Journal of Family and Reproductive Health 2010. 4(1):47-52.

Association between Maternal Socio-economic Status, Polygamy and Risk of Pre-eclampsia in Rural Areas of Northern Nigeria
Abubakar Attahir, A Dikko, M Sufiyan, Aliyu Salihu, A Rabiu

Abstract


Objective: To examine association between maternal socio-cultural status, as indicated by maternal Income, education and polygamy with severity of pre–eclampsia.
Materials and Methods: This study was carried out in Primary Health Centers in Katsina, Adamawa and Borno States. A total of two groups of subjects were selected for the study, with 50 Subjects in each group. Group A - pregnant non hypertensive women; Group B women with pre-eclampsia. Blood pressure was measured in a sitting position with sphygmomanometer after at least 10 minutes of rest. A semi structured questionnaire was administered to each respondent. P value≤ 0.05 was accepted as significant difference. 
Results: Systolic and diastolic blood pressure BP was significantly different. (167.60±2.75 and 107.48±8.01 Vs. 116.70±0.98 and 76.80±8.67 in group B Vs. group A respectively, P<0.05).
In Socio–cultural background significant correlation exists between pre–eclampsia and age at first marriage (P= 0.01). There also exists a correlation between age and number of marriages (P= 0.05). Age, parity, history of hypertension and number of marriages are negatively and significantly correlated with pre– eclampsia.
Conclusion: This study found that seclusion and polygamy are not risk factors for developing pre-eclampsia.


Keywords


Pre-eclampsia; Polygamy; Poverty; Seclusion

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References


Davey and MacGillivray. The International Society for the Study of Hypertension in Pregnancy 1988; 750 (6): 248–254.

Lefèvre, G. Berkane, N. Uzan, S. Etienne, J. Lipoprotein metabolism and pre-eclampsia, Ann. Biol. Clin. 1997; 443–50.

Packer, C.S. Biochemical Markers and Physiological Parameters as Indices for Identifying Patients at risk of developing Pre–eclampsia. J Hypertens 2005; 23 (1): 45–6.

Ness, R.B. Markovic, N. Bass, D. Harger, G and Roberts, J.M. Family history of hypertension, heart disease, and stroke among women who develop hypertension in pregnancy. Obstet Gynecol; 2003; 102: 1366–1371.

Friedman, S.A. Lubarsky, S.L. Lim, K.H. (2001). Mild Gestational Hypertension and Pre–eclampsia. In Hypertensive Disorders in Women. In: Sibai BM, ed. Hypertensive Disorders in Women. 2001; Philadelphia: W.B. Saunders; 9–23.

WHO Global Programme on Evidence of Preeclampsia, Geneva 2004.

Duley, L. Maternal mortality associated with hypertensive disorders of pregnancy in Africa, Asia, Latin America and the Caribbean. Br J Obstet Gynaecol 1992; 99 (13): 547.

Federal Ministry of Health Abuja Annual Report. 216–219 pp. 2008.

Milne, F. Redman, C. Walker, J. Baker, P. Bradley, J. et al., The pre-eclampsia community guideline (PRECOG): how to screen for and detect onset of pre– eclampsia in the community. BMJ; 2005; 330: 576–80.

Population councils: http://www.popcouncil.org/projects/RH_NigeriaMgSO 4. html 7/06/2009 12: 59. accessed 7th June, 2009

Mignini, L.E., Latthe, P.M., Villar, J., Kilby, M.D., Carroli, G. et al. Mapping the theories of pre–eclampsia. The role of homocysteine. Obstet Gynaecol 2005; 105: 411–25.

Wichman, K. Ryden, G., Wichman, M. The influence of different positions and Korotkoff sounds on the blood pressure measurements in pregnancy. Acta Obstet Gynecol Scand Suppl 1984; 118: 25–8.

National Cholesterol Education Program. Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), Executive Summary. NIH Publication; 2001 No. 01–3670. Washington, DC: National Institutes of Health.

Dlamini NJ. Factors associated with pre–eclampsia and quality care of affected teenagers during labor within health region H. in Kwa–Zulu Natal (1997). 20: 16–22.

Gudmundsson S, Bjorgvinsdottir L, Molin J, et al. Socioeconomic status and perinatal outcome according to residence area in the city of Malmo 1997; Acta Obstet Gynecol Scand 76: 318–23.


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