Blood pressure patterns and body mass index status in pregnancy: An assessment among women reporting for antenatal care at the Korle-Bu Teaching hospital, Ghana
Loading...
Date
2017-12-06
Journal Title
Journal ISSN
Volume Title
Publisher
PLoS ONE
Abstract
Maternal obesity in pregnancy has been linked with increased risk of pregnancy induced
hypertension (PIH). In some tertiary referral hospitals in Ghana, PIH is the leading cause of
institutional maternal mortality.
To evaluate blood pressure changes during pregnancy amongst different body mass index
(BMI) groups and how this relates to the risk of developing PIH.
Women who had a dating ultrasound before 20 weeks gestation and registering for antenatal
care at the Korle-Bu Teaching Hospital in Accra, between February and December
2013 and met the inclusion criteria were recruited into a cohort study. BMI was assessed at
baseline. Blood pressure measurements were taken at (±2) 24, 28 and 36 weeks. Primary
outcome measure of interest during follow-up was a diagnosis of PIH at these points. BP
changes during follow up at the three points were measured. Descriptive analysis of baseline
factors was carried out and compared for the BMI groups. Relative risk (RR) of PIH was
estimated at 95% confidence interval.
Mean (SD) age for the 361 women was 30.9 (4.8) years. Incidence of PIH amongst the cohort
was 10.5% (95% CI: 7.45% - 14.45%) and 40.4% and 33.0% of them were overweight Mean (SD) age for the 361 women was 30.9 (4.8) years. Incidence of PIH amongst the cohort
was 10.5% (95% CI: 7.45% - 14.45%) and 40.4% and 33.0% of them were overweight
Obese women have a significantly increased risk of PIH. Women should be screened at
booking for obesity status. Antenatal protocols should have interventions for prevention or
early detection of obesity and management of obesity to improve outcomes.
Description
Article
Keywords
Blood pressure patterns, body mass index, pregnancy, antenatal care, Korle-Bu Teaching hospital, Ghana
Citation
Amoakoh-Coleman M, Ogum-Alangea D, Modey-Amoah E, Ntumy MY, Adanu RM, Oppong SA (2017) Blood pressure patterns and body mass index status in pregnancy: An assessment among women reporting for antenatal care at the Korle-Bu Teaching hospital, Ghana. PLoS ONE 12(12): e0188671.