title: Maternal and fetal outcome of pregnancy related hypertension in Mettu Karl Referral Hospital, Ethiopia.
abstract: BACKGROUND
  Hypertensive disorders of pregnancy are the most common causes of adverse maternal & perinatal outcomes. Such investigations in resource limited settings would help to have great design strategies in preventing maternal and perinatal morbidity and mortality.
  
  
  OBJECTIVE
  To determine management outcome and factor associated with pregnancy related hypertensive disorder in Mettu Karl Referral Hospital, Mettu, Ethiopia.
  
  
  METHODS
  A retrospective study deign was conducted at Mettu Karl Referral Hospital from 1st January 2010 to December 1st 2013 by reviewing medical records and logbooks. Descriptive, binary and multiple logistic regression analysis were used. A 95% CI and P- value of < 0.05 were considered statistically significant.
  
  
  RESULTS
  The magnitude of pregnancy related hypertensive disorder was 2.4%. Majority 82.6% of the mothers were in the age range between 18 to 34 year with a mean age and standard deviation (SD) of 24.4 (SD ± 5.12). Sever preeclampsia was the most prevalent diagnosis made to 35.5% of the mother, followed by 19% cases of eclampsia and 12.4% of HELLP. Fetal management outcomes indicates 120.37 perinatal mortality per 1000 deliveries and a stillbirth rate of 10.2%, low birth weight of 30.5%, and low APGAR score of 18.5%, abortion 10.7% and preterm delivery 31.4%.
  
  
  CONCLUSIONS
  In this study severe preeclampsia is the most common of all pregnancy related hypertension disorders followed by Eclampsia. Fetal complications like low Apgar score and preterm deliveries were statistically significant and associated with fetal management outcomes.
authors.forename: Eshetu
authors.initials: E
authors.lastname: Seyom
authors.forename: Mubarek
authors.initials: M
authors.lastname: Abera
authors.forename: Million
authors.initials: M
authors.lastname: Tesfaye
authors.forename: Netsanet
authors.initials: N
authors.lastname: Fentahun
mesh_terms: D000293:Adolescent; D000328:Adult; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000453:epidemiology*; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D012189:Retrospective Studies; D055815:Young Adult
references.citation: J Reprod Immunol. 1999 Nov;45(1):81-8
references.pmid: 10660264
references.citation: BJOG. 2014 Mar;121 Suppl 1:14-24
references.pmid: 24641531
references.citation: Am J Obstet Gynecol. 2000 Jul;183(1):S1-S22
references.pmid: 10920346
references.citation: BJOG. 2000 Oct;107(10):1252-7
references.pmid: 11028577
references.citation: Lancet. 2000 Oct 7;356(9237):1260-5
references.pmid: 11072961
references.citation: Hypertens Pregnancy. 2001;20(3):269-81
references.pmid: 12044335
references.citation: Obstet Gynecol. 2003 Jul;102(1):181-92
references.pmid: 12850627
references.citation: Obstet Gynecol. 2003 Sep;102(3):488-92
references.pmid: 12962929
references.citation: Medicina (Kaunas). 2003;39(12):1244-52
references.pmid: 14704515
references.citation: Med Sci Monit. 2004 Apr;10(4):CR163-7
references.pmid: 15039647
references.citation: Clin Perinatol. 1991 Dec;18(4):793-808
references.pmid: 1764883
references.citation: J Clin Epidemiol. 1997 Jul;50(7):851-5
references.pmid: 9253398
references.citation: Am J Obstet Gynecol. 1998 Oct;179(4):946-51
references.pmid: 9790376
references.citation: Health Policy. 2005 Mar;71(3):383-97
references.pmid: 15694504
references.citation: Lancet. 2005 Feb 26-Mar 4;365(9461):785-99
references.pmid: 15733721
references.citation: Arch Gynecol Obstet. 2005 Nov;273(1):43-9
references.pmid: 15834580
references.citation: J Pak Med Assoc. 2008 Feb;58(2):61-4
references.pmid: 18333521
references.citation: Annu Rev Pathol. 2010;5:173-92
references.pmid: 20078220
references.citation: J Pregnancy. 2011;2011:214365
references.pmid: 21547086
references.citation: J Pregnancy. 2011;2011:481095
references.pmid: 21547090
references.citation: Saudi J Kidney Dis Transpl. 2014 Mar;25(2):450-5
references.pmid: 24626025
references.citation: Aust N Z J Obstet Gynaecol. 2000 May;40(2):133-8
references.pmid: 10925899