ArticleBMC public health2020
Prevalence and risk factors associated with severe pre-eclampsia among postpartum women in Zanzibar: a cross-sectional study.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 60 citations in OpenAlex.
- Association between antenatal care utilization, preeclampsia, and neonatal Apgar scores among postnatal women in Eswatini: an analytical cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Predictors of maternal and perinatal mortality among pregnant women with preeclampsia and eclampsia at Garissa County Referral Hospital: a retrospective cohort study.BMC pregnancy and childbirth · 2026Article
- Maternal Profiles and Associated Outcomes in Preeclampsia: A Five-Year Retrospective Study in a Tertiary Care Center in Saudi Arabia.International journal of women's health · 2026Article
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- Challenges and Prospects in Managing Hypertensive Disorders of Pregnancy in Sub-Saharan Africa: A Narrative Review.International journal of women's health · 2026Review
- Prevalence and risk factors associated with severe features of pre-eclampsia among women in Thailand.BMC pregnancy and childbirth · 2025Article
- Knowledge, attitude and practice of pre-eclampsia/eclampsia preventive measures among pregnant women in selected primary health care facilities in Kano state: A cross-sectional study.Journal of family medicine and primary care · 2025Review
- Evaluation of oxidative stress markers and the angiogenic factors in preeclampsia and associated features.BMC pregnancy and childbirth · 2025Article
- Effectiveness of antihypertensive therapies and maternal-neonatal outcomes in preeclampsia and eclampsia women: an analytical retrospective study from sudan.Journal of family medicine and primary care · 2025Article
- Comparative study on the factors influencing pre-eclampsia symptoms at different pregnancy stages in Bangladeshi women: urban vs. rural perspectives.BMC pregnancy and childbirth · 2025Article
- A Review of Dietary and Lifestyle Management of Pre-Eclampsia and Postpartum Eclampsia.Preventive nutrition and food science · 2025Review
- Tackling global inequalities in maternal hypertensive disorders: trends and the impact of public health emergencies, 1990-2021.Frontiers in public health · 2025Article
- Knowledge of and perception towards eclampsia among women and men in Unguja Island, Zanzibar: A qualitative study.PloS one · 2025Article
- Fibrinaloid Microclots and Atrial Fibrillation.Biomedicines · 2024Review
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- Persistent postpartum hypertension 3 months post-delivery among women with hypertensive disorders of pregnancy in Tanzania: A multicenter cohort study.Pregnancy hypertension · 2024Observational
- Hypertension Related Co-Morbidities and Complications in Women of Sub-Saharan Africa: A Brief Review.Circulation research · 2024Review
- Prevalence and determinants of adverse perinatal outcomes of preeclampsia with severe features at two selected public hospitals in Addis Ababa, Ethiopia.Frontiers in pediatrics · 2024Article
- Prevalence of persistent hypertension following pregnancy complicated by hypertensive disorders in low- and middle-income countries: a systematic review.Frontiers in global women's health · 2024Review
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSevere pre-eclampsia is more dominant in low and middle-income countries. In Sub-Saharan Africa, severe pre-eclampsia remains a major public health problem contributing to high rates of maternal mortality. Few studies have investigated the relationship between severe pre-eclampsia and associated factors in East Africa. The aim of this study was to determine the prevalence and risk factors associated with severe pre-eclampsia among postpartum women in Zanzibar.
methodsA hospital based analytical cross-sectional study design was used. Purposive sampling was utilized for the selection of hospitals. Proportionate sampling was used for selection of representatives from each hospital and participants were selected using systematic random sampling. Postpartum mothers were included in the study. The study was conducted by an interviewer who administered a questionnaire with close ended questions and chart review for data gathering. SPSS version 23 was used for data analysis and descriptive and multiple logistic regression was performed for control of confounders.
resultsThis study included a total of 400 participants with a 100% response rate. Participants ranged from 17 to 45 years of age with mean age (SD) of 28.78 (±6.296). The prevalence of severe pre-eclampsia among postpartum women was 26.3% (n = 105). After adjusting for the possible confounders, factors associated with severe pre-eclampsia were; maternal age group of 15-20 years (AOR 3.839; 95% C. I 1.037-14.210), pregnancy from new partner/husband (AOR 7.561; 95% C. I 3.883-14.724), family history of high blood pressure (AOR 6.446; C. I 3.217-12.917), diabetes prior to conception (AOR 55.827; 95% C. I 5.061-615.868), having high blood pressure in a previous pregnancy (AOR 19.382; 95% C. I 4.617-81.364), paternal age above 45 (AOR 2.401; 95% C. I 1.044-5.519) and multifetal gestation (AOR 7.62; 95% CI 2.01-28.84).
conclusionThe prevalence of severe pre-eclampsia among postpartum women in Zanzibar is high. Common risk factors in this setting include maternal age of 15-20 years, pregnancy with a new partner, family history of high blood pressure, pre-existing diabetes prior to conception, a history of high blood pressure in previous pregnancy paternal age greater than 45 and multifetal gestation.
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