Impact of Health Education Intervention on Determinants of Pregnancy-Induced Hypertension among Pregnant Women in Ilorin

Pregnancy is often seen as a period of happiness for women of childbearing age worldwide. However, five percent of deaths occur due to pregnancy-induced hypertension (PIH). For a woman experiencing PIH due to hypertensive disorders of pregnancy, the period sometimes leads to unhappiness and death. This study, therefore, examined the impact of health education intervention on determinants of pregnancy-induced hypertension among pregnant women in Ilorin. The objectives of the study were to: (i) examine age as a determinant of PIH; (ii) investigate gestational diabetes as a determinant of PIH; (iii) assess family history as a determinant of PIH; (iv) examine multiple pregnancy as a determinant of PIH; (v) identify whether lifestyle is a determinant of PIH.

Quasi-experimental research design of pre-test and post-test control group design was used for the study. The target population for the study was all registered pregnant women attending Primary Health Care clinics in Ilorin. A multi-stage sampling procedure was used to sample 70. A researcher- developed and validated questionnaire with reliability co-efficient of 0.78, determined through split-half method was used for the study. Pre-test was administered to both the experimental and control group; intervention on determinants of pregnancy-induced hypertension was given for eight weeks to the experimental group while control group received placebo after which the groups were given post-test. Inferential Statistics of t-test was used to analyse the hypotheses at 0.05 alpha level.

The findings of the study were that:

i.         age was a significant determinant of pregnancy-induced hypertension among pregnant women in the experimental group after health education intervention; (t-cal = -13.93 p-value = .000);

ii.        diabetes mellitus was a significant determinant of pregnancy-induced hypertension among pregnant women in the experimental group after health education intervention; (t-cal = -11.904 p-value = .000);

iii.       family history was a significant determinant of pregnancy-induced hypertension between pregnant women in the experimental group after health education intervention; (t-cal = -15.094 p-value = .000);

iv.       multiple pregnancy was a significant determinant of pregnancy-induced hypertension among pregnant women in the experimental group after health education intervention in Ilorin, Kwara State (t-cal= -12.897 p-value = .000);

v.        lifestyle as a significant determinant of pregnancy-induced hypertension among pregnant women in the experimental group after health education intervention in Ilorin, Kwara State (t-cal = -12.324 p-value = .000).

The study concluded that there was no difference in the knowledge of determinants of pregnancy-induced hypertension before the intervention in the two groups, but there was significant improvement after the intervention among the experimental group. This implies that health education impacted positively on the determinants of pregnancy-induced hypertension among pregnant women. The study, therefore, recommended that health education on determinants of pregnancy-induced hypertension should be given by health educators to prevent pregnancy-induced hypertension and improve pregnancy outcome.