Hypertension and its risk factors among pregnant garment workers attending a health centre in Bangladesh
DOI:
https://doi.org/10.3329/bsmmuj.v17i4.75688Keywords:
hypertension, risk factors, pregnant garment workers, antenatal care, BangladeshAbstract
Background: The burden of hypertension among the pregnant garment workers in Bangladesh is not well known. The aim of this study was to determine the prevalence of hypertension and its associated factors among pregnant garment workers attending a health centre in Narayanganj, Bangladesh.
Methods: A cross-sectional study was done among conveniently selected adult pregnant garment workers at ≥20 weeks of gestation who visited a health centre of a garment company in Narayanganj, Bangladesh, between July and October 2023. Data on age, education, job nature, family history, clinical, height, weight, and blood pressure were collected. Binary logistic regression was performed to identify factors associated with hypertension.
Results: Of 150 participants the average age was 27.3 years (standard deviation, 3.2) and mean gestational age was 21.7 weeks. The prevalence of hypertension among the participants was 7.3% (95% confidence interval, 4.0% - 12.3%). A family history of pregnancy-related hypertension was found to be associated with hypertension (adjusted odds ratio, 34.7; 95% confidence interval, 2.0 - 619.0).
Conclusion: Approximately one in 14 pregnant garment workers had hypertension, and family history of pregnancy-related hypertension was an associated factor. Healthcare professionals may consider this factor while providing care and counseling to this population.
Downloads
612
82 Review report
16
References
Watanabe K, Naruse K, Tanaka K, Metoki H, Suzuki Y. Outline of Definition and Classification of “Pregnancy induced Hypertension (PIH).” Hypertension Research in Pregnancy. 2013;1(1):3–4. DOI: https://doi.org/10.14390/jsshp.1.3
GBD 2015 Maternal Mortality Collaborators. Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016 Oct 8;388(10053):1775-1812. DOI: https://doi.org/10.1016/S0140-6736(16)31470-2
Garovic VD, White WM, Vaughan L, Saiki M, Parashuram S, Garcia-Valencia O, Weissgerber TL, Milic N, Weaver A, Mielke MM. Incidence and Long-Term Outcomes of Hypertensive Disorders of Pregnancy. J Am Coll Cardiol. 2020 May 12;75(18):2323-2334. DOI: https://doi.org/10.1016/j.jacc.2020.03.028
World Health Organization [Internet]. Maternal health; 2024 [cited 2024 Aug 24]; Available from: https://www.who.int/health-topics/maternal-health#tab=tab_2
Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014 Jun;2(6):e323-33. DOI: https://doi.org/10.1016/S2214-109X(14)70227-X
Wang W, Xie X, Yuan T, Wang Y, Zhao F, Zhou Z, Zhang H. Epidemiological trends of maternal hypertensive disorders of pregnancy at the global, regional, and national levels: a population-based study. BMC Pregnancy Childbirth. 2021 May 8;21(1):364. DOI: https://doi.org/10.1186/s12884-021-03809-2
Haque MM, Sarkar NC. Prevalence of Pregnancy Induced Hypertension among the Pregnant Women: A Study in Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh. Saudi J Med Pharm Sci. 2020;16(1):53–7. DOI: https://doi.org/10.36348/sjmps.2020.v06i01.009.
Ahmed SS, Sultana N, Begum ML, Lima LS, Abedin MF, Hosen MK. Pregnancy Induced Hypertension and Associated Factors among Pregnant Women. J Gynecol Womens Health. 2017;3(4):555623. DOI: https://doi.org/10.19080/JGWH.2017.03.555623
Sayeed MA, Mahtab H, Khanam PA, Begum R, Banu A, Azad Khan AK. Diabetes and hypertension in pregnancy in a rural community of Bangladesh: a population-based study. Diabet Med J Br Diabet Assoc. 2005 Sep;22(9):1267–71. DOI: https://doi.org/10.1111/j.1464-5491.2005.01600.x
Yazbeck C, Thiebaugeorges O, Moreau T, Goua V, Debotte G, Sahuquillo J, Forhan A, Foliguet B, Magnin G, Slama R, Charles MA, Huel G. Maternal blood lead levels and the risk of pregnancy-induced hypertension: the EDEN cohort study. Environ Health Perspect. 2009 Oct;117(10):1526-30. DOI: https://doi.org/10.1289/ehp.0800488
Fu R, Li Y, Li X, Jiang W. Hypertensive Disorders in Pregnancy: Global Burden From 1990 to 2019, Current Research Hotspots and Emerging Trends. Curr Probl Cardiol. 2023 Dec;48(12):101982. DOI: https://doi.org/10.1016/j.cpcardiol.2023.101982
Parveen N, Haider G, Shaikh IA, Ujjan ID. Presentation of predisposing factors of pregnancy induced hypertension at Isra University Hospital, Hyderabad. JLUMHS. 2009 Sep 1;8(03):242. URL: https://www.lumhs.edu.pk/jlumhs/Vol08No03/pdfs/v8n3oa12.pdf.
Naing L, Winn T, Rusli BN. Practical Issues in Calculating the Sample Size for Prevalence Studies. Medical Statistics. Archives of Orofacial Sciences. 2006 1:9-14. URL: https://aos.usm.my/docs/Vol_1/09_14_ayub.pdf.
Bhowmik B, Kamruzzaman M, Siddiquee T, Samad MA, Khan FA, Rashid H, do Moreira NCV, Alim A, Khan FA, Milon SU, Robed MA, Hossain AH, Hussain AK, Abul KA. Non-communicable Disease Risk Factors among Garment Factory Workers in Bangladesh. Journal of Diabetology, 2022 13(3): 262-269. DOI: https://doi.org/10.4103/jod.jod_35_22
Ministry of Health, National STEPS Survey for Non-communicable Diseases Risk Factors in Bangladesh 2018. Dhaka. [updated 14 December 2022]. Available from: https://iris.who.int/bitstream/handle/10665/332886/STEPS-BAN-eng.pdf
Gudeta TA, Regassa TM. Pregnancy Induced Hypertension and Associated Factors among Women Attending Delivery Service at Mizan-Tepi University Teaching Hospital, Tepi General Hospital and Gebretsadik Shawo Hospital, Southwest, Ethiopia. Ethiop J Health Sci. 2019 Jan;29(1):831–840. DOI: https://doi.org/10.4314/ejhs.v29i1.4
Nath A, Sheeba B, Sisira R, Metgud CS. Prevalence of hypertension in pregnancy and its associated factors among women attending antenatal clinics in Bengaluru. J Family Med Prim Care. 2021 Apr;10(4):1621-1627. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1520_20
John S, Vanitha M, Babu A, Sushma P, Regina AE, Frank RW. Prevalence of Pregnancy-Induced Hypertension and Its High-Risk Factors among the Antenatal Women. Journal of Health and Allied Sciences NU. 2021 May 12;11:154–157. DOI: https://doi.org/10.1055/s-0041-1726687
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Tayeba Khatun, Arifa Akter, Mahesh Kumar Khanal, Zahid Arefin, Rijwan Bhuiyan
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.