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VOL. 1, ISSUE 1 (2025)
Gestational hypertension: Risk factors and Clinical Correlations at Aljala Maternity hospital, Tripoli-Libya
Authors
Eida Elmansorry
Abstract
Gestational hypertension (GH) is a leading
cause of maternal and perinatal morbidity, yet its specific risk profile in the
Libyan population remains inadequately characterized. This study aimed to
identify the prevalence, key risk factors, and associated adverse outcomes of
GH among women delivering at Aljala Maternity Hospital in Tripoli, Libya. A
retrospective case-control study was conducted, analyzing the medical records
of 450 pregnant women (150 cases with GH and 300 normotensive controls) who delivered
between January 2022 and December 2023. Data on demographic characteristics,
medical history, and pregnancy outcomes were collected and statistically
analyzed. The prevalence of GH in our cohort was 8.5%. Multivariate logistic
regression identified significant independent risk factors, including maternal
age over 35 years (OR=2.9, p<0.01), pre-pregnancy obesity (BMI ≥30 kg/m²;
OR=3.4, p<0.001), primigravidity (OR=2.5, p<0.01), and a family history
of chronic hypertension (OR=2.1, p<0.05). Clinically, women with GH had a
significantly higher rate of iatrogenic preterm delivery (28% vs. 8%,
p<0.001) and were more likely to deliver infants with low birth weight
(<2500g; 22% vs. 7%, p<0.001) compared to the control group. The rate of
placental abruption was also elevated in the GH group. In conclusion, advanced
maternal age, obesity, primigravidity, and a family history of hypertension are
significant risk factors for GH in this Libyan cohort. The condition is
strongly correlated with adverse perinatal outcomes, underscoring the critical
need for targeted antenatal screening for high-risk women and vigilant
management to improve maternal and fetal health at our institution.
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Pages:19-23
How to cite this article:
Eida Elmansorry "Gestational hypertension: Risk factors and Clinical Correlations at Aljala Maternity hospital, Tripoli-Libya". World Journal of Psychology, Vol 1, Issue 1, 2025, Pages 19-23
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