SYSTEMATIC REVIEW article
Front. Glob. Women’s Health
Sec. Maternal Health
Volume 6 - 2025 | doi: 10.3389/fgwh.2025.1571052
The Impacts of Hypertensive Disorders of Pregnancy on Maternal and Perinatal Outcomes in Ethiopia: An Umbrella Review of Systematic Reviews
Provisionally accepted
Teketel Ermias Geltore1*
Simegn Alemu1
Tariku Laelago ERsado2
Tamiru Beyene Uliso2Abebe Alemu Anshebo1
Lakew Lafebo Foto3- 1College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia
- 2Department of Nursing, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia
- 3School of Public Health, Institute of Health and Medical Sciences, Bule Hora University, Bule Hora, Oromia, Ethiopia
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Background: Previous systematic reviews and meta-analyses have concentrated on the impacts of hypertensive disorders of pregnancy on maternal and perinatal outcomes in Ethiopia. Still, the evidence has often been inconsistent and inconclusive. Consequently, this study seeks to consolidate the findings regarding the effects of hypertensive disorders during pregnancy on maternal and perinatal outcomes in Ethiopia.Methods: PubMed, Science Direct, Google Scholar, Africa Journal Online, PsycINFO, Research4Life, and CINAHL from September 15 to 25, 2024. The quality of the methods was assessed using the Assessment of Multiple Systematic Reviews (AMSTAR) tool. The estimates from the included studies were pooled and summarized using random-effects meta-analysis models.We included five systematic reviews and meta-analyses (SRM) studies with a total of 621,146 pregnant women. The pooled prevalence of hypertensive disorders of pregnancy was 16.56% (95% CI: 13.15-20.02), with a heterogeneity index (I² = 94.17%, P = 0.00). Maternal age >35 years, (AOR = 2.29; 95% CI: 2.05, 2.94), previous history of preeclampsia, (AOR = 3.51; 95% CI: 2.26, 5.53), low birth weight (AOR = 2.18; 95% CI: 1.48, 3.01), and alcohol consumption (AOR = 1.84; 95% CI: 1.12, 2.46) were the risk factors and complications of hypertensive disorders of pregnancy.The higher rate of severe forms of HDP that are associated with significant maternal and perinatal complications is a major concern in Ethiopia. The risk of developing HDP is worse among women who have a history of preeclampsia, maternal age >35 years, alcohol consumption, and its complications, such as low birth weight.
Keywords: Hypertensive disorders of pregnancy, Preeclampsia, Eclampsia, Maternal and perinatal outcomes, Ethiopian pregnant women, Systemic review, Meta -analysis * *
Received: 05 Feb 2025; Accepted: 30 Jun 2025.
Copyright: © 2025 Geltore, Alemu, ERsado, Uliso, Anshebo and Foto. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Teketel Ermias Geltore, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia
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