The effects of maternal weight and age on pre-eclampsia and eclampsia in Haiti.

Abstract

OBJECTIVE:

Patient data from Maison de Naissance (MN), a rural maternity clinic in Haiti, were analyzed to determine the prevalence of pregnancy-related hypertensive disorders and the extent to which maternal weight and age are associated with these disorders in the MN population.

METHODS:

A case-control study design was used with cases defined as pregnant women who were presented at MN with pregnancy-related hypertensive disorders (pregnancy-induced hypertension, pre-eclampsia or eclampsia) and controls defined as those women who delivered babies at MN and were not diagnosed with a pregnancy-related hypertensive disorder. The final cohort size was 622 controls and 67 cases. Odds ratios were calculated using multivariate logistic regression.

RESULTS:

The incidence of pre-eclampsia and eclampsia was 7.0%. Older maternal age at delivery (OR = 3.18; 95%CI: 1.31, 7.76) and higher maternal weight (OR = 3.24; 95%CI: 1.76, 5.98) measured during prenatal care were significantly associated with pregnancy-related hypertensive disorders. Prenatal care was not significantly associated with reduced risk of pre-eclampsia/eclampsia.

CONCLUSIONS:

The prevalence of pregnancy-related hypertensive disorders was high relative to rates in other developing countries. More is required to reduce the rate of pre-eclampsia perhaps by targeting older and women with high weight for preconception and more intensive prenatal care.

• Authors: Ahlia Sekkarie, Cheryl Raskind-Hood, Carol Hogue
• Journal: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians (J Matern Fetal Neonatal Med) Vol. 29 Issue 4 Pg. 602-6 ( 2016) ISSN: 1476-4954 [Electronic] England
• PMID: 25708493 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Body Weight
• Case-Control Studies
• Eclampsia (epidemiology)
• Female
• Haiti (epidemiology)
• Humans
• Hypertension, Pregnancy-Induced (epidemiology)
• Maternal Age
• Middle Aged
• Multivariate Analysis
• Pre-Eclampsia (epidemiology)
• Pregnancy
• Young Adult