Abstract
<title>Abstract</title> <p>Background Gestational hypertension is a leading cause of maternal and perinatal morbidity and mortality, particularly in low- and middle-income countries. Poor knowledge, inappropriate practices, and negative perceptions among pregnant women contribute significantly to delayed diagnosis and poor outcomes. Methods This study assessed the knowledge, practice, and perception of pregnant women in Nsukka, Enugu State, Nigeria, towards gestational hypertension and examined their association with selected sociodemographic factors. A descriptive cross-sectional study was conducted among 266 pregnant women attending antenatal care in selected primary health care centres and hospitals in Nsukka. Data were collected using a structured, self-administered questionnaire covering sociodemographic characteristics, knowledge, practice, and perception of gestational hypertension. Data were analysed using IBM SPSS version 27. Descriptive statistics summarized variables, while chi-square tests assessed associations at a significance level of p < 0.05. Results The mean age of respondents was predominantly 20–30 years (63.9%), with most in the second or third trimester (86.0%). Approximately 80% of respondents demonstrated poor knowledge of gestational hypertension, particularly regarding its definition and causes. Despite this, the majority exhibited fair practices and positive perceptions, with 96% reporting willingness to seek hospital care when symptoms occurred. Educational level was significantly associated with practice (χ² = 5.266, p = 0.045). Perception was significantly associated with level of education (χ² = 9.458, p = 0.009), occupation (χ² = 12.933, p = 0.005), gestational age (χ² = 6.325, p = 0.042), and parity (χ² = 6.319, p = 0.042). Conclusion Pregnant women in Nsukka demonstrated poor knowledge but fair practices and positive perceptions towards gestational hypertension. Strengthening antenatal health education, with emphasis on improving knowledge and correcting misconceptions, is essential to reduce maternal and fetal complications.</p>