Factors associated with severe preeclampsia and eclampsia in Jahun, Nigeria

被引：32

作者：

Guerrier, Gilles ^{[1
]}

Oluyide, Bukola ^{[2
]}

Keramarou, Maria ^{[1
]}

Grais, Rebecca F. ^{[1
]}

机构：

[1] Epictr, Paris, France

[2] Med Sans Frontieres, Paris, France

来源：

INTERNATIONAL JOURNAL OF WOMENS HEALTH | 2013年 / 5卷

关键词：

hypertensive disorders; pregnancy; traditional treatments; herbal use;

D O I：

10.2147/IJWH.S47056

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To explore traditional herbal medicines as potential risk factors of severe preeclampsia and eclampsia in Nigeria. Methods: We conducted a retrospective case-control study from October 2010 to May 2011. The cases were all pregnant women admitted to the Jahun Hospital during the study period with severe preeclampsia or eclampsia and women presenting with normal pregnancy after 22 weeks. Results: During the study period, a total of 1,257 women (44%) were recorded as having normal pregnancy, and 419 (16%) women had severe preeclampsia/eclampsia (175 with severe preeclampsia and 244 with eclampsia). The risk factors found to be associated with a greater risk of severe preeclampsia/eclampsia included personal history of preeclampsia (odds ratio [OR] = 21.5; P < 0.001), personal history of preexisting hypertension (OR = 10.5; P < 0.001), primiparity (OR = 2.5; P = 0.001), occupation as housewife (OR = 1.9; P = 0.008), and fewer than four antenatal care visits (OR = 1.6; P = 0.02). Use of traditional treatments during pregnancy was associated with a higher risk of developing severe preeclampsia/eclampsia (OR = 1.6 95%; confidence interval [CI]: 1.2-2.1) by univariate analysis only. Conclusion: Use of traditional treatment, which increases delays before consulting the official health sector, might be a marker for harmful behavior. Community-based studies could provide additional information on the practice of herbal therapy in this population.

引用

页码：509 / 513

页数：5

共 15 条

[1]

Olatunji A.O., Sule-Odu A.O., Maternal mortality at Sagamu, Nigeria-a ten year review (1988-1997), Niger Postgrad Med J., 8, 1, pp. 12-15, (2001)

[2]

Okaro J.M., Umezulike A.C., Onah H.E., Chukwuali L.I., Ezugwu O.F., Nweke P.C., Maternal mortality at the University of Nigeria Teaching Hospital, Enugu, before and after Kenya, Afr J Reprod Health., 5, 2, pp. 90-97, (2001)

[3]

Okusanya B.O., Aigere E.O., Abe A., Ibrahim H.M., Salawu R.A., Maternal deaths: Initial report of an on-going monitoring of maternal deaths at the Federal Medical Centre Katsina, Northwest Nigeria, J Matern Fetal Neonatal Med., 26, 9, pp. 885-888, (2013)

[4]

Weindling A.M., The confidential enquiry into maternal and child health (CEMACH), Arch Dis Child., 88, 12, pp. 1034-1037, (2003)

[5]

Fakeye T.O., Adisa R., Musa I.E., Attitude and use of herbal medicines among pregnant women in Nigeria, BMC Complement Altern Med., 9, (2009)

[6]

Ologe M.O., Aboyeji A.P., Ijaiya M.A., Adesina K.T., Adewara A.A., Olarinoye J.K., Herbal use among pregnant mothers in Ilorin, Kwra State, Nigeria, J Obstet Gynaecol., 28, 7, pp. 720-721, (2008)

[7]

Gharoro E.P., Igbafe A.A., Pattern of drug use amongst antenatal patients in Benin City, Nigeria, Med Sci Monit., 6, 1, pp. 84-87, (2000)

[8]

Bello F.A., Morhason-Bello I.O., Olayemi O., Adekunle A.O., Patterns and predictors of self-medication amongst antenatal clients in Ibadan, Nigeria, Niger Med J., 52, 3, pp. 153-157, (2011)

[9]

WHO recommendations for prevention and treatment of pre-eclampsia and eclampsia, (2011)

[10]

Onwuhafua P.I., Onwuhafua A., Adze J., Mairami Z., Eclampsia in Kaduna State of Nigeria-a proposal for a better outcome, Niger J Med., 10, 2, pp. 81-84, (2001)

← 1 2 →