{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T10:12:58Z","timestamp":1793873578849,"version":"4.6.1"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"DOI":"10.1186\/s12884-025-08059-0","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T13:02:46Z","timestamp":1756213366000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Admission pattern and outcome of hypertensive disorders of pregnancy: a retrospective study of admitted cases at the Princess Christian Maternity Hospital in Freetown, Sierra Leone"],"prefix":"10.1186","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2603-9989","authenticated-orcid":false,"given":"Ahmed","family":"Vandy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8605-3407","authenticated-orcid":false,"given":"Michael","family":"Lahai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abibatu Rahman","family":"Bangura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6831-6848","authenticated-orcid":false,"given":"Alvin","family":"Turay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6057-7344","authenticated-orcid":false,"given":"Onome T.","family":"Abiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene","family":"Conteh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5949-7960","authenticated-orcid":false,"given":"Marie I.","family":"Kolipha-Kamara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7012-7167","authenticated-orcid":false,"given":"Foday","family":"Marah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Princess A.","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0226-841X","authenticated-orcid":false,"given":"Augustus","family":"Osborne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2179-6365","authenticated-orcid":false,"given":"Don Eliseo III","family":"Lucero-Prisno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"issue":"4","key":"8059_CR1","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1016\/j.bpobgyn.2011.04.002","volume":"25","author":"T Firoz","year":"2011","unstructured":"Firoz T, Sanghvi H, Merialdi M, Von Dadelszen P. Pre-eclampsia in low and middle income countries. Best Pract Res Clin Obstet Gynaecol. 2011;25(4):537\u201348.","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"issue":"4","key":"8059_CR2","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1161\/HYPERTENSIONAHA.116.08706","volume":"69","author":"U Vivian Ukah","year":"2017","unstructured":"Vivian Ukah U, Payne B, Lee T, Magee LA, Von Dadelszen P. External validation of the fullpiers model for predicting adverse maternal outcomes in pregnancy hypertension in low- and middle-income countries. Hypertension. 2017;69(4):705\u201311. https:\/\/doi.org\/10.1161\/HYPERTENSIONAHA.116.08706.","journal-title":"Hypertension"},{"issue":"1","key":"8059_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12884-021-03809-2","volume":"21","author":"W Wang","year":"2021","unstructured":"Wang W, Xie X, Yuan T, Wang Y, Zhao F, Zhou Z, et al. Epidemiological trends of maternal hypertensive disorders of pregnancy at the global, regional, and National levels: a population-based study. BMC Pregnancy Childbirth [Internet]. 2021;21(1):1\u201310. https:\/\/doi.org\/10.1186\/s12884-021-03809-2.","journal-title":"BMC Pregnancy Childbirth [Internet]"},{"key":"8059_CR4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0286287","author":"S Das","year":"2023","unstructured":"Das S, Maharjan R, Bajracharya R, Shrestha R, Karki S, Das R, et al. Pregnancy outcomes in women with gestational hypertension and preeclampsia at Paropakar maternity and women\u2019s hospital, nepal: a retrospective study. PLoS ONE. 2023. https:\/\/doi.org\/10.1371\/journal.pone.0286287.","journal-title":"PLoS ONE"},{"key":"8059_CR5","unstructured":"World Health Organization. WHO recommendations on drug treatment for non-severe hypertension in pregnancy. World Health Organization; 2020 [cited 2024 Jan 21]. Available from: https:\/\/www.who.int\/publications\/i\/item\/9789240008793"},{"issue":"1","key":"8059_CR6","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1186\/s12884-021-03874-7","volume":"21","author":"N Stitterich","year":"2021","unstructured":"Stitterich N, Shepherd J, Koroma MM, Theuring S. Risk factors for preeclampsia and eclampsia at a main referral maternity hospital in freetown, Sierra leone: a case-control study. BMC Pregnancy Childbirth. 2021;21(1):413.","journal-title":"BMC Pregnancy Childbirth"},{"key":"8059_CR7","unstructured":"World Bank. Maternal mortality ratio (modeled estimate, per 100,000 live births) - Sierra Leone | Data [Internet]. 2023 [cited 2024 Apr 11]. Available from: https:\/\/data.worldbank.org\/indicator\/SH.STA.MMRT?locations=SL"},{"key":"8059_CR8","unstructured":"Ministry of Health and Sanitation. SIERRA LEONE NATIONAL RMNCAH, strategy 2017 TO. 2021 [Internet]. 2017 [cited 2025 Jan 11]. Available from: https:\/\/portal.mohs.gov.sl\/wp-content\/uploads\/2021\/04\/final-rmncah-strategy_may-2017-_word-doc.pdf"},{"issue":"1","key":"8059_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12884-017-1575-2","volume":"17","author":"K Adu-Bonsaffoh","year":"2017","unstructured":"Adu-Bonsaffoh K, Ntumy MY, Obed SA, Seffah JD. Perinatal outcomes of hypertensive disorders in pregnancy at a tertiary hospital in Ghana. BMC Pregnancy Childbirth. 2017;17(1):1\u20137. https:\/\/doi.org\/10.1186\/s12884-017-1575-2.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"8059_CR10","doi-asserted-by":"publisher","first-page":"120","DOI":"10.3109\/10641955.2010.525280","volume":"31","author":"BO Olusanya","year":"2012","unstructured":"Olusanya BO, Solanke OA. Perinatal outcomes associated with maternal hypertensive disorders of pregnancy in a developing country. Hypertens Pregnancy. 2012;31(1):120\u201330. https:\/\/doi.org\/10.3109\/10641955.2010.525280.","journal-title":"Hypertens Pregnancy"},{"issue":"5","key":"8059_CR11","doi-asserted-by":"publisher","first-page":"384","DOI":"10.4103\/0300-1652.140377","volume":"55","author":"S Singh","year":"2014","unstructured":"Singh S, Ahmed EB, Egondu SC, Ikechukwu NE. Hypertensive disorders in pregnancy among pregnant women in a Nigerian teaching hospital. Niger Med J. 2014;55(5):384.","journal-title":"Niger Med J"},{"issue":"8","key":"8059_CR12","doi-asserted-by":"publisher","first-page":"e0256520","DOI":"10.1371\/journal.pone.0256520","volume":"16","author":"DD Jaleta","year":"2021","unstructured":"Jaleta DD, Gebremedhin T, Jebena MG. Perinatal outcomes of women with hypertensive disorders of pregnancy in Jimma medical center, Southwest ethiopia: retrospective cohort study. PLoS ONE. 2021;16(8):e0256520. https:\/\/doi.org\/10.1371\/journal.pone.0256520.","journal-title":"PLoS ONE"},{"key":"8059_CR13","unstructured":"Directorate of Reproductive and Child Health. Government of Sierra Leone Ministry of Health and Sanitation National Protocols and Guidelines for Emergency Obstetric and Newborn Care Government of Sierra Leone Ministry of Health and Sanitation [Internet]. 2018 [cited 2025 Jun 4]. Available from: https:\/\/mohs2017.wordpress.com\/wp-content\/uploads\/2018\/04\/sl-emonc-protocols-and-guidelines-a4-final.pdf"},{"key":"8059_CR14","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/208043","author":"G Endeshaw","year":"2015","unstructured":"Endeshaw G, Berhan Y. Perinatal outcome in women with hypertensive disorders of pregnancy: a retrospective cohort study. Int Sch Res Notices. 2015. https:\/\/doi.org\/10.1155\/2015\/208043.","journal-title":"Int Sch Res Notices"},{"issue":"5","key":"8059_CR15","doi-asserted-by":"publisher","first-page":"409","DOI":"10.5001\/omj.2018.75","volume":"33","author":"AH Subki","year":"2018","unstructured":"Subki AH, Algethami MR, Baabdullah WM, Alnefaie MN, Alzanbagi MA, Alsolami RM, et al. Prevalence, risk factors, and fetal and maternal outcomes of hypertensive disorders of pregnancy: a retrospective study in Western Saudi Arabia. Oman Med J [Internet]. 2018;33(5):409.","journal-title":"Oman Med J [Internet]"},{"issue":"1","key":"8059_CR16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13104-019-4161-z","volume":"12","author":"MF Melese","year":"2019","unstructured":"Melese MF, Badi MB, Aynalem GL. Perinatal outcomes of severe preeclampsia\/eclampsia and associated factors among mothers admitted in Amhara region referral hospitals, North West ethiopia, 2018. BMC Res Notes. 2019;12(1):1\u20136. https:\/\/doi.org\/10.1186\/s13104-019-4161-z.","journal-title":"BMC Res Notes"},{"issue":"6","key":"8059_CR17","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1016\/j.cjco.2022.02.008","volume":"4","author":"LM Shah","year":"2022","unstructured":"Shah LM, Kwapong YA, Boakye E, Ogunwole SM, Bennett WL, Blumenthal RS, et al. Racial disparities in prevalence of gestational diabetes by maternal nativity and length of US residence in an urban low-income population in the united States. CJC Open. 2022;4(6):540\u201350.","journal-title":"CJC Open"},{"issue":"2","key":"8059_CR18","doi-asserted-by":"publisher","first-page":"e023791","DOI":"10.1161\/JAHA.121.023791","volume":"11","author":"NA Cameron","year":"2022","unstructured":"Cameron NA, Everitt I, Seegmiller LE, Yee LM, Grobman WA, Khan SS. Trends in the incidence of new-onset hypertensive disorders of pregnancy among rural and urban areas in the united states, 2007 to 2019. J Am Heart Association. 2022;11(2):e023791. https:\/\/doi.org\/10.1161\/JAHA.121.023791.","journal-title":"J Am Heart Association"},{"issue":"2","key":"8059_CR19","first-page":"117","volume":"22","author":"I Mbachu","year":"2013","unstructured":"Mbachu I, Udigwe G, Okafor C, Umeonunihu O, Ezeama C, Eleje G. The pattern and obstetric outcome of hypertensive disorders of pregnancy in nnewi, Nigeria. Niger J Med. 2013;22(2):117\u201322.","journal-title":"Niger J Med"},{"issue":"6","key":"8059_CR20","doi-asserted-by":"publisher","first-page":"170","DOI":"10.15406\/ogij.2017.06.00229","volume":"6","author":"C Sharma","year":"2017","unstructured":"Sharma C. Maternal & perinatal outcome in hypertensive disorders of pregnancy in a tertiary care hospital in Northern India. Obstet Gynecol Int J. 2017;6(6):170\u20134.","journal-title":"Obstet Gynecol Int J"},{"issue":"1","key":"8059_CR21","doi-asserted-by":"publisher","first-page":"e2142343","DOI":"10.1001\/jamanetworkopen.2021.42343","volume":"5","author":"SM Wheeler","year":"2022","unstructured":"Wheeler SM, Myers SO, Swamy GK, Myers ER. Estimated prevalence of risk factors for preeclampsia among individuals giving birth in the US in 2019. JAMA Netw Open. 2022;5(1):e2142343.","journal-title":"JAMA Netw Open"},{"issue":"6","key":"8059_CR22","doi-asserted-by":"publisher","first-page":"e0288079","DOI":"10.1371\/journal.pone.0288079","volume":"18","author":"EO Anto","year":"2023","unstructured":"Anto EO, Boadu WIO, Ansah E, Tawiah A, Frimpong J, Tamakloe VCKT, et al. Prevalence of preeclampsia and algorithm of adverse foeto-maternal risk factors among pregnant women in the central region of ghana: a multicentre prospective cross-sectional study. PLoS ONE. 2023;18(6):e0288079.","journal-title":"PLoS ONE"},{"issue":"1","key":"8059_CR23","doi-asserted-by":"publisher","first-page":"816","DOI":"10.1186\/s13104-015-1821-5","volume":"8","author":"PK Vata","year":"2015","unstructured":"Vata PK, Chauhan NM, Nallathambi A, Hussein F. Assessment of prevalence of preeclampsia from Dilla region of Ethiopia. BMC Res Notes. 2015;8(1):816.","journal-title":"BMC Res Notes"},{"issue":"11","key":"8059_CR24","first-page":"e31143","volume":"14","author":"B Khan","year":"2022","unstructured":"Khan B, Allah Yar R, Khakwani A, khan, Karim S, Arslan Ali H. Preeclampsia incidence and its maternal and neonatal outcomes with associated risk factors. Cureus. 2022;14(11):e31143.","journal-title":"Cureus"},{"issue":"1","key":"8059_CR25","first-page":"77","volume":"39","author":"AM Khedagi","year":"2021","unstructured":"Khedagi AM, Bello NA. Hypertensive disorders of pregnancy. Cardiol Clin. 2021;39(1):77\u201390.","journal-title":"Cardiol Clin"},{"issue":"12","key":"8059_CR26","doi-asserted-by":"publisher","first-page":"1778","DOI":"10.1111\/tmi.12606","volume":"20","author":"JL Browne","year":"2015","unstructured":"Browne JL, Vissers KM, Antwi E, Srofenyoh EK, Van der Linden EL, Agyepong IA, et al. Perinatal outcomes after hypertensive disorders in pregnancy in a low resource setting. Tropical Med Int Health. 2015;20(12):1778\u201386. https:\/\/doi.org\/10.1111\/tmi.12606.","journal-title":"Tropical Med Int Health"},{"issue":"1","key":"8059_CR27","doi-asserted-by":"publisher","first-page":"52","DOI":"10.4314\/sljbr.v14i1.8","volume":"14","author":"L Klootwijk","year":"2023","unstructured":"Klootwijk L, Charles E, Gessel B, Van. A baseline study assessing hypertension prevalence and management in five peripheral health units in Tonkolini district, Sierra Leone. Sierra Leone J Biomedical Res. 2023;14(1):52\u20138.","journal-title":"Sierra Leone J Biomedical Res"},{"issue":"1","key":"8059_CR28","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1186\/s12884-025-07340-6","volume":"25","author":"N Yaghobieh","year":"2025","unstructured":"Yaghobieh N, Tarrahi MJ, Amani R. Relationship between food insecurity and the risk of pregnancy-induced hypertension: a prospective cohort study. BMC Pregnancy Childbirth. 2025;25(1):318. https:\/\/doi.org\/10.1186\/s12884-025-07340-6.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"8059_CR29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/FM9.0000000000000212","volume":"6","author":"C Zhang","year":"2024","unstructured":"Zhang C, Guivarch C. Promoting healthy longevity should start young: a life course journey. Maternal-Fetal Med. 2024;6(1):1.","journal-title":"Maternal-Fetal Med"},{"issue":"5","key":"8059_CR30","doi-asserted-by":"publisher","first-page":"e9671","DOI":"10.2196\/mhealth.9671","volume":"6","author":"O Rivera-Romero","year":"2018","unstructured":"Rivera-Romero O, Olmo A, Mu\u00f1oz R, Stiefel P, Miranda ML, Beltr\u00e1n LM. Mobile health solutions for hypertensive disorders in pregnancy: scoping literature review. JMIR Mhealth Uhealth. 2018;6(5):e9671.","journal-title":"JMIR Mhealth Uhealth"},{"issue":"4","key":"8059_CR31","doi-asserted-by":"publisher","first-page":"2994","DOI":"10.3390\/ijerph20042994","volume":"20","author":"KJ Chang","year":"2023","unstructured":"Chang KJ, Seow KM, Chen KH. Preeclampsia: recent advances in predicting, preventing, and managing the maternal and fetal life-threatening condition. Int J Environ Res Public Health. 2023;20(4):2994.","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"8059_CR32","first-page":"199","volume":"12","author":"N O\u2019Gorman","year":"2016","unstructured":"O\u2019Gorman N, Nicolaides KH, Poon LCY. The use of ultrasound and other markers for early detection of preeclampsia. Women\u2019s Health. 2016;12(2):199\u2013207.","journal-title":"Women\u2019s Health"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-025-08059-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12884-025-08059-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-025-08059-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T16:42:44Z","timestamp":1757436164000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-025-08059-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,26]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["8059"],"URL":"https:\/\/doi.org\/10.1186\/s12884-025-08059-0","relation":{},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,26]]},"assertion":[{"value":"8 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 August 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare there are no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Ethical approval for this study was obtained from the Institutional Review Board of the College of Medicine and Allied Health with review number COMAHS\/IRB\/021-2024. The purpose of the research was explained to the hospital in-charge management team, and consent to use the patient\u2019s data for research and publication purposes was granted. The data obtained was treated with anonymity and confidentiality by not revealing patients\u2019 identifiable information and the data obtained was used only for the purpose of this study. We maintain ethical standards throughout the study, complying with the Helsinki Declaration on research.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"890"}}