Knowledge on Hospital Discharge Information Among Patients With Hypertensive Disorders in Pregnancy at a Tertiary Hospital in Tanzania

Document Type



Obstetrics and Gynaecology (East Africa)



Hypertensive disorders in pregnancy (HDP) are one of the leading causes of the persistently high maternal mortality ratio in Tanzania. Complications of HDP can occur during pregnancy, delivery or postpartum period hence prevention of these partly depends on the patient’s understanding of information given during discharge from hospitals. The aim of this study was to assess the knowledge of vital information given to patients at the time of discharge.


A cross-sectional study was carried out at Muhimbili National Hospital in Dar es Salaam, Tanzania from September to November 2020. Exit face-to-face interviews were conducted among 422 women treated for HDP who were conveniently recruited at the time of discharge. A Swahili translated structured questionnaire adapted from World Health Organization (WHO), California Medical Quality Care Collaborative tool kit (CMQCC) and previous studies was used to collect data. The questionnaire consisted of 4 domains; knowledge on postpartum danger signs, diagnosis, medication, and follow-up plan. A score of at least half or more of the maximum score in each domain were dened as adequate knowledge. Data collected was analyzed using Statistical Package for Social Sciences (SPSS) version 23.0. Descriptive statistics, chi-square test and logistic regression was used to determine factors that strongly affect the knowledge on discharge information. The results were expressed as Odds Ratio (OR), with statistically signicant level at p<0.05.


Seventy-three percent of women with HDP had adequate knowledge on the hospital discharge information. Furthermore, 79% of women had adequate knowledge on postpartum danger signs, 77% in diagnosis, 87% in prescribed medications and 92% in follow up plan. Women who were married, employed, with higher level of education, booked ANC at an early gestational age of less than four months and had more than four ANC visits were more likely to have adequate knowledge on hospital discharge information.

Conclusion: Most women with HDP had an adequate knowledge on their discharge information. As observed from our study, most women were in the younger age group and primiparous. Greater emphasis and a more tailored education should be given to these women due to high rate of recurrence of HDP in subsequent pregnancies.

Publication (Name of Journal)

Research Square



Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.