Background The burden of hypertensive disorders among parturients in remote locations of Ghana remains understudied, considering existing data. We investigated the prevalence, associated factors, and treatment guideline’s adherence for maternal hypertensive disorders among parturients in a peripheral region.
Method In an analytical cross-sectional study, data of all parturients with hypertensive disorders were extracted from labor registers of nine public hospitals in the Bono Region of Ghana from January to December 2021. Additionally, guidelines for administering magnesium sulfate and antihypertensives to these patients were examined. Chi-square and multivariable binomial regression analyses were used to explore associations between independent and dependent variables. P ≤ 0.05 was considered statistically significant.
Results Hypertensive pregnancies were 711 out of 16,206 deliveries, with a prevalence of 4.4%. Non-severe pre-eclampsia (30.5%) and gestational hypertension (28.0%) were the most frequent disorders. Eclampsia (6.2%) and superimposed pre-eclampsia (1.7%) were less frequent. Maternal age, 15-25 years (cOR = 2.43; 95% CI = 1.57-3.75; p < 0.001), unemployment (cOR = 2.14; 95% CI = 1.29-3.53; p = 0.001), primigravida (cOR = 2.88; 95% CI = 1.80-4.62; p < 0.001), and primiparity (cOR = 2.39; 95% CI = 1.44-3.96; p < 0.001) were significantly associated with pre- eclampsia/eclampsia. After adjustment for confounders, primiparity remained a borderline significant predictor (aOR = 1.83; 95% CI= 0.97-3.46; p = 0.05). Oral nifedipine (30mg) and intravenous hydralazine were the primary medications for pregnant hypertensives. Magnesium sulfate was universally administered by the Pritchard procedure, but product concentrations supplied by pharmacists for intramuscular application varied minimally.
Conclusion The prevalence of hypertensive disorders among parturients was 4.4%. Young parturient age, unemployment, primigravida, and primiparity were the predictors. Magnesium sulfate protocols for managing pre-eclampsia/eclampsia cases followed a standard regimen. Standardizing the concentration of magnesium sulfate solutions for pre-eclampsia/eclampsia could optimize intramuscular dosing under the Pritchard regimen, improving treatment consistency.
Competing Interest StatementThe authors have declared no competing interest.
Funding StatementThe author(s) received no specific funding for this work.
Author DeclarationsI confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.
Yes
The details of the IRB/oversight body that provided approval or exemption for the research described are given below:
Permission to obtain data from the institutions in the Bono Region was granted by the Bono Regional Health Directorate, and ethical approval was sought and obtained from the Committee on Human Research Publication and Ethics of KNUST (Ref: CHRPE/AP/119/20). Informed consent was granted before participants answered questionnaires where applicable and authors had no access to the identity of participants.
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Data availability statementAll relevant data are within the manuscript and its supporting information file attached
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