Abstract:
Background: preeclampsia severe feature is a multisystem disorder present only in human pregnancy. It
is the leading cause of maternal death worldwide, with the majority of deaths occurring in developing
countries. There was no literature that describes the recovery time of preeclampsia with severe feature
and its determinants in Ethiopia. Therefore, this study aimed to assess the recovery time from
preeclampsia with severe feature and its determinants in North Shoa Zone public Hospitals.
Objective: This study aimed to determine the time to recovery and its determinants among woman with
preeclampsia severe feature in North Shoa Zone public Hospitals Ethiopia, 2023
Methods: Institutional-based retrospective follow-up study was conducted in 668 women admitted with
preeclampsia with severe features from april 12, 2020–April 1st, 2023. Systematic random sampling
technique was used to select study participants. The data were collected by using an extraction tool from
chart review. The collected data were entered into Epi-data version 4.6 and exported to Stata version 14.
and Kaplan Meier curve and log rank were used to estimate recovery time and to compare the probability
of survival time. Cox Proportional Hazard regression model was performed. Adjusted hazard ratio (AHR)
with a 95% confidence interval and p-values <0.05 was used to measure the strength of association.
Result: The median time to recovery was 6 days (IQR: 4-8 days).The recovery rate was 14.5 per 100
person per day and the overall recovery probability was 4.14% (95%CI: 0.02,0.06). Referral status
AHR:1.67 (95%CI: (1.34,2.12), magnesium sulphate AHR: 2.5 (95% CI: 1.38, 4.60), hydralazine` AHR:
0.50 (95% CI: 0.40, .64), age > 25 years AHR: 1.93 ) and presence of ANC follow up AHR: 2.33 (95%
CI (1.67, 3.25) were statistically significant determinant to recovery of preeclampsia with severe feature.
Conclusion: The median recovery time from pre eclamptia severe features among eclamptic mothers in
North Shoa Zone Hospitals was 6 days. It is affected by age, referral status, antihypertensive
anticonvusant drug and presence of ANC follow up. Special attention to the availablility of essential
drugs (antihypertensive and anticonvulsant), ANC follow up and timely referral system is recommended
in this follow up study.
Key words: Pre-eclampsia, Time to recovery, north shoa , Ethiopia
