Hypertension in Pregnancy at the Teaching Hospital of Yalgado Ou?draogo, Burkina Faso

Georges, Millogo RC

doi:10.4172/2167-1095.1000199

Cited by 5 publications

(10 citation statements)

References 29 publications

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“… 37 , 40 , 41 Some studies used international organization diagnostic criteria (e.g. European Society of Hypertension and WHO standard), 42 – 44 while eclampsia was also diagnosed based on the presence of hypertension/preeclampsia and convulsion in others. 45 – 49 Since we retained the aforementioned studies, their effect on heterogeneity of meta-analysis was seen during subgroup and sensitivity analysis.…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of the cross-sectional, 9 , 35 , 36 , 40 , 42 , 46 – 89 prospective, or retrospective cohort and longitudinal studies 5 , 10 , 37 – 39 , 41 , 90 – 103 ...…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of the cross-sectional, 9,35,36,40,42, prospective, or retrospective cohort and longitudinal studies 5,10,[37][38][39]41,[90][91][92][93][94][95][96][97][98][99][100][101][102][103] included in this review from 19 Sub-Saharan African countries are summarized in Table 1. The majority of studies were conducted in Nigeria, Ethiopia, and Tanzania, which are 21, 16, and 6, respectively.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Prevalence of hypertensive disorders of pregnancy and pregnancy outcomes in Sub-Saharan Africa: A systematic review and meta-analysis

Gemechu

Assefa

Mengistie

2020

Womens Health (Lond Engl)

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Hypertensive disorders of pregnancy are one of the leading causes of poor pregnancy outcomes and are associated with increased rates of maternal mortality, preterm birth, small for gestational age newborns, stillbirth, and neonatal death. The overall and type-specific prevalence of hypertensive disorders of pregnancy and associated pregnancy outcomes are unknown in Sub-Saharan Africa. Therefore, this review aimed to identify the prevalence of hypertensive disorders of pregnancy and associated pregnancy outcomes in Sub-Saharan Africa. A systematic review and meta-analysis were conducted on observational facility-based studies irrespective of publication status, sample size, language, and follow-up duration from 19 countries between the years 2000 and 2018 in Sub-Saharan Africa. A review of studies using PubMed, EMBASE, African Index Medicus, and African Journals Online was completed with independent extraction of studies by review authors using the predefined inclusion criteria. Quality and risk of bias of individual studies were assessed using the Joanna Briggs Institute Checklist. Random effects model was used to estimate the pooled prevalence of hypertensive disorders of pregnancy and type-specific hypertensive disorders of pregnancy. A pooled adjusted odds ratio with 95% confidence interval for each study was calculated using comprehensive meta-analysis version 2 software to estimate the association of hypertensive disorders of pregnancy and its outcomes. The existence of heterogeneity was assessed using I2 and its corresponding P value. We assessed the presence of publication bias using the Egger’s test. Subgroup analysis was performed to assess the potential effect of variables, and a sensitivity analysis was conducted to assess any undue influence from studies. The analysis included 70 studies. The pooled prevalence of hypertensive disorders of pregnancy (all types combined), chronic hypertension, gestational hypertension, preeclampsia, and eclampsia were 8% (95% confidence interval = [5, 10]), 0.9% (95% confidence interval = [0.4, 1.8]), 4.1% (95% confidence interval = [2.4, 7]), 4.1% (95% confidence interval = [3.2, 5.1]), and 1.5% (95% confidence interval = [1, 2]), respectively. Compared with normotensive pregnant or postpartum women, women with hypertensive disorders of pregnancy were associated with increased risk of maternal mortality, odds ratio = 17 (95% confidence interval = [9.6, 28.8]); cesarean section, odds ratio = 3.1 (95% confidence interval = [1.7, 5.6]); perinatal mortality, odds ratio = 8.2 (95% confidence interval = [2.8, 24]); low birth weight, odds ratio = 3.2 (95% confidence interval = [2, 5]); and preterm delivery, odds ratio = 7.8 (95% confidence interval = [2.5, 25.3]) according to this analysis. The pooled prevalence of hypertensive disorders of pregnancy was high in Sub-Saharan Africa compared to those reported from other regions. Pregnant or postpartum women with hypertensive disorders of pregnancy have increased risk of maternal mortality, cesarean section, preterm delivery, perinatal mortality, and low birth weight newborn. Therefore, creating awareness of the risks of hypertensive disorders of pregnancy is essential. Pregnant women with hypertensive disorders need due attention to manage appropriately and more importantly to have favorable outcomes in this population.

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Section: Resultsmentioning

confidence: 99%

“…The characteristics of the cross-sectional, 9 , 35 , 36 , 40 , 42 , 46 – 89 prospective, or retrospective cohort and longitudinal studies 5 , 10 , 37 – 39 , 41 , 90 – 103 ...…”

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of hypertensive disorders of pregnancy and pregnancy outcomes in Sub-Saharan Africa: A systematic review and meta-analysis

Gemechu

Assefa

Mengistie

2020

Womens Health (Lond Engl)

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“…The mean received divided dose was 3.26 ± 1.78 doses. In a study by Georges et al, 49.2% of subjects used only 1 antihypertensive drug, and 36.5% of subjects were treated with at least 2 drugs (24).…”

Section: Discussionmentioning

confidence: 95%

“…Georges et al observed eclampsia in 19.8% of mothers and no cases of maternal mortality. Intrauterine fetal death (IUFD) and premature infants were observed in 14.5% and 28.3% of cases, respectively (24).…”

Section: Discussionmentioning

confidence: 99%

Correlation Between Divided Doses of Chronic Antihypertensive Drugs and Pregnancy Outcomes

Dehno

Taghavi

Ayati

2017

International Journal of Women’s Health and Reproduction Scienc

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Objectives: Hypertension, as a common problem during pregnancy, is a major cause of maternal and fetal morbidity and mortality. Anti-hypertensive drugs are used to prolong the pregnancy or modify perinatal outcomes in pregnant women with hypertensive disorders. Severe monitoring of blood pressure is subsequently essential in these mothers. The aim of this study was to evaluate the correlation between divided doses of chronic hypertensive drugs and the end of pregnancy in mothers with gestational hypertension. Materials and Methods: In this prospective research, 99 pregnant women with chronic hypertension, who were treated with antihypertensive medicines, were studied during pregnancy. During routine follow-up of these mothers, the number of the drug and the divided doses were recorded. The incidence of maternal and fetal outcomes were evaluated according to the number of less or more than 5 divided doses. Results: Maternal and fetal-baby complications were observed in 5.50 and 5.53% cases, respectively. The incidence of maternal and fetal complications were significantly enhanced by increasing the number of up-taken anti-hypertensive drugs. The maternal and fetal-baby complications were higher in mothers who received more than five divided doses compared to those who received less than five doses. Conclusion: Based on our results, chronic hypertension was associated with maternal and fetal-baby complications in half of the cases. It is clarified that precise blood pressure monitoring and regularly taking of anti-hypertensive medicine may decrease the hypertension side effects. The awareness about this field in the pre-pregnancy consulting is considered as the patients’ rights and should be respected.

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Low prevalence of high blood pressure in pregnant women in Burkina Faso: a cross-sectional study

Garanet

Samadoulougou

Baguiya

et al. 2022

BMC Pregnancy Childbirth

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Background High blood pressure (HBP) during pregnancy causes maternal and fetal mortality. Studies regarding its prevalence and associated factors in frontline level health care settings are scarce. We thus aimed to evaluate the prevalence of HBP and its associated factors among pregnant women at the first level of the health care system in Burkina Faso. Methods This cross-sectional study was conducted in six health facilities between December 2018 and March 2019. HBP was defined as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg. Multivariable logistic regression analysis was performed to identify factors associated with HBP. Results A total of 1027 pregnant women were included. The overall prevalence of HBP was 1.4% (14/1027; 95% confidence interval [CI] 0.7–2.3), with 1.6% (7/590; 95% CI 0.8–3.3) in rural and 1.2% (7/437; 95% CI 0.6- 2.5) in semi-urban areas. The prevalence was 0.7% (3/440; 95% CI 0.2–2.1) among women in the first, 1.5% (7/452; 95% CI 0.7–3.2) in the second and 3% (4/135; 95% CI 1.1–7.7) in the third trimester. In the multivariable analysis, pregnancy trimester, maternal age, household income, occupation, parity, and residential area were not associated with HBP during pregnancy. Conclusion The prevalence of HBP among pregnant women at the first level of health system care is significantly lower compared to prevalence’s from hospital studies. Public health surveillance, primary prevention activities, early screening, and treatment of HDP should be reinforced in all health facilities to reduce the burden of adverse pregnancy outcomes in Burkina Faso.

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Hypertension in Pregnancy at the Teaching Hospital of Yalgado Ou?draogo, Burkina Faso

Cited by 5 publications

References 29 publications

Prevalence of hypertensive disorders of pregnancy and pregnancy outcomes in Sub-Saharan Africa: A systematic review and meta-analysis

Prevalence of hypertensive disorders of pregnancy and pregnancy outcomes in Sub-Saharan Africa: A systematic review and meta-analysis

Correlation Between Divided Doses of Chronic Antihypertensive Drugs and Pregnancy Outcomes

Low prevalence of high blood pressure in pregnant women in Burkina Faso: a cross-sectional study

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