Maternal risk in a pregnant woman with chronic arterial hypertension at the Kamenge university hospital center
Keywords:
chronic arterial hypertension, pregnant woman, maternal risk, risk factorAbstract
Objective: To determine the maternal risk in a pregnant woman with chronic arterial hypertension at the Kamenge university hospital center. Patients and methods: This was a retrospective descriptive and analytical study of pregnant women with chronic arterial hypertension recorded in the department of gynecology and obstetrics of the Kamenge University Hospital Center over a period of two years. Results: The frequency of chronic arterial hypertension was 0.71%. The mean age was 32.37±6.17 years and with extremes of 18 and 44 years. The age group between 30-40 years was the most affected with more than 50% of cases. The main cardiovascular risk factors were physical inactivity, obesity and diabetes in 33.87%, 25.81% and 20.97% of cases, respectively. The obstetric history was miscarriage, preeclampsia and fetal death in utero in 27.4%, 12.9% and 11.29% of cases, respectively. Maternal complications were present in 37.09%. Conclusion: Chronic arterial hypertension in pregnant women is common at the Kamenge University Hospital Center with a high rate of complications. The risk factors are cardiovascular (sedentary lifestyle, obesity, diabetes) and obstetrics (miscarriage, pre-eclampsia, death in utero).
References
Regitz-Zagrosek V, Lundqvist CB, Borghi C, Cifkova R, Ferreira R, Foidart JM et al. ESC Guidelines on the management of cardiovascular diseases during pregnancy: The Task Force on The Management of Cardiovascular Diseases during Pregnancy of European Society of Cardiology (ESC). European Heart Journal. 2011; 32 (24): 3147-97.
Thiam M, Goumbala M, Gning SB, Fall PD, Cellier C, Perret JL. Pronostic maternel et fœtal de l'association HTA et grossesse en Afrique Sub-saharienne. J.Gynecol-Obstet. et Biol. de la Reprod. 2003, 32(1): 35-38.
Mounier-Vehier C. Guidelines for management of arterial hypertension. J. Hypertension. 2007; 25:1105-87.
Sibai BM. Treatment of hypertension in pregnant women. N Engl J Med 1996;335:257-65.
Touré IA, Brah F, Prual A. Hypertension artérielle et grossesse au Niger: Etude cas/témoins à propos de 70 cas. Médecine d'Afrique Noire. 1997, 44 (4):205-8.
Soriano LC, Bateman BT, Garcia Rodriguez LA, Hernandez-Diaz S. Prescription of antihypertensive medication during pregnancy in UK. PDS. 2014; 23 (10): 3641.
Ben Salem K, Mhamdi SE, Ben Amor I, Sriha A, Letaief M, Soltani MS. aux Ages Extrêmes dans la Région de Monastir entre 1994-2003. LA Caractéristiques Epidémiologiques et Chronologiques des Parturientes TUNISIE MEDICALE 2010; Vol 88 (n°08): 563-568.
Khoshnood IB, Bouvier-Colle ΜΗ, Leridon H, Blondel B. Impact de l'âge maternel élevé sur la fertilité, la santé de la mère et la santé de l'enfant. Journal de Gynécologie Obstétrique et Biologie de la Reproduction. 2008; 37 (8): 733-747.
Bah AO, Diallo MH, Diallo AAS, Keita N, Diallo MS. Hypertension artérielle et grossesse: Aspects épidémiologiques et facteurs de risques. Med Afr Noire. 2000; 47 (10).
Fourcade L, Paule P, Mafart B. hypertension artérielle en Afrique subsaharienne: actualités et perspectives. Med Trop. 2007; 67: 559-567.
De Plaen JF. Hypertension artérielle et grossesse. Louvain Med. 2000, 119:S2-S5.
Bah AO, Diallo MH, Condé AM, Keita N. Hypertension artérielle et grossesse : mortalité maternelle et périnatale. Med Afr Noire. 2001, 48, 461-4.
Fournier A. Principales complications de la grossesse: Hypertension artérielle gravidique-Syndrome pré éclamptique. La revue du praticien. 2002; 52: 1345-1352.
Ness RB, Markovic N, Bass D, Harger G, Roberts JM. Family history of hypertension, heart disease, and stroke among women who develop hypertension in pregnancy. Obstetric & Gynecol. 2003; 102(6): 1366-1371.
Hohlfeld P, Marty F, De Grandi P, Meyer S, Schreier A, Hohlfeld P. Hypertension artérielle. In:Obstétrique. Paris: Lavoisier. 2012: 65-81.
Collège universitaire des Enseignants de Néphrologie. Les HTA de la grossesse/ http://www.cuen.fr/consultée le 07 décembre 2020.
