Hypertensive disorders of pregnancy are an important cause of severe
morbidity, long term disability and death among both mothers and their babies. The majority of
deaths are avoidable through the provision of timely and effective care to the women presenting
with these complications. Thus, it is important to educate the pregnant women regarding
hypertension in pregnancy and promote healthy lifestyle practices.
OBJECTIVE: To determine the effect of lecture-based intervention on hypertensive disorders
in pregnancy on the knowledge and practices among pregnant mothers in selected barangays in
Siay, Zamboanga Sibugay Province.
METHODS: The study used a pre-post interventional design which included pregnant mothers
identified as prehypertensive and hypertensive from two catchment health stations in Siay. The
lecture-based intervention included information on hypertensive disorders in pregnancy and
healthy lifestyle practices among pregnant women. The knowledge of the respondents was
determined through a self-administered questionnaire before intervention, right after intervention
and one month after intervention. A maximum score of 15 was given for the knowledge. The
practices of the respondents were determined through compliance to the recommended prenatal
visit according to their age of gestation after the intervention. Monitoring of the blood pressure
and weight of the respondents as to recommended increase per trimester were also conducted
after the intervention. Data were analyzed using ANOVA of repeated measures for the
knowledge of the respondents and frequency distribution was used for the practices.
RESULTS: There were 46 pregnant mothers included in the study: 40 (87%) of the respondents
were prehypertensive and 6 (13%) were Stage 1 hypertensive. The result showed a significant
increase (p=0.00) in the knowledge mean score from 5.11 before intervention to 10.76 to 9.83
right after and one month after the intervention, respectively. However, knowledge decay was
noted one month after the intervention but still exceeds the baseline knowledge of the
respondents during pre-intervention. For the practices, majority (87%) of the respondents
complied with the recommended prenatal visit according to their age of gestation after the
intervention. For the blood pressure and weight monitoring, results showed that all of the
respondents had controlled blood pressure throughout the study. Also majority (85%) of the
respondents met the recommended weight gain per trimester.
CONCLUSION: The lecture-based intervention was an effective tool in improving the
knowledge and prenatal practices of pregnant mothers on hypertension in pregnancy.
Keyword: Hypertensive disorders of pregnancy maternal and child health siay |