scholarly journals Explorative Study on Hipertension Treatment among Pregnant Women

2019 ◽  
Vol 8 (4) ◽  
pp. 189
Author(s):  
Anis Ristyaningsih ◽  
Anis Ristyaningsih ◽  
Fivy Kurniawati ◽  
Nanang Munif Yasin
Keyword(s):  
Blood Pressure ◽  
Clinical Outcome ◽  
Pregnant Women ◽  
Sampling Method ◽  
Medical Service ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Utilization Pattern ◽  
Exclusion Criteria ◽  
Cross Sectional

Maternal mortality in Indonesia is relatively high, hypertension becomes one of the causes. Hypertension and complication give particular contribution on morbidity and mortality on neonatal and maternal. On the other hand, antihypertensive drug use in  pregnancy has both benefit and risk. Therefore, appropriate hypertension management needs to be assesed in order to minimize the risk in mother and baby. The aim of the study is to determine the utilization pattern of antihypertensive drugs that will be assesed for suitability with the standard of medical service and American College of Obstetrics and Gynecologists (ACOG) guideline, as well as to determine clinical outcome of the therapy, which includes achieving target blood pressure, proteinuria, and edema. This study was a cross-sectional study with retrospective data collected from hospitalized patients’ medical record in RS PKU Muhammadiyah Yogyakarta from 2012 – 2015. The data of patients’ medical records according to inclusion and exclusion criteria was obtained using consecutive sampling method. Data obtained was analyzed descriptively and reviewed with the suitability of standard of medical service and ACOG guideline. Research shows that most widely used antihypertensive drugs are nifedipine by 51,8%, methyldopa by 2,6%, and amlodipine by 2,6%. Based on the evaluation of sensibility of treatment, 75,3% stated right indication, 100% right patient, and right medication and dosage. Clinical outcome includes blood pressure that had achieved the target as many as 77 patient, with negative value of proteinuria and edema. Blood pressure when patients were dismissed from the hospital was on average of 128,9±15,9/85±10,9 mmHg. In general, the utilization pattern of hypertension drugs in pregnant women has been well and according to the standards used.

Incidence of Pregnancy Induced Hypertensive Women and its Associated Factors

2021 ◽  
Vol 15 (12) ◽  
pp. 3307-3309
Author(s):  
Samia Saifullah ◽  
Maryam Shoaib ◽  
Muhammad Sohail Tareen ◽  
Nosheen Sikander Baloch
Keyword(s):  
Blood Pressure ◽  
Family History ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Mean Value ◽  
Renal Diseases ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Induced Hypertension ◽  
Keywords Pregnancy

Background: Pregnancy induced hypertension is a fetal disease resulting into morbidity and mortality of female as well as its neonate. Objective: To find the incidence of pregnancy induced hypertension in Pakistani women. Study Design: Cross sectional study Place and Duration of the Study: Department of Obstetrics & Gynaecology, Sandeman Provincial Hospital, Quetta from 1st March 2019 to 31st March 2021. Methodology: Seven hundred and twenty eight females were identified with pregnancy induced hypertension from all the pregnant women attending the outdoor were enrolled. Each female was checked for their protein urea as well as systolic and diastolic blood pressure according to standard operating protocol. Socio-demographic, clinical and family history were documented. Results: Among all pregnant women, 150 were identified as pregnancy induced hypertensive with a 20.6% incidence of pregnancy induced hypertension. The mean value systolic blood pressure value was 144.3±5.2 and of diastolic as 83.1±5.2 in pregnancy induced hypertension women. Conclusion: Family history, obesity and renal diseases are the main factors associated with pregnancy induced hypertension with an incidence of 20.6% among pregnant women. Keywords: Pregnancy induced hypertension, Body mass index, Pregnant women, Hypertension

scholarly journals An observational study on patient compliance and adverse drug reactions of antihypertensives drugs in a tertiary care center of Bihar

2021 ◽  
Vol 6 (4) ◽  
pp. 190-193
Author(s):  
Mrityunjay Kumar Pandit ◽  
Kumar Gaurav ◽  
Jeetendra Kumar
Keyword(s):  
Blood Pressure ◽  
Combination Therapy ◽  
Antihypertensive Drugs ◽  
Care Center ◽  
Adult Population ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
High Dose ◽  
Cross Sectional ◽  
Institutional Ethics

Hypertension is among the most common non-communicable and lifestyle disease in our country that affects adult population of both the genders from all socio-economic backgrounds and urban and rural population. In-spite of this, early diagnosis and appropriate treatment are suboptimal. Adherence of prescribed treatment has been studied in patients of hypertension in this study. : An observational and cross-sectional study was conducted in the Department of Pharmacology, Jawahar Lal Nehru Medical College and Hospital, Bhagalpur, Bihar. Prior to the initiation of the study, clearance was obtained from the Institutional Ethics Committee. Study period was between January 2021 and June 2021.A predesigned pretested interview schedule was used to collect the data from the 247 study participants. This schedule contained information related to socio-demographic variables, comorbidity, a format to assess the compliance to antihypertensive drugs prescribed and any adverse event. : A significant improvement in maintain optimal in blood pressure was observed in patients treated with one pill per day as compared to patients prescribed with two and three pills per day. Compliance was significantly better in patients in combination therapy as compared to monotherapy. : Low dose combination therapy has been stated to be more effective than high dose monotherapy in controlling blood pressure. It shows better compliance and lesser incidence of side-effects.

scholarly journals Hubungan Tekanan Darah Ibu Hamil Aterm Dengan Berat Badan Lahir di RSUP Dr. M. Djamil Padang

2013 ◽  
Vol 2 (2) ◽  
pp. 67
Author(s):  
Feby Andammori ◽  
Nur Indrawaty Lipoeto ◽  
Yusrawati Yusrawati
Keyword(s):  
Blood Pressure ◽  
Pregnant Woman ◽  
Birth Weight ◽  
Pregnant Women ◽  
Medical Record ◽  
Cross Sectional Study ◽  
T Test ◽  
Sectional Study ◽  
Cross Sectional ◽  
In Pregnancy

AbstrakTinggi rendahnya tekanan darah sistolik dan diastolik dalam kehamilan mempunyai pengaruh terhadap berat badan lahir. Penelitian ini bertujuan untuk mengidentifikasi hubungan tekanan darah ibu hamil aterm dengan berat badan lahir di RSUP dr M. Djamil Padang. Metode penelitian : Penelitian yang dilakukan merupakan survei analitik dengan menggunakan studi komparatif dengan design penelitian Cross Sectional Study. Penelitian menggunakan data sekunder yang diambil dari sub bagian Rekam Medik (Medical Record) RSUP dr. M. Djamil Padang bulan Januari 2010 – Desember 2012 dengan jumlah sampel 34 orang ibu hamil yang tidak hipertensi dan 34 orang ibu hamil yang mengalami hipertensi dalam kehamilannya. Hasil penelitian : Ditemukan rata-rata berat badan lahir bayi yang dilahirkan oleh kelompok ibu yang tidak mengalami hipertensi pada kehamilannya adalah 3.408 (SD 307) gram dan rata-rata berat badan lahir bayi yang dilahirkan oleh kelompok ibu yang mengalami hipertensi pada kehamilannya adalah 2.799 (SD 413) gram. Dari hasil uji analisis Independent Sample T-test diperoleh hasil ditemukan adanya hubungan tekanan darah ibu hamil dengan berat badan lahir di RSUP dr. M. Djamil Padang p = 0,00 (p < 0,05). Kesimpulan : Pemeriksaan kehamilan secara teratur penting untuk mengantisipasi adanya peningkatan tekanan darah ibu hamil yang dapat berpengaruh terhadap berat bayi lahir.Kata kunci: tekanan darah, berat badan lahir, ibu hamilAbstractHigh and low level of systolic and diastolic blood pressure in pregnancy has impact to birth weight. This research is purposed to identify the relation between aterm pregnant blood pressure and birth weight.Methods : This research is analytical survey which used comparative study with Cross Sectional Study design. This research used secondary data taken from Medical Record in RSUP dr. M. Djamil Padang since Januari 2010 until December 2012 with number of samples are 34 pregnant women who have not hypertension and 34 pregnant women who have hypertension in pregnancy.The results: Research found that average of birth weight from non-hypertension pregnant woman is about 3,408 (SD 307) gr and average of birth weight from hypertension pregnant woman is about 2,799 (SD 413) gr. The result from Independent sample T-test analysis found that there is a relation between blood pressure in pregnancy with birth weight at RSUP dr. M.Djamil Padang p = 0.00 (p<0.05).Conclusion: Regular antenatal care is important to anticipate an increase in maternal blood pressure can affect birth weight.Keywords: blood pressure, birth weight, pregnant women

scholarly journals Influence of postural misalignment on blood pressure fall in hypertensive individuals: an exploratory cross sectional study

2018 ◽  
Vol 8 (2) ◽  
pp. 248-257
Author(s):  
Ana Lucia Barbosa Goes ◽  
Davi Mota De Jesus ◽  
Tiago Bastos Silva ◽  
Vinícius Cardoso Lago ◽  
Luis Agnaldo Pereira De Souza ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Drugs ◽  
Blood Pressure Monitoring ◽  
Cross Sectional Study ◽  
Pressure System ◽  
Cross Sectional ◽  
Total Load ◽  
Anterior Trunk ◽  
Student’S T ◽  
Pressure Fall

INTRODUCTION: blood pressure System (SNS) has been considered as the ultimate integrator of the systems’ physiology on Blood Pressure (BP) control. Posture is also regulated by SNS. Systems which regulate BP also act on postural control. OBJECTIVE: To test the hypothesis of an association between postural misalignments (PM) and BP fall in hypertensive individuals. METHODS: Exploratory study using a sample of 40 hypertensive individuals, who regularly use antihypertensive drugs. All of them underwent Ambulatory Blood Pressure Monitoring (ABPM) and posture assessment, through Postural Assessment Software (PAS). To test association between posture angles and BP variables, the student’s t-test and Mann-Whitney tests were used, at a 5% level of significance. This study is registered at clinical trials, under the number NCT02401516. RESULTS: For Systolic Blood Pressure (SBP), anterior trunk shift presented smaller awake/asleep variation (14.7%vs25.3%, p=0.01), and flexing ankle for higher BP loads: 21.9%vs7.8% for total load (p=0.02), 21.8%vs9% for load during the period awake (p=0.04) and 21.9%vs7.9% for load during the period asleep (p=0.02). For Diastolic Blood Pressure (DBP), posterior trunk shift presented higher pressure load (24.0%vs16.2%, p=0.04), and anterior trunk shift presented smaller awake/asleep variation (14.4%vs25.5%, p=0.01) and flexing hip presented higher BP load (29.4%vs18.3%, p=0.02). From posture scores, the PM presented smaller awake/asleep variation for SBP (13.7%vs22.8%, p=0.03) and DBP (11.5%vs23.5%, p=0.01). CONCLUSION: PM can be associated with pressure fall. Three or more alterations in posture angles are associated with smaller awake/asleep BP variation.

scholarly journals Determination of hand grip strength and its correlates during pregnancy: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Auwal Abdullahi ◽  
Amina Shuaib Bala ◽  
Sani Musa Danazumi ◽  
Saadatu Maiwada Abubakar ◽  
Rislanu Isyaku Adamu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Pregnant Women ◽  
Grip Strength ◽  
Cross Sectional Study ◽  
Hand Grip Strength ◽  
Dominant Hand ◽  
Cross Sectional ◽  
Final Model ◽  
Hand Grip

Abstract Background Pregnancy results in many changes, including reduced hand grip strength (HGS). However, good HGS is required for physical functions such as carrying and breastfeeding the baby after birth. The aim of this study was to determine the factors that may predict HGS during pregnancy. Methods The study was a cross-sectional study approved by the Research Ethics Committees of Kano State Ministry of Health and Aminu Kano Teaching Hospital in Kano, north-west, Nigeria. Pregnant women at the designated hospitals were included in the study if they had no serious comorbidities or any known neurological condition that affects the hands and the neck. Demographic characteristics and independent (predictor) variables (age, weight, height, BMI, maternity leave status, number of full-term deliveries, number of preterm deliveries, number of live births, number of abortuses, gravidity, trimester, systolic blood pressure, diastolic blood pressure, inter arm systolic BP difference [IASBP], inter arm diastolic BP difference [IADBP], and heart rate) of each of the participants were recorded by experienced therapists. The data were analysed using descriptive statistics, t-test, Pearson correlation coefficient and standard multiple regression. Result One hundred and sixty-one pregnant women with mean age, 25.04 ± 4.83 years participated in the study. In the dominant hand, 120 participants (74.5%) had weak grip strength. In the non-dominant hand, 135 participants (83.9%) had weak grip strength. For the dominant hand, the total variance explained by the whole model was significant, 28.5%, F(11, 161) = 1.187, R2 = 0.081, p = 0.300 . In the final model, none of the variables significantly predicted HGS. However, systolic blood pressure contributed to the model more than any other variable (Beta = -0.155). For the non-dominant hand, the total variance explained by the whole model was not significant, 33.1%, F(11, 161) = 1.675, R2 = 0.111, p = 0.089 . In the final model, only systolic blood pressure (Beta = -0.254, p = 0.023) significantly predicted hand grip strength. Conclusion Cardiovascular events or changes during pregnancy (such as change in systolic blood pressure) may be related to HGS in pregnant women. It is therefore, important for clinicians to pay attention to this, in planning rehabilitation strategies for pregnant women.

scholarly journals A comparative study on the adherence to anti-hypertensive medications in urban and rural areas of Hubballi

2019 ◽  
Vol 6 (4) ◽  
pp. 1701 ◽  
Author(s):  
Pratibha Rao Katapadi ◽  
Dattatreya D. Bant
Keyword(s):  
Blood Pressure ◽  
Rural Areas ◽  
Rural Population ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Uncontrolled Hypertension ◽  
Public Health Issue ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Hypertensive Patients

Background: Hypertension is a significant public health issue worldwide and can have deleterious effects on the health when it is not under control. Adherence to antihypertensive medications is thus necessary for better control of blood pressure and to reduce the risk of complications. There are various factors which support or hinder the patient’s adherence to anti- hypertensive treatment. Thus this study was done to reflect the factors influencing the adherence to antihypertensive drugs among urban and rural population.Methods: A community based cross sectional study was conducted in urban and rural field practice areas of Karnataka Institute of Medical Sciences, Hubballi. A semi-structured questionnaire was used for data collection among the known hypertensive patients. The data was entered in Microsoft Excel and analysed using SPSS software.Results: Most of the hypertensive patients were aged 45 and above (89.5%). A total of 73.5% of the participants were adherent to antihypertensive medications and adherence was more among urban (76%) as compared to rural population (71%). Knowledge regarding complications of uncontrolled hypertension was the major factor for adherence in both the areas. The mean systolic and diastolic blood pressure was controlled in patients who were adherent.Conclusions: There is a higher level of adherence to antihypertensive medications in urban population as compared to rural population of Hubballi. The findings suggest patient factors, clinical factors and socio-demographic factors play an important role in determining the adherence to the medication.

scholarly journals Risk Factors for Neonatal Sepsis in Pregnant Women with Premature Rupture of the Membrane

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Dwiana Ocviyanti ◽  
William Timotius Wahono
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Gestational Age ◽  
Neonatal Sepsis ◽  
Sampling Method ◽  
Cross Sectional Study ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Mortality Risks ◽  
Autoimmune Condition

Background. Premature rupture of the membrane (PROM) is associated with high maternal as well as perinatal morbidity and mortality risks. It occurs in 5 to 10% of all pregnancy while incidence of amniotic membrane infection varies from 6 to 10%. This study aimed to determine the incidence of neonatal sepsis in Cipto Mangunkusumo Hospital and the risk factors. Methods. A cross-sectional study was done in Cipto Mangunkusumo Hospital, Jakarta, from December 2016 to June 2017. The study used total sampling method including all pregnant women with gestational age of 20 weeks or more experiencing PROM, who came to the hospital at that time. Samples with existing comorbidities such as diabetes mellitus or other serious systemic illnesses such as heart disease or autoimmune condition were excluded from the analysis. Results. A total of 405 pregnant women with PROM were included in this study. There were 21 cases (5.2%) of neonatal sepsis. The analysis showed that risk of neonatal sepsis was higher in pregnant women with prolonged rupture of membrane for ≥ 18 hours before hospital admission (OR 3.08), prolonged rupture of membrane for ≥ 15 hours during hospitalization (OR 7.32), and prolonged rupture of membrane for ≥ 48 hours until birth (OR 5.77). The risk of neonatal sepsis was higher in preterm pregnancy with gestational age of <37 weeks (OR 18.59). Conclusion. Risk of neonatal sepsis is higher in longer duration of prolonged rupture of membrane as well as preterm pregnancy.

scholarly journals Cross Sectional Study of Zinc, Copper and Magnesium Levels in Preeclampsia and Normal Pregnancy

2021 ◽  
Vol 8 (10) ◽  
pp. 33-36
Author(s):  
Balaji B R ◽  
K N Pujari
Keyword(s):  
Blood Pressure ◽  
Risk Factor ◽  
Pregnant Women ◽  
Normal Pregnancy ◽  
Cross Sectional Study ◽  
Trophoblast Invasion ◽  
Spiral Artery ◽  
Sectional Study ◽  
Cross Sectional ◽  
In Pregnancy

Preeclampsia is a pregnancy related high blood pressure disorder. It involves defective trophoblast invasion and decreased spiral artery remodelling. Alterations in micronutrients have been identified as one of the risk factor of preeclampsia. In this study we have estimated the levels of zinc, copper, iron and magnesium in preeclampsia and normal pregnant women. Our study revealed a significant decrease of zinc, copper and magnesium levels and significant increase of iron levels in preeclampsia compared to normal pregnant women. Thus assessment of micronutrients in pregnancy helps in decreasing the incidence of preeclampsia. Keywords: Preeclampsia, Zinc, Copper, Iron, Magnesium.

scholarly journals THE PREVALENCE OF ARTERIAL HYPERTENSION AND ITS RISK FACTORS TOWARD HIV-POSITIVE PERSONS IN FERGANA VALLEY

2015 ◽  
Vol 8 (1) ◽  
Author(s):  
Mirzoulugbek Mirsaydullaev ◽  
Nematjon Mamasaliev
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Arterial Hypertension ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Normal Range ◽  
Cross Sectional ◽  
Over 40 Years ◽  
Hiv Aids

Background: The data on the prevalence of arterial hypertension (AH) in patients with HIV/AIDS vary. Even though some authors have reported higher prevalence of high blood pressure  and systemic arterial hypertension in this group, compared to the prevalence of AH in subjects without infection, other studies have found similar prevalence of AH between men and women with HIV and individuals without the infection. In Uzbekistan such researches were not conducted yet.Objective: Evaluate the prevalence of prevalence of arterial hypertension and its risk factors at the HIV-positive persons of Fergana Valley of Uzbekistan.Methods:  A cross-sectional study aligned to a cohort of patients with HIV/AIDS. The study considered hypertension at levels ≥ 140/90 mmHg or use of antihypertensive drugs and pre-hypertension at levels > 120/80 mmHg.Results: Out of this total, 138 patients (48%) were male and 149 were female (52%); 65% of them were 40 years-old or younger, and other 35% were over 40 years of age. Among the individuals evaluated, 184 (64.1%) had blood pressure within the normal range, 62 (21.6%) were considered prehypertensive, and 41 (14.3%) were considered hypertensive. Twenty five patients (61%) knew they had hypertension, and 9 of them (36.0%) used antihypertensive medication on a continuous basis. The blood pressure levels were controlled in only 5 (20.0%) patients that knew that they were hypertensive.Conclusion: Among HIV-infected persons, 21.6% were considered prehypertensive, and 14.3% were considered hypertensive. It is important to warn clinicians who provide care to HIV/AIDS patients that such patients are not only individuals infected with a potentially fatal virus, but, despite the benefit of new antiretroviral therapies, they are also patients whose prognosis may be affected by comorbidities, such as hypertension.

scholarly journals Assessment of the Anemic Conditions during Pregnancy: A Study of Sukkur City, Sindh, Pakistan

2021 ◽  
pp. 47-53
Author(s):  
Maryam Qazi ◽  
Abdullah Dayo ◽  
Muhammad Ali Ghoto ◽  
Mudassar Iqbal Arain ◽  
Bilawal Shaikh ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Rural Areas ◽  
Sampling Method ◽  
Haemoglobin Concentration ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Feminine Gender ◽  
Ordinal Information ◽  
Prevalence Of Anemia ◽  
Structured Questionnaire

Background: Anemia is pathological disorder caused by mal nutrition and it is very common among feminine gender during gestational period. Objective: To investigate the prevalence of anemia among pregnant women, and identify the risk factors and symptoms of anemia in pregnancy. Methodology: Descriptive cross-sectional study was carried out for 12 months from June 2018 to June 2019 at Sukkur Blood and Drugs donating Society Hospital in Sukkur Sindh. A total of 300 pregnant women with anemic condition were selected by purposive sampling method. Structured questionnaire was designed in order to collect nominal and ordinal information after getting consent from included patients. The collected information was interpreted by using statistical software SPSS version 24.00 Results: The result revealed that 82.3% of the women were diagnosed as anemic, categorized as mild, moderate and severe. Anemic condition was common among pregnant women with ages 26-35 years, 63.9%. Women with primary or secondary education were more prone to anemia. The pregnant women belongs to rural areas were more forwarded to anemia, 86.6%. The numbers of patients were seen more in second and thirds trimester of gestation while rate of anemia in primary gravida was 75.0% that increased to 81.8% in multigravida, and further increased to 91.5% in grand multiparity. Conclusion: The prevalence of anemia was high in rural area of Sindh. Haemoglobin concentration was very much low in most of the pregnant female. The major cause of anemia in pregnant women was mal nutrition.

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