Published: 2022-09-28

Effectiveness of health education on knowledge and perception about pregnancy induced hypertension among Princess Nourah Bint Abdulrahman University students, Saudi Arabia

Mzoon M. Bin Saedan, Wafa S. Alghamdi, Saja S. Alhammad, Raghad A. Aldawood, Huny M. Bakry, Howeida Abusalih


Background: Pregnancy induced hypertension is common complication that may lead to maternal, perinatal morbidity and mortality around world. Increasing women’s education will improve their health have which ultimately affect societies and economic levels. Aim was to measure effectiveness of health education on knowledge and perception regarding pregnancy induced hypertension among Princess Nourah Bint Abdulrahman university students.

Methods: Quasi-experimental study was conducted among 42 students at princess Nourah University. Hypertension related knowledge and perception were assessed pre-intervention and post-intervention using the same instrument. The health education program consisted of three sessions. This study was approved by Institutional Review Board (IRB) of Princess Nourah Bint Abdulrahman University. The students were divided into 21 intervention group and 21 control group.

Results: There was significant improvement in the total knowledge in both intervention and control groups by (p value =0.004 and 0.04 respectively). In addition, there was significant improvement in total perception for intervention group by (p value =0.00), while there was no statistical difference in control group. Results showed that health education improves both knowledge and perception of pregnancy induced hypertension. By increasing knowledge, poor outcomes could also be detected early, or maybe even avoided.

Conclusions: Health education intervention was effective in improving knowledge and perception of the intervention group.


Health education, Knowledge, Perception, Pregnancy induced hypertension, University students

Full Text:



Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. Am J Obstet Gynecol. 2000;183(1):S1-22.

Leeman L, Dresang LT, Fontaine P. Hypertensive disorders of pregnancy. Am Fam Phys. 2016;93(2):121-7.

Mammaro A, Carrara S, Cavaliere A, Ermito S, Dinatale A, Pappalardo EM, et al. Hypertensive disorders of pregnancy. J Prenat Med. 2009;3(1):1-5.

Centers for Disease Control and Prevention. High blood pressure during pregnancy sheet. Available from: pregnancy.htm. Accessed on 2 May 2021.

Kofi JO. Prevention and management of hypertension: a study on knowledge and attitudes of women of childbearing age. Central Ostrobothnia University of Applied Sciences. 2011.

Wallis AB, Saftlas AF, Hsia J, Atrash HK. Secular trends in the rates of preeclampsia, eclampsia, and gestational hypertension, United States, 1987-2004. Am J Hypertens. 2008;21(5):521-6.

Townsend R, O’Brien P, Khalil A. Current best practice in the management of hypertensive disorders in pregnancy. Integr Blood Press Control. 2016;9:79-94.

Ganjali M, Sepehri Z, Amjadi N, Bagheri S, Davoodi M. Knowledge, attitude and functioning toward pregnancy induced hypertension in pregnant women referred to health centers in Zabol, 2014. Indian J Forens Med Toxicol. 2017;11(2).

World Health Organization. Women and health: today’s evidence tomorrow’s agenda. World Health Organization. ‎2009‎. Available at: https://apps.who. int/iris/handle/10665/44168. Accessed on 2 May 2021.

World bank. Missed Opportunities: The High Cost of Not Educating Girls, 2016. Available from: Accessed on 4 May 2021.

Kevin M, Sullivan A. OpenEpi: Sample size for x-sectional, cohort, and clinical trials. 2018. Available at: SampleSize/SSCohort.htm. Accessed on 4 May 2021.

Ahmed SS, Helmy HK, Mohamed AA. Impact of a tailored intensive educational program upon preeclampsia on nurses’ knowledge at Beni-Suef City, Egypt. Int J Nurs Sci. 2017;7(4):79-83.

Ouasmani F, Engeltjes B, Rahou B, Belayachi O, Verhoeven C. Knowledge of hypertensive disorders in pregnancy of Moroccan women in Morocco and in the Netherlands: a qualitative interview study. BMC Pregnancy Childbirth. 2018;18(1):344.

Umar NJ, Afolayan JL, Emmanuel EA, Rejuaro FM, Onasoga OA, Ibitoye MB. Impact of health education on knowledge and access to delivery care services by women among Edu Local Government Area, Nigeria. J Community Med Health Educ. 2017;7(510):2161-0711.

Ejike DE, Ambrose B, Moses DA, Karimah MR, Iliya E, Sheu OS, et al. Determination, knowledge and prevalence of pregnancy-induced hypertension/eclampsia among women of childbearing age at Same District Hospital in Tanzania. Int J Med Med Sci. 2018;10(2):19-26.

Mbachu C, Dim C, Ezeoke U. Effects of peer health education on perception and practice of screening for cervical cancer among urban residential women in south-east Nigeria: a before and after study. BMC Womens Health. 2017;17(1):41.