_23
PMID:39071020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11271992/
Abstract

CONTEXT

Hypertension is one of the most common medical disorders complicating pregnancies and complicates 5 to 10% of all pregnancies.

AIMS

To estimate the prevalence of hypertension among pregnant women and to determine the associated obstetric risk factors of hypertension among them in rural areas of Dibrugarh district, Assam.

SETTINGS AND DESIGN

Community-based cross-sectional study.

MATERIALS AND METHODS

The present study was conducted on pregnant women of villages under two health blocks at that point of time from May 2017 to April 2018. The sample size was calculated to be 384. The estimated number of pregnant women in each block was noted, and the pregnant women to be included from each block and from each sub-centre was determined by proportional allocation. Data were collected by house-to-house survey in the villages of the respective sub-centre. A pre-designed and pre-tested proforma was used to collect the data.

STATISTICAL ANALYSIS USED

Data were analysed using Chi-square test, Fisher's exact test, and logistic regression.

RESULTS

A total of 384 pregnant women gave consent for participation. The prevalence of hypertension in pregnancy was 9.1%. Among the obstetric factors, multigravidity, multiparity, period of gestation >20 weeks, history of hypertension in previous pregnancy, and history of prior still birth were statistically significant risk factors of hypertension in pregnancy. Logistic regression analysis showed period of gestation >20 weeks to be independent predictor of hypertension in pregnancy.

CONCLUSION

The awareness of obstetric risk factors for hypertension in pregnancy may give ways for prevention in this population.

摘要

背景

高血压是妊娠合并的最常见医学疾病之一，在所有妊娠中占5%至10%。

目的

估计阿萨姆邦迪布鲁格尔区农村地区孕妇高血压的患病率，并确定其中高血压的相关产科危险因素。

研究地点和设计

基于社区的横断面研究。

材料和方法

本研究于2017年5月至2018年4月期间对当时两个健康街区下村庄的孕妇进行。样本量计算为384。记录每个街区的估计孕妇人数，并通过比例分配确定每个街区和每个分中心要纳入的孕妇。通过在各个分中心的村庄挨家挨户调查收集数据。使用预先设计和预先测试的表格收集数据。

所用统计分析方法

使用卡方检验、费舍尔精确检验和逻辑回归分析数据。

结果

共有384名孕妇同意参与。妊娠高血压患病率为9.1%。在产科因素中，多孕史、多产史、孕周>20周、既往妊娠高血压病史和既往死产史是妊娠高血压的统计学显著危险因素。逻辑回归分析显示孕周>20周是妊娠高血压的独立预测因素。

结论

了解妊娠高血压的产科危险因素可能为该人群的预防提供方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fc9/11271992/35b36ec042a4/JFMPC-13-2709-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fc9/11271992/14a92f96ce9a/JFMPC-13-2709-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fc9/11271992/35b36ec042a4/JFMPC-13-2709-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fc9/11271992/14a92f96ce9a/JFMPC-13-2709-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fc9/11271992/35b36ec042a4/JFMPC-13-2709-g002.jpg

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