Prevalence and Associated Factors of Hypertension among Pregnant Women Attending Aldayat and Saad Abu Elela Teaching Hospital Khartoum State -2020


  • A.A.A. Haroun Senior Public health specialist
  • M.A. Abdalmajed Senior Public Health Specialist
  • M.A. Abdalla Senior Public health specialist



Hypertension, pregnant women, Khartoum State


Background:  Pregnancy induced Hypertensive are the major causes of severe acute morbidity, long-term disability and death among mothers and babies. The worldwide prevalence of pre-eclampsia is 5–10%.

Objectives:  The objective of the study was to study the prevalence and associated factors of pregnancy-induced hypertension among pregnant women attending Aldayat and Saad Abu Elela Teaching Hospital Khartoum State-2020.

Materials and methods:  This descriptive hospital-based study was conducted in Aldayat and Saad Abu Elela Teaching Hospitals, the study covered all pregnant women in a period of two months from January to February 2020 to obtain a sample size of 239 pregnant women. Data were collected using WHO standardized questionnaire after modification to suit the study. Data were analyzed using Statistical Package for Social Studies (SPSS) version 23. The association between different variables was checked using the chi-square test, P-value ≤ 0.05 was considered significant.

Results: The overall prevalence of hypertension among pregnant women was 7.5%. The distribution of prevalence of hypertension associating to age group among those affected:  44.4%  among age group 18-30 years old then 33.3% among  age group less than 18 year old and 11.1% in both group 31-45 and >45 years old , respectively. The study revealed that the associated factors of hypertension among pregnant women were: Family history and first relative relationship, number of pregnancies, follow-up blood pressure during pregnancy, with 39%, 100.0%, 44.3%,100.0% , respectively, socio-demographic characteristics such as education level illiterate 5.5% khalwa 27.7% primary/basic 5.5% intermediate/secondary 25.5% university/post-university 33.3%),employment status employed 41%, Not employed 59%,nature of work sitting 27.8% Stand22.2%, Moved33.3%, all mentioned 16.7%,no. of hours per shift4 hours 11.7% 5-8 hours 56.1% > 8 hours 32.2%, family monthly income in SDG< 1500 31.1%, 1500-3500 38.9%, > 3500 29.7%. From the interview with Medical Director and the Metron the main factors associated with hypertension were: family history, nutrition status, the number of pregnancies and obesity. The statistics showed a strong association between blood pressure among pregnant women from a side and education level, the number of pregnancies, follow-up during the pregnancy and family history from another side with P-value = 0.01, 0.02, 0.01 , 0.026 , 0.02 , respectively. There was no association between employment status, nature of work, increase of blood pressure during and before pregnancy, knowledge and time of diagnosis from a side and hypertension among pregnant women from another side with P-values (0.4, 0.47, 0.38, 0.42, 0.35) , respectively.

Conclusion: The study revealed that the prevalence of hypertension among pregnant women associated with many factors such as: family history, age group, and follow-up during pregnancy, level of education, so based on the findings the study recommended that the pregnant women should be sensitized on the preventive measures for managing high blood pressure, health and nutrition education including physical education for all pregnant women with particular emphasis on the most affected age group, and there must be continued follow-up.


Download data is not yet available.

Author Biographies

A.A.A. Haroun, Senior Public health specialist

Senior Public health specialist, (Environmental Health Officer-NGO) Gaderief State

M.A. Abdalmajed, Senior Public Health Specialist

Senior Public Health Specialist, Khartoum State, Ministry of Health

M.A. Abdalla, Senior Public health specialist

Senior Public health specialist, (Environmental Health Officer-NGO) Red Sea State


Ammaro, A., Carrara, S., Cavaliere, A., Ermito, S., Dinatale, A., Pappalardo, E. M., ... &Pedata, R. (2009).

Hypertensive disorders of pregnancy. Journal of prenatal medicine, 3(1), 1.

Berhe, A.K., Kassa, G.M., Fekadu, G.A. and Muche, A.A., 2018. Prevalence of hypertensive disorders of

pregnancy in Ethiopia: a systemic review and meta-analysis. BMC pregnancy and childbirth, 18(1), pp.1-

Chhabra, S. and Kakani, A., 2015. Maternal mortality due to eclamptic and non-eclamptic hypertensive

disorders: a challenge. Journal of obstetrics and gynaecology, 27(1), pp.25-29.

Evangelia. K, Papakatsika, S., Kotronis, G., Goulis, D.G. and Kotsis, V., 2015. Pregnancy-induced hypertension.

Hormones, 14(2), pp.211-223.

Fasola, O., Abosede, O., Foluke, A. (2018). Knowledge, attitude and practice of good nutrition among women of

childbearing age in Somolu Local Government, Lagos State, Journal of Public Health, 21,9(1), 793.

FMoH, Federal Ministry of Health, Sudan, Khartoum, Mother and child health department, annual

statistical report 2019

Helewa, M.E., Burrows, R.F., Smith, J., Williams, K., Brain, P. and Rabkin, S.W., 2015. Report of the

Canadian Hypertension Society Consensus Conference: 1. Definitions, evaluation and

classification of hypertensive disorders in pregnancy. Canadian Medical Association Journal,

(6), pp.715-725.

Ishag,Adam A Ali, A.A., A Rayis, D., M Abdallah, T., and Abdullahi, H., 2018. Hypertensive disorders in

pregnancy in Kassala Hospital, Eastern Sudan. Khartoum Medical Journal, 4(3).

Jasovic-Siveska E, Jasovic V, Stoilova S (2011) Previous pregnancy history, parity, maternal age and risk

of pregnancy induced hypertension. Bratisl Lek Listy 112: 188–191.

Khosravi S, Dabiran S, Lotfi M, Asnavandy M. (2018). Study of the Prevalence of Hypertension and

Complications of Hypertensive Disorders in Pregnancy. Open Journal of Preventive

Medicine.; 4:860–867.

Kintiraki, E., Papakatsika, S., Kotronis, G., Goulis, D.G. and Kotsis, V., 2015. Pregnancy-induced

hypertension. Hormones (Athens), 14(2), pp.211-223.

Middendorp VD, AsbroekTA,Bio YF, Edusei A (2013) Rural and urban differences in blood pressure and

pregnancy- among pregnant women in Ghana. Global Health 9: 59.

Morikawa M, Cho K, Yamada T, Yamada T, Sato S, (2012) Risk factors for eclampsia in Japan between

and 2009. Int J GynecolObstet 117: 66–68.

Parveen N, Haider G, Shaikh IA, Ujjan ID (2009) Presentation of Predisposing Factors of Pregnancy

Induced Hypertension at Isra University Hospital, Hyderabad. Jlumhs 08(03).

Pereira, M.A., Rifas, S.L., Kleinman, K.P. (2007). Predictors of change in physical activity during and after

pregnancy: Project Viva. American Journal of Preventive Medicine, 32, 312-319

Saurel-Cubizolles, M. J., Kaminski, M., Du Mazaubrun, C., Llado, J., &Estryn-Behar, M. (1991). High blood

pressure during pregnancy and working conditions among hospital personnel. European Journal of Obstetrics & Gynecology and Reproductive Biology, 40(1), 29-34.

Shen and Wei. (2008). Adverse Maternal Outcomes for Women with Different Health Insurance Statuses

in Nevada. J Nevada Public Health Assoc;5.

Silva L, Coolman M, Steegers E, Jaddoe V, Moll H, HofmanA, (2018). Maternal educational level and

risk of gestational hypertension: the Generation R Study. J Hum Hypertens. ;22(7):483–92.

Vischer, A.S. and Burkard, T., 2016. Principles of Blood Pressure Measurement–Current Techniques,

Office vs Ambulatory Blood Pressure Measurement. Hypertension: from basic research to clinical

practice, pp.85-96. Sajith M, Vandana NV, Modi A, Sumariya R, Pawar A. (2014). Incidence of

pregnancy induced hypertension and prescription pattern of antihypertensive drugs in

pregnancy. International Journal of Pharma Sciences and Research. Apr;5(04)

Vollebregt KC, van der Walde MF, Wolf H (2008). Is psychosocial stress in first ongoing pregnancies

associated with pre-eclampsia and gestational hypertension? BJOG; 115:607–615.

Wolde , Z, Segni H, Woldie M (2011) Hypertensive Disorders of Pregnancy in Jimma University

Specialized Hospital. Ethiop J Health Sci 21(3): 147-154.

World Health Organization, 2016. WHO recommendations for prevention and treatment of pre-eclampsia

and eclampsia, WHO Geneva.

World Health Organization.2017. A global brief on hypertension: silent killer, global public health crisis:

World Health Organization.

Yogev Y, Melamed N, Bardin R, Tenenbaum-Gavish K, Ben-Shitrit G, Ben-Haroush A. (2010). Pregnancy

outcome at extremely advanced maternal age. Am J Obstet Gynecol. ;203(6): e551–e558.





How to Cite

Haroun, A. ., Abdalmajed, M. ., & Abdalla, M. . (2022). Prevalence and Associated Factors of Hypertension among Pregnant Women Attending Aldayat and Saad Abu Elela Teaching Hospital Khartoum State -2020. ABC Research Alert, 10(2), 71–82.



Research Paper