Incidence of preeclampsia and retention to prenatal care in Northern Uganda.

dc.contributor.author Awor, Silvia
dc.contributor.author Byanyima, Rosemary
dc.contributor.author Abola, Benard
dc.contributor.author Nakimuli, Annettee
dc.contributor.author Orach Garimoi, Christopher
dc.contributor.author Kiondo, Paul
dc.contributor.author Ogwal-Okeng, Jasper
dc.contributor.author Kaye Kabonge, Dan
dc.date.accessioned 2022-12-12T11:22:46Z
dc.date.available 2022-12-12T11:22:46Z
dc.date.issued 2022-08-23
dc.description.abstract Background: Known risk factors for preeclampsia include women of African descent and low socioeconomic status. This means all the mothers in Northern Uganda are at risk. In Uganda preeclampsia causes 12 – 19% of maternal deaths. However, data on its burden is limited. Objective: To determine prenatal care retention and preeclampsia incidence in northern Uganda. Setting: St. Mary’s hospital Lacor, northern Uganda. Design: Prospective cohort study. Participants: Recruited 1,285 mothers at 16-24 weeks of gestation. Their history, physical findings, blood tests, and uterine artery Doppler indices were taken at baseline, and the women were followed up until delivery. Outcome: A combination of hypertension with proteinuria was taken as preeclampsia. Statistical analysis: Means, medians, and proportions were used to describe the population. The incidence per 104 women weeks of follow-up computed for different gestation ages. Results: Seventy-eight percent of the women delivered at the health facility. Women who were not retained through to delivery were younger (p<0.0001), had low BMI (p=0.0001) and more likely to be unemployed (p<0.0001). Overall, 43 women developed preeclampsia giving a prevalence of 4.3% (95% CI 3.1% 5.7%), and an incidence of 11 per 104 women weeks. The incidence of preeclampsia was 68 per 104 women weeks’ for women delivered at < 34 completed weeks of pregnancy, and 6.0 per 104 June 2022 women weeks for those delivered at > 37 weeks. Conclusion: Retention to prenatal care is 78% while the incidence of preeclampsia is 4.3% in Northern Uganda. This incidence is higher at lower gestation ages. en_US
dc.description.sponsorship SIDA - Makerere University bilateral research Agreement en_US
dc.identifier.citation Awor S, Byanyima R, Abola B, Nakimuli A, Orach CG, Kiondo P, Ogwal-Okeng J, Kaye D: Incidence of preeclampsia and retention to prenatal care in Northern Uganda. East African Medical Journal 2022, 99(6):4885 - 4896. en_US
dc.identifier.issn eISSN: 0012-835X
dc.identifier.uri http://hdl.handle.net/10570/11108
dc.language.iso en en_US
dc.publisher East African Medical Journal en_US
dc.subject Incidence en_US
dc.subject Prenatal care en_US
dc.subject preeclampsia en_US
dc.subject Uganda en_US
dc.subject Africa en_US
dc.title Incidence of preeclampsia and retention to prenatal care in Northern Uganda. en_US
dc.type Article en_US
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