Abstract:
Background: Adverse perinatal outcomes are multifactorial in etiology, and remain a
major cause of perinatal morbidity and mortality. The contribution of hypertensive
disorders in pregnancy to the adverse perinatal outcome has not been fully established,
specifically the magnitude of the different types of hypertensive disorders in pregnancy and
their contribution to adverse perinatal outcomes has not been fully established.
Objective: To examine the adverse Perinatal outcomes and the associated factors among
Women with and without Hypertensive Disorders of Pregnancy at Muhimbili National
Hospital in Tanzania.
Materials & methods: A retrospective case control study using secondary data was carried
out among women who delivered at Muhimbili National Hospital (MNH) from December
2020 to March 2021.Patient’s record files were retrieved from the medical records
department to extract the data recorded at delivery Data analysis was done by SPSS.
comparisons at bivariate and multivariate levels were carried by chi-square test and
logistics regression analysis respectively; significance was set a P-value of 0.05%
Results: A higher proportion of participants with hypertensive disorders in ncy
(61.5%) had delivered newborns with the presence of any adverse outcome compared to
those without hypertensive disorders in pregnancy (38.5%). The determinants for adverse
perinatal outcomes were age between 15-19 years, living in Temeke and Kigamboni,
hemoglobin level, gestation age, Preterm delivery, and normal ranges for urea, normal
platelets count, HIV/AIDS and anemia.
Conclusion: Adverse perinatal outcome was higher in women with hypertensive disorders
compared to those without hypertensive disorders in pregnancy. Furthermore, perinatal
death occurred at a higher proportion in women with hypertensive disorders.
Recommendation: The referral system needs to be well organized to improve and manage
diseases at the lower health facilities.
