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Author Notes:

Correspondence: yup3@cdc.gov.

All authors have read and approved the manuscript.

EH, RGP, RJL, and DF prepared the study protocol; EH led the data collection; MB, EH, MH, CH, and BP analyzed the data; MB, EH, MH, CH, and BP wrote the manuscript.

The project was a collaboration between Ministere de la Sante Publique et de la Population (MSPP), U.S. Centers for Disease Control and Prevention, and several hospitals and facilities throughout Haiti.

The authors would like to thank the many people within these organizations who contributed to the success of this project.

Ethical clearance for the wider study from which this paper is drawn was obtained from the U.S. Centers for Disease Control and Prevention.

Protocol was reviewed and approved by the Haiti MOH and CDC determined the project was non-research; thus, IRB approval was not needed.

The authors declare that they have no competing interests.

Both funding bodies (CDC and MSPP Haiti) were involved in the interpretation of the results and writing and approving the manuscript.

Subjects:

Research Funding:

The study was funded through cooperative agreements between CDC and MSPP Haiti, including several sub-contracts to the following partners: PIH, CDS and Albert Schweitzer Hospital.

CDC and MSPP Haiti developed the protocol.

MSPP Haiti, along with their partners PIH, CDS, and Albert Schweitzer Hospital were responsible for data collection.

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Obstetrics & Gynecology
  • Hypertensive disorders in pregnancy
  • Hypertension
  • Preeclampsia
  • Eclampsia
  • Pregnancy
  • Stillbirth
  • Haiti
  • PREECLAMPSIA
  • ECLAMPSIA

Hypertensive disorders in pregnancy and maternal and neonatal outcomes in Haiti: the importance of surveillance and data collection

Tools:

Journal Title:

BMC Pregnancy and Childbirth

Volume:

Volume 19, Number 1

Publisher:

, Pages 208-208

Type of Work:

Article | Final Publisher PDF

Abstract:

Background: This study aims to determine reported prevalence of hypertensive disorders in pregnancy (HDP) and maternal and neonatal outcomes associated with these disorders among women delivering at selected hospitals across Haiti. Methods: A retrospective review of 8822 singleton deliveries between January 2012 and December 2014 was conducted at four hospitals in separate Departments across Haiti. Researchers examined the proportion of women with reported HDP (hypertension, preeclampsia, eclampsia) and the association between women with HDP and three neonatal outcomes: low birth weight, preterm birth, and stillbirths; and two maternal outcomes: placental abruption and maternal death in Hôpital Albert Schweitzer (HAS). Odds ratios for associations between HDP and perinatal outcomes at HAS were assessed using logistic regression, adjusting for potential confounders. Results: Of the 8822 singleton births included in the study, 510 (5.8%) had a reported HDP (including 285 (55.9%) preeclampsia, 119 (23.3%) eclampsia, and 106 (20.8%) hypertension). Prevalence of HDP among each hospital was: HAS (13.5%), Hôpital Immaculée Conception des Cayes (HIC) (3.2%), Fort Liberté (4.3%), and Hôpital Sacré Coeur de Milot (HSC) (3.0%). Among women at HAS with HDP, the adjusted odds of having a low birth weight baby was four times that of women without HDP (aOR 4.17, 95% CI 3.19-5.45), more than three times that for stillbirths (aOR 3.51, 95% CI 2.43-5.06), and five times as likely to result in maternal death (aOR 5.13, 95% CI 1.53-17.25). Among the three types of HDP, eclampsia was associated with the greatest odds of adverse events with five times the odds of having a low birth weight baby (aOR 5.00, 95% CI 2.84-8.79), six times the odds for stillbirths (aOR 6.34, 95% CI 3.40-11.82), and more than twelve times as likely to result in maternal death (aOR 12.70, 95% CI 2.33-69.31). Conclusions: A high prevalence of HDP was found among a cohort of Haitian mothers. HDP was associated with higher rates of adverse maternal and neonatal outcomes in HAS, which is comparable to studies of HDP conducted in high-income countries.

Copyright information:

© 2019 The Author(s).

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
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