Calcium Supplementation For The Prevention Of Pregnancy Induced Hypertension/Preeclampsia

Authors

  • K.I. Omonua
  • G.O. Akaba
  • A.Y. Isah
  • R.A. Offiong
  • B.A. Ekele

DOI:

https://doi.org/10.60014/pmjg.v6i2.118

Keywords:

Calcium supplementation, Pregnancy induced hypertension, Preeclampsia, Preterm delivery, Nigeria

Abstract

Background: Pregnancy induced hypertension (PIH) and preeclampsia (PE) contribute significantly to maternal and perinatal morbidity and mortality. The role of calcium supplementation towards preventing PIH/PE however remains unclear.
Objective: To assess the efficacy of calcium supplementation in prevention of PIH and PE. 
Materials and methods: An open label, randomized controlled trial conducted at the antenatal clinic of University of Abuja Teaching Hospital between July 2014 and June 2015. A total of 484 nulliparous women 16 weeks or less gestation and with normal blood
pressures were randomly assigned to either receive 1200mg of calcium tablet daily (N=242) or not to receive calcium tablets (N=242) from 16weeks until delivery. Primary outcome measure was development of PIH or PE and secondary outcome measure was preterm birth.
Results: The incidence of PIH was 7.7% among the intervention group compared to 13.7% in the control, p=0.039 and calcium supplementation reduced the risk of PIH (RR=0.56 (95% CI: 0.32-0.98)), but not PE. It also prolonged the duration of pregnancy in women who developed PIH (p=0.02). Incidence of preeclampsia was not significant, RR-0.56 (95% CI: 0.21-1.52) so also was the incidence of preterm delivery between the two groups (RR-0.65 (95% CI: 0.32-1.31)). No serious maternal side effects of treatment were recorded.
Conclusion: Calcium supplementation during pregnancy reduced the risk of PIH and thus may have a role in the prevention of PIH amongst nulliparous women. Its role in the absolute prevention of PE was not demonstrated in this study.

Author Biographies

K.I. Omonua

College of Health Sciences, Department of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Abuja, Nigeria

G.O. Akaba

College of Health Sciences, Department of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Abuja, Nigeria

A.Y. Isah

College of Health Sciences, Department of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Abuja, Nigeria

R.A. Offiong

Department of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Abuja, Nigeria

B.A. Ekele

College of Health Sciences, Department of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Abuja, Nigeria

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Published

2022-07-12

How to Cite

Omonua, K., Akaba, G., Isah, A., Offiong, R., & Ekele, B. (2022). Calcium Supplementation For The Prevention Of Pregnancy Induced Hypertension/Preeclampsia. Postgraduate Medical Journal of Ghana, 6(2), 70–76. https://doi.org/10.60014/pmjg.v6i2.118