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Factors associated with severe preeclampsia and eclampsia in Jahun, Nigeria
Authors Guerrier G, Oluyide B, Keramarou M, Grais RF
Received 22 April 2013
Accepted for publication 11 May 2013
Published 19 August 2013 Volume 2013:5 Pages 509—513
DOI https://doi.org/10.2147/IJWH.S47056
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 4
Gilles Guerrier,1 Bukola Oluyide,2 Maria Keramarou,1 Rebecca Grais1
1Epicentre, Paris, France; 2Médecins Sans Frontières, Paris, France
Objective: To explore traditional herbal medicines as potential risk factors of severe preeclampsia and eclampsia in Nigeria.
Methods: We conducted a retrospective case-control study from October 2010 to May 2011. The cases were all pregnant women admitted to the Jahun Hospital during the study period with severe preeclampsia or eclampsia and women presenting with normal pregnancy after 22 weeks.
Results: During the study period, a total of 1,257 women (44%) were recorded as having normal pregnancy, and 419 (16%) women had severe preeclampsia/eclampsia (175 with severe preeclampsia and 244 with eclampsia). The risk factors found to be associated with a greater risk of severe preeclampsia/eclampsia included personal history of preeclampsia (odds ratio [OR] = 21.5; P < 0.001), personal history of preexisting hypertension (OR = 10.5; P < 0.001), primiparity (OR = 2.5; P = 0.001), occupation as housewife (OR = 1.9; P = 0.008), and fewer than four antenatal care visits (OR = 1.6; P = 0.02). Use of traditional treatments during pregnancy was associated with a higher risk of developing severe preeclampsia/eclampsia (OR = 1.6 95%; confidence interval [CI]: 1.2-2.1) by univariate analysis only.
Conclusion: Use of traditional treatment, which increases delays before consulting the official health sector, might be a marker for harmful behavior. Community-based studies could provide additional information on the practice of herbal therapy in this population.
Keywords: hypertensive disorders, pregnancy, traditional treatments, herbal use
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