Adverse Perinatal outcomes and the associated factors among Women with and without Hypertensive Disorders of Pregnancy at Muhimbili National Hospital in Tanzania

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.