Socio-demographic predictors of perinatal outcomes among women with hypertensive disorders in pregnancy at selected health facilities in Kenya

作者：Jacqueline M. Kituku, Kenneth Ngure, Lister Onsongo · 发表于：Journal of Agriculture Science and Technology · 年份：2026 · DOI：10.4314/jagst.v24i5.10 · 研究领域：Pregnancy and preeclampsia studies、Blood Pressure and Hypertension Studies、Global Maternal and Child Health

Pregnancy outcomes are dependent on many factors. The leading adverse perinatal outcomes in low and middle-income countries are preterm births, stillbirths and low birth weight. There is a dearth of locally published data on hypertensive disorders and associated perinatal outcomes. The study aimed to identify the influence of socio-demographic factors on perinatal outcomes of women with hypertensive disorders in pregnancy. We recruited one hundred twenty-six pregnant women with hypertensive disorders into this longitudinal panel study. Data was collected at baseline, antenatal follow-up(s), labour and postnatal using structured questionnaires from October 2021 to January 2023. We followed up with the study participants every 4-6 weeks, depending on clinic appointments and up to six weeks after birth. Descriptive statistics and multiple logistic regression were used to analyze the data. Majority (32%) were aged 35-39 years and 60% resided in rural areas. At the first follow-up, 6% did not show an increase in fundal height. At labour and delivery, 70% had preterm gestation, 9% had an absent fetal heart and 13.0% had stillbirths. Residing in the rural area was associated with higher likelihood (OR=0.2) of having IUGR. Households with a monthly income of <Ksh 20,000.00 displayed higher odds of delayed initiation of breastfeeding (OR=14.5). There was higher likelihood for infants born to women aged 35-49 years (OR=4.9) and having education level of primary and below (OR=0.2) to...