Abstract

Several risk factors including hypertension are common complications of pregnancy with preeclampsia

particularly associated with substantial risk to both the mother and fetus. This cross-sectional study

involving quantitative approach was conducted in Same District Hospital in Tanzania. Data were

collected from all pregnant women in the hospital using questionnaires. Respondents’ knowledge on

maternal mortality regarding preeclampsia included those who had no knowledge 60(60%), and those

who had knowledge 40(40%). Most of the respondents had no knowledge of maternal mortality due to

the complications of preeclampsia. The study revealed that 64(64%), had positive attitude towards

maternal mortality due to preeclampsia prevention while 36(36%) had no response. About 68(68%) of

the respondents could not access the health facilities saying that these health facilities were not

affordable citing that the distance was too long. They reported no health facilities and services as well

as insecurity while looking for health facilities/services and finally that there were few health workers in

the health facilities meaning that patients could not be attended to on time. Furthermore, health workers

harassed the patients and make them seek other alternatives when they are sick, while minority 32(32%)

said that the health facilities were accessible, affordable and efficient. Medical history during prenatal

care showed that 25% of the respondent had increased blood pressure more than 140/90 mmHg, but

only 10% had breath issues. Laboratory diagnosis of the respondents revealed increased proteinuria

(48%) and impaired liver function (7%). Respondents experienced 39% convulsion and 24% pulmonary

edema. Overall, the study identified a few predisposing factors to preeclampsia/eclampsia among

pregnant women. Also, most of the respondents were said to have no knowledge of eclampsia thereby

increasing maternal mortality.