Abstract
BACKGROUND: Hypertensive disorders during pregnancy (HDP) pose significant risks globally. Adequate knowledge of HDP aids in prevention. This study aimed to assess knowledge, attitude, and practice towards preventing hypertension among pregnant women attending antenatal care at Muhima District Hospital in Kigali city. METHODOLOGY: Altogether, 384 pregnant women receiving antenatal care at Muhima Hospital were surveyed to obtain their knowledge, attitudes, and practices regarding hypertension prevention. A descriptive cross-section study was used; a bivariate and multivariate analysis with odds ratios (OR) and 95% confidence intervals were calculated to investigate associations with preventive practices. RESULTS: The participants' ages ranged from 18 to 45 with a mean of 32.4(SD±.838). Majority were in the age range of 32-38 years. 291 (75.8%) had low knowledge about preventing hypertension, and 226 (58.9%) had negative attitudes toward hypertension prevention among pregnant women. Additionally, 226(58.9%) exhibited low preventive practices. Multivariate logistic regression revealed that higher education (AOR=6.79; 95%CI: 2.02 - 22.93), third wealth category (AOR=3.34: 95%CI: 1.72 - 6.49), and higher knowledge (AOR=2.18: 95 %CI: 1.25 - 3.80) were associated with hypertension prevention practices. CONCLUSION: These findings highlight the need for targeted education on hypertension prevention for pregnant women. Prioritizing educational programs can improve knowledge and proactive healthcare practices.