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

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dc.contributor.authorAmoakoh-Coleman, M.
dc.contributor.authorOgum-Alangea, D.
dc.contributor.authorModey-Amoah, E.
dc.contributor.authorNtumy, M.Y.
dc.contributor.authorAdanu, R.M.
dc.contributor.authorOppong, S.A.
dc.date.accessioned2018-11-15T12:19:43Z
dc.date.available2018-11-15T12:19:43Z
dc.date.issued2017-12-06
dc.descriptionArticleen_US
dc.description.abstractMaternal 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.en_US
dc.description.sponsorshipFogarty International Centre, Chronic Diseases (NCD- LIFESPAN) Programme, through the Cardiovascular Research Training (CaRT) Institute, Accra, Ghana. The funder have no role in data collection, analysis of results, data interpretation and the final decision to submit this manuscript.en_US
dc.identifier.citationAmoakoh-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.en_US
dc.identifier.otherhttps://doi.org/10.1371/journal. pone.0188671
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/25542
dc.language.isoenen_US
dc.publisherPLoS ONEen_US
dc.relation.ispartofseries12;12
dc.subjectBlood pressure patternsen_US
dc.subjectbody mass indexen_US
dc.subjectpregnancyen_US
dc.subjectantenatal careen_US
dc.subjectKorle-Bu Teaching hospitalen_US
dc.subjectGhanaen_US
dc.titleBlood pressure patterns and body mass index status in pregnancy: An assessment among women reporting for antenatal care at the Korle-Bu Teaching hospital, Ghanaen_US
dc.typeArticleen_US

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