{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,17]],"date-time":"2025-05-17T04:03:28Z","timestamp":1747454608936,"version":"3.40.5"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"unspecified","delay-in-days":135,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1463423625000350_as1\">\n\t    <jats:title>Aim:<\/jats:title>\n\t    <jats:p>The purpose of this study was to report on the prevalence of hypertension and anaemia, and types of medications prescribed to expectant mothers attending antenatal clinics at Intermediate Hospital Katutura in Windhoek, Namibia.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000350_as2\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>Millennium Development Goals 4 and 5 speak to reduction of child mortality and improvement of maternal health by 2015, respectively. Gestational hypertension is a major contributor to maternal and perinatal mortality and is reported to affect up to 10% of women world-wide. Prevalence of anaemia among pregnant women is reported higher in low- and middle-income countries than in developed countries.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000350_as3\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>This was a cross-sectional study involving the review of outpatient and clinic health records for patients attending antenatal clinics at Intermediate Hospital Katutura, Windhoek during October to November 2022. Data for patients on first antenatal clinic visit were obtained from facility antenatal clinic patient registers while that of follow-up patients were from patient health passports. All expectant mothers over 18 years of age who had provided written consent to participate, were included. Data collected were: age, body weight, haemoglobin concentration, blood pressure, gravida, number of babies delivered, pregnancy stage, comorbidities, and prescribed medications. The results were summarised using descriptive statistics. A p-value &lt;0.05 is considered to be statistically significant.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000350_as4\">\n\t    <jats:title>Findings:<\/jats:title>\n\t    <jats:p>354 records were included: 303 (85.6%) first visit, and 51 follow-up (14.4%). There was a significant correlation between systolic blood pressure (BP) and body weight (r = 0.31, p &lt; 0.001). 13.5% of first-time visitors had haemoglobin levels lower than the normal range (11 g\/dL). Difference in haemoglobin levels between trimesters 1 and 3 were significant (p &lt; 0.001). Methyldopa was prescribed for all hypertensive expectant mothers. To reduce the incidences of anaemia and hypertension during pregnancy, women of childbearing age should be encouraged to attend antenatal visits earlier in pregnancy and to take measures for body weight reduction, respectively.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1463423625000350","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T07:55:19Z","timestamp":1747382119000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Comorbidities and prescribed medications in expectant mothers attending antenatal clinic: a cross-sectional study in Windhoek, Namibia"],"prefix":"10.1017","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5663-522X","authenticated-orcid":false,"given":"Bonifasius Siyuka","family":"Singu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Maketo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"Siwombe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"S1463423625000350_ref28","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03071-y"},{"key":"S1463423625000350_ref24","unstructured":"National Institute for Health and Care Excellence. (2023) Hypertension in pregnancy: diagnosis and management. [Internet]. Available from: http:\/\/www.nice.org.uk\/guidance\/cg107. Accessed 31 October 2024."},{"key":"S1463423625000350_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-16963-3"},{"key":"S1463423625000350_ref17","first-page":"745","volume-title":"Goodman and Gilman\u2019s The Pharmacological Basis of Therapeutics","author":"Michel","year":"2018"},{"key":"S1463423625000350_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-2738-0"},{"key":"S1463423625000350_ref20","unstructured":"Ministry of Health and Social Services. (2014) Namibia: Demographic and Health Survey 2013 [Internet]. Available from: https:\/\/dhsprogram.com\/pubs\/pdf\/FR298\/FR298.pdf"},{"key":"S1463423625000350_ref23","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0171136"},{"key":"S1463423625000350_ref5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001373"},{"key":"S1463423625000350_ref21","unstructured":"Ministry of Health and Social Services. (2014) Report of the Prevalence and Contributing Factors of Facility-Based Maternal and Neonatal Deaths in Five Regions of Namibia [Internet]. Available from: http:\/\/search.ebscohost.com\/login.aspx?direct=true&db=buh&AN=9518668&site=ehost-live. Accessed 16 June 2024."},{"key":"S1463423625000350_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0605-5"},{"key":"S1463423625000350_ref31","unstructured":"United Nations. SDGs Report (2023) [Internet]. The Sustainable development Goals Report 2023: Special Edition. 2023. p. 80. Available from: https:\/\/unstats.un.org\/sdgs\/report\/2023\/"},{"key":"S1463423625000350_ref19","unstructured":"Ministry of Health and Social Services. (2021) Namibia Standard Treatment Guidelines. First. Pharmaceutical Services Division, editor. Windhoek."},{"key":"S1463423625000350_ref25","unstructured":"National Institute for Health and Care Excellence. (2021) Antenatal care. [Internet]. Available from: www.nice.org.uk\/guidance\/ng201. Accessed 16 June 2024."},{"key":"S1463423625000350_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2020.10.035"},{"key":"S1463423625000350_ref22","doi-asserted-by":"crossref","first-page":"495","DOI":"10.3945\/ajcn.115.107896","article-title":"Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: systematic review and meta-analysis","volume":"103","author":"Mizanur","year":"2016","journal-title":"The American Journal of Clinical Nutrition"},{"key":"S1463423625000350_ref18","unstructured":"Ministry of Health and Social Services. (2000) Demographic and Health Survey Key Findings Namibia 2000."},{"key":"S1463423625000350_ref6","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12093211"},{"key":"S1463423625000350_ref12","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13020445"},{"key":"S1463423625000350_ref29","first-page":"e46617","article-title":"Interventions in maternal anaemia to reduce maternal mortality rate across India","volume":"15","author":"Totade","year":"2023","journal-title":"Cureus"},{"key":"S1463423625000350_ref32","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2022.2141312"},{"key":"S1463423625000350_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-023-03771-9"},{"key":"S1463423625000350_ref1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-46739-z"},{"key":"S1463423625000350_ref33","unstructured":"World Health Organization. (2016) New guidelines on antenatal care for a positive pregnancy experience. 2017 [Internet]. 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(2015) The Millennium Development Goals Report. United Nations. 72."}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423625000350","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T07:55:28Z","timestamp":1747382128000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423625000350\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":33,"alternative-id":["S1463423625000350"],"URL":"https:\/\/doi.org\/10.1017\/s1463423625000350","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e43"}}