JOURNAL OF LIAONING TECHNICAL UNIVERSITY
(NATURAL SCIENCE EDITION)
LIAONING GONGCHENG JISHU DAXUE XUEBAO (ZIRAN KEXUE BAN)
辽宁工程技术大学学报（自然科学版）
RISK FACTORS, OUTCOMES, NURSING KNOWLEDGE GAPS, AND EDUCATIONAL INTERVENTIONS IN HYPERTENSIVE DISORDERS OF PREGNANCY: A SCOOPING REVIEW
OLOYEDE, Gbeminiyi Tolani, SOWUNMI, Christiana Olanrewaju
Abstract
Hypertensive disorders of pregnancy (HDP) remain a significant global health challenge, contributing to maternal and neonatal morbidity and mortality. This scoping review examines the risk factors, maternal and neonatal outcomes, nursing knowledge gaps, and the effectiveness of educational interventions in managing hypertensive disorders of pregnancy. Specifically, the review identifies predictors of pregnancy-induced hypertension (PIH), assesses associated maternal and neonatal outcomes, evaluates nurses' knowledge and training gaps, and explores the impact of educational interventions on improving self-care practices among pregnant women. Following the PRISMA (2009) guidelines, a systematic literature search was conducted across PubMed, Embase, PsycINFO, CINAHL, Web of Science, and Google Scholar, focusing on studies published between 2019 and 2023. Boolean search strategies incorporating key terms related to hypertensive disorders were applied, and a rigorous selection process ensured the inclusion of relevant studies. Data extraction and synthesis were performed using structured tables and a narrative analysis approach. Findings highlight key risk factors, including maternal age, obesity, genetic predisposition, and pre-existing hypertension. PIH was associated with adverse outcomes such as preterm delivery, stillbirth, and increased caesarean section rates. Knowledge gaps among nurses were evident, underscoring the need for enhanced training. Educational interventions significantly improved self-care knowledge among pregnant women, with diverse teaching media proving effective. In conclusion, structured health education interventions and continuous nurse training are vital for mitigating hypertensive disorders in pregnancy. Future research should prioritise targeted interventions to reduce maternal and neonatal complications.
Keywords: Hypertensive disorders of pregnancy, Pregnancy-induced hypertension, Maternal and neonatal outcomes, Nursing education, Self-care interventions