Objectives: Study the prognostic, clinical and epidemiological profile of high blood pressure and pregnancy association at the Sylvanus Olympio Teaching Hospital (CHU Sylvanus Olympio) of Lomé. Patients and Method: It is about a retrospective study that is carried out at the gynecology-obstetrics unit from January to December 2016. Pregnant women with High Blood Pressure after delivery were concerned. Results: In total, 767 pregnant women with High Blood Pressure out of 12107 were taken. The frequency of HBP-pregnancy association was 6.33%. The 21 to 30 bracket age was the most represented (53.71%). The most common risk factor was the overweight or over-obseness (41.98%). Other risk factors were the first delivery and maternal age superior to 30 years old. Common clinical cases described in the study are the same as a predominance of preeclampsia. Caesarean has been the common method of delivering with foetal complications of prematurity type, neonatal suffering and hypotrophy. Conclusion: HBP-pregnancy association is a public health concern with serious foetal maternal complications. The prevention of this association is of great importance.
References
[1]
WHO (2013) Hypertension: The Basic Facts. A Global Brief on Hypertension. WHO, Geneva, 17-21.
[2]
Jadhav, V. and Waydande, S. (2016) A Study of Prevalence and Clinical Profile of the Patients Having Hypertensive Disorders of Pregnancy. The International Journal of Resent trends in Science & Technology, 21, 73-76.
[3]
American College of Obstetricians and Gynecologists (2002) Diagnosis and Management of Preeclampsia and Eclampsia ACOG Practice. Obstetrics and Gynecology, 99, 159-167. https://doi.org/10.1097/00006250-200201000-00028
[4]
(2000) Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. American Journal of Obstetrics & Gynecology, 183, S1-S22. https://doi.org/10.1067/mob.2000.107928
[5]
Sentilhes, L., Gillard, P., Biquard, F. and Deschamps, P. (2008) Hypertension et grossesse. In: Obstétrique pour le praticien, 5th Edition, Masson, Paris, 161-171.
[6]
Bah, A.O., Diallo, M.H., Diallo, A.A.S., Keita, N. and Diallo, M.S. (2000) Hypertension artérielle et grossesse: Aspects épidémiologiques et facteurs de risques. Médecine d’Afrique Noire, 47, 422-425.
[7]
Touré, I.A., Brah, F. and Prual, A. (1997) Hypertension artérielle et grossesse au Niger Etude cas/témoins à propos de 70 cas. Médecine d’Afrique Noire, 44, 205-208.
[8]
Attolou, V., Takpara, I. and Jetal, A. (1998) Les différents types d’HTA chez les femmes enceintes béninoises admise au CNHU de Cotonou. Cahiers d’études et de recherches Francophones/Santé, 8, 353-356.
[9]
Baragou, S., Goeh-Akue, E., Pio, M., Affassinou, Y.M. and Atta, B. (2014) Hypertension artérielle et grossesse à Lomé: Aspect épidémiologique diagnostic et facteurs de risque. Annales de cardiologie et d’Angéiologie, 3, 145-150. https://doi.org/10.1016/j.ancard.2014.05.006
[10]
Krzesinski, J.M. (1999) HTA et grossesse. Revue medicale de Liege, 54, 415-423.
[11]
Mounier-Vehier, C., Equine, O., Valat-Rigot, A.S., et al. (1999) Syndromes hypertensifs de la femme enceinte: Physiologie, définition et complications évolutives materno-foetales. La Presse médicale, 28, 880-885.
[12]
Couture, G. and Milot, A. (2002) Hypertension artérielle et grossesse. In: Société Québécoise d’hypertension artérielle, Guide thérapeutique, 2nd édition, 97-120.
[13]
(2000) Conférence d’experts. Réanimation des formes graves de préeclampsie (texte cours). Société francaise d’anesthési-réanimation (SFAR). Elsevier, Paris, 260 p.
[14]
Ducarme, G., Heernberger, S., Pharisien, I. and Carbillon, L. (2009) Eclampsie: Etude rétrospective de 16 cas. Gynécologie Obstétrique & Fertilité, 37, 11-17. https://doi.org/10.1016/j.gyobfe.2008.11.011
[15]
Mounier-Vehier, C., Madika, A.L., Boudghène-Stambouli, F., Ledieu, G., Delsart, P. and Tsatsaris, V. (2016) Hypertensions artérielles de la grossesse et devenir maternel. Presse Médicale, 45, 659-666. https://doi.org/10.1016/j.lpm.2016.05.017
[16]
Say, L., Chou, D., Gemmill, A., Tunçalp, Ö., Moller, A.-B., Daniels, J., et al. (2014) Global Causes of Maternal Death: A WHO Systematic Analysis. The Lancet Global Health, 2, 323-333. https://doi.org/10.1016/S2214-109X(14)70227-X