Factors Predicting Preeclampsia among Pregnant Women in Sawanpracharak Hospital

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Kanjananat Tongmuangtunyatep
Eakaluk Dekyong
Aisawanya Yodwong
Thattiya Thongsukdee
Pornpat Sanongkun

Abstract

Objective: The objective of this study was to investigate the factors predicting preeclampsia among pregnant women in Sawanpracharak Hospital. Methods: A retrospective analytical study was conducted to collect data from the history of pregnant women who delivered at Sawanpracharak Hospital. The sample was selected based on a purposive sampling, divided into two groups, comprising 110 women diagnosed with preeclampsia and 220 women without preeclampsia. Research instruments for data collection were 1) a personal data record form and 2) a record on factors predicting preeclampsia. Data were analyzed using descriptive statistics, Chi-Square, and binary logistic regression analysis. Results: Factors predicting preeclampsia included a 2.83-fold pre-pregnancy body mass index of 25 kg/m2 or higher (95% CI 1.57-5.09), a 5.92-fold increase in higher gestational weight gain in the second trimester than the criteria (95% CI 3.18-11.03), a 5.77-fold mean arterial pressure in the second trimester of 90 mmHg or higher (OR 5.77, 95% CI 3.23-10.32), a 9.19-fold pre-pregnancy underlying diseases (95% CI 2.99-28.23), a 1.69-fold increase among pregnant women aged 30 years old or older (95% CI 1.06-2.70), and a 7.40-fold increase among pregnant women with obstetric history (95% CI 1.51-36.28), respectively with a statistical significance level. Conclusion: The findings indicate that these factors could predict preeclampsia. Therefore, to achieve efficient screening or monitoring of factors predicting preeclampsia, it is imperative to jointly consider these factors.

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How to Cite
Tongmuangtunyatep, K. ., Dekyong, E. ., Yodwong, A. ., Thongsukdee, T. ., & Sanongkun, P. . (2022). Factors Predicting Preeclampsia among Pregnant Women in Sawanpracharak Hospital. Journal of Research in Nursing-Midwifery and Health Sciences, 42(1), 11–22. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/252706
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Research Articles

References

American College Obstetricians Gynecologists. Gestational hypertension and preeclampsia. Obstet Gynecol. 2020; 135(6): 237-60. doi: 10.1097/AOG.0000000000003891.

World Health Organization. Recommendations for prevention and treatment of preeclampsia and eclampsia [Internet]. Switzerland: WHO; 2011 [cited 2021 Feb 12]. Available from: https://apps.who.int/iris:/bitstream/handle/10665/44703/9789241548335.

Bureau of Policy and Strategy; Office of Permanent Secretary, Ministry of Public Health. Public health statistics A.D. 2018. Nonthaburi: Ministry of Public Health; 2018. Thai.

The Royal Thai College of Obstetricians and Gynaecologists. Clinical practice guideline summary management of hypertensive disorders in pregnancy [Internet]. [cited 2020 Oct 20]. Available from: http://www.rtcog.or.th/home/wp-content/uploads/2020/10/OB-63-021-Management-of-Hypertensive-Disorders-in-Pregnancy_summary07Oct20.pdf.

Duley L, Henderson-Smart DJ, Meher S. Altered dietary salt for preventing pre-eclampsia, and its complications. Cochrane Database Syst Rev. 2005; 19(4): doi: 10.1002/14651858.CD005548.

Techawathakul S, Ratinthorn A, Yusamran, C, et al. Risk factors related to preeclampsia. J Nurs Sci. 2014; 32(1): 61-70. Thai.

Aksornphusitaphong A, Phupong V. Risk factors of early and late onset pre-eclampsia. J Obstet Gynaecol Res. 2013; 39(3): 627-31. doi: 10.1111/j.1447-0756.2012.02010.x.

Gore AN, Hoffman K, Thomas R, et al. Preeclampsia as an independent risk factor for cardiovascular and metabolic disease [27L]. Obstet Gynecol. 2020; 135(5 Suppl.): 131S. doi: 10.1097/01.AOG.0000664656.72421.7a.

Savitsky LM, Chandrasekaran S, Albright C. Preeclampsia with severe features: Examining the phenotype of disease [28L]. Obstet Gynecol. 2020; 135(5 Suppl): 131S. doi: 10.1097/01.AOG.0000664660.61533.04.

Delivery room in Sawanpracharak Hospital. Annual report 2021. Nakhonsawan: Sawanpracharak Hospital. Thai.

Peng CY, Lee KL, Ingersoll GM. An introduction to logistic regression analysis and reporting. The Journal of Educational Research. 2002; 96(1): 3-14. doi: 10.1080/00220670209598786.

Gisev N, Bell JS, Chen TF. Interrater agreement and interrater reliability: Key concepts, approaches, and applications. RSAP. 2013; 9(3): 330-8. doi: https://doi.org/10.1016/j.sapharm.2012.04.004.

Hinkosa L, Tamene A, Gebeyehu N. Risk factors associated with hypertensive disorders in pregnancy in Nekemte referral hospital, from July 2015 to June 2017, Ethiopia: Casecontrol study. BMC Pregnancy and Childbirth. 2020; 20(16): 2-9. doi: https://doi.org/10.1186/s12884-019-2693-9.

Ye C, Ruan Y, Zou L, et al. The 2011 survey on hypertensive disorders of pregnancy (HDP) in China: prevalence, risk factors, complications, pregnancy and perinatal outcomes. PLoS One. 2014; 9(6): e100180. doi: 10.1371/journal.pone.0100180.

Haugen M, Brantsæter AL, Winkvist A, et al. Associations of pre-pregnancy body mass index and gestational weight gain with pregnancy outcome and postpartum weight retention: A prospective observational cohort study. BMC Pregnancy Childbirth. 2014; 14: 1-11. doi: 10.1186/1471-2393-14-201.

Scheffer KL, Jones R, Holub KS, et al. Complication of pregnancy. In Murray SS., McKinney ES., Holub KS, and Jones R. editors. Foundations of maternal-newborn and women’s health nursing. 7 th ed. St. Louis: Elsevier Mosby; 2019.

Dalmaz CA, Goncalves dos Santon K, Botton MR, et al. Risk factors for hypertensive disorders of pregnancy in Southern Brazil. Rev Assoc Med Bras. 2011; 57(6): 678-82. doi: 10.1590/s0104-42302011000600018.

Suleiman AK. Risk factors on hypertensive disorders among Jordanian pregnant women. Global J of Health Sci. 2014; 6(2): 138-44. doi: 10.5539/gjhs.v6n2p138.

Ayele G, Lemma S, Agedew E. Factors associated with hypertension during pregnancy in Derashie Woreda South Ethiopia, case control. Qual Prim Care. 2016; 24(5): 207-13.

Shao Y, Qiu J, Huang H, et al. Pre-pregnancy BMI, gestational weight gain and risk of preeclampsia: A birth cohort study in Lanzhou, China. BMC Pregnancy and Children. 2017; 17: 400. doi: 10.1186/s12884-017-1567-2.

Hutcheon JA, Stephansson O, Cnattingius S, et al. Pregnancy weight gain before diagnosis and risk of preeclampsia. Hypertension, 2018; 72: 433-41. doi: 10.1161/HYPERTENSIONAHA.118.10999.

Sananpanichkul P. Current insight and ideas about preeclampsia. J Prapokklao Hospital Clinic Medication Educational Center. 2015; 32: 364-76. Thai.

Mayrink J, Souza RT, Feitosa FE, et al. Mean arterial blood pressure: Potential predictive tool for preeclampsia in a cohort of healthy nulliparous pregnant women. BMC Pregnancy and Childbirth. 2019; 19: 460.

Gasse C, Boutin A, Cote M, et al. First-trimester mean arterial blood pressure and the risk of preeclampsia: The real obstetrical syndromes (GOS) study. Pregnancy Hypertensions. 2018; 12: 178-82. doi: 10.1016/j.preghy.2017.11.005.

Luealon P, Phupong V. Risk factors of preeclampsia in Thai women. J Med Assoc Thai. 2010; 93(6): 661-6.

Wei J, Liu CX, Gong TT, et al. Cigarette smoking during pregnancy and preeclampsia risk: A systematic review and meta-analysis of prospective studies. Oncotarget, 2015; 6(41): 43667-78.