Journal of Gynecology and Neonatal BiologyJournal of Gynecology and Neonatal BiologyJournal of Gynecology and Neonatal BiologyJournal of Gynecology and Neonatal Biology2380-5595Ommega Online PublishersNew Jersey, USA124310.15436/2380-5595.17.1243Research ArticlePREVALENCE OF HYPERTENSIVE DISORDERS IN PREGNANCY AT KORLE-BU TEACHING HOSPITAL IN GHANAPREVALENCE OF HYPERTENSIVE DISORDERS IN PREGNANCY AT KORLE-BU TEACHING HOSPITAL IN GHANAKWAMEADU-BONSAFFOH 1Department of Obstetrics and Gynaecology Korle Bu Teaching Hospital Accra Ghana 2Department of Obstetrics and Gynaecology School of Medicine and Dentistry University of Ghana Accra Ghana 3Department of Physiology School of Allied and Biomedical Science University of Ghana Accra Ghana Editor* E-mail: bonsaffoh@yahoo.com
The authors have declared that no competing interests exist.
20170602201731JGNB-16-RA-124324112016270120172017Creative Commons Attribution LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. nbsp Background The true burden of Hypertensive Disorders in Pregnancy HDP has been difficult to determine with significant accuracy globally as a result of considerable inconsistencies regarding their prevalence due to lack of definite terminologies and classification Objective To determine the current prevalence and relative contribution of the various categories of HDP to the burden of maternal hypertension at Korle Bu Teaching Hospital KBTH using the recent globally acknowledged consensus classification by the International Society for the Study of Hypertension in Pregnancy ISSHP Methods A cross sectional study conducted between January and February 2013 at the KBTH in Accra Ghana Results There were a total of 398 women with HDP among 1856 deliveries during the study period resulting in prevalence of 21 4 The proportions of the various types of HDP include 184 50 0 140 38 0 23 6 3 and 21 5 7 representing gestational hypertension preeclampsia chronic hypertension and superimposed preeclampsia respectively Eclampsia occurred in 58 15 8 women The prevalence of gestational hypertension preeclampsia chronic hypertension chronic hypertension with superimposed preeclampsia with respect to the total singleton deliveries were 10 4 7 9 1 3 and 1 2 respectively Parity-specific prevalence of HDP showed an increasing trend with the lowest and highest relative proportions occurring in women who had parity of one and 5 or more respectively Age-specific prevalence showed a steep decline after maternal age of 19 years followed by a general rise after 25 years with highest rate occurring after maternal age of 35 years Conclusion There is a significant burden of HDP in the Ghanaian population as evidenced by a high prevalence of 21 4 at the largest tertiary hospital in the country Gestational hypertension represented the largest proportion followed by preeclampsia chronic hypertension and superimposed preeclampsia on chronic hypertension Parity-specific prevalence was highest among women with grand multiparity whereas age-specific prevalence was highest after maternal age of 35 years 10