Millogo RC Georges, Yam&eac
Introduction: Hypertension in pregnancy remains one of the leading causes of maternal and fetal morbidity and mortality worldwide. We aim to assess the prognostic pattern of hypertension (HPT)during pregnancy in the cardiology and obstetrics/gynaecology departments of Yalgado Ouédraogo University Hospital. Patients and methods: An observational cohort study was conducted from July 1st 2012 to March 31st 2013 in pregnant women with HPTwho consent to participate. Follow-up visits were monthly performed. Results: Overall 3247 pregnant women attended the Obstetrics/Gynaecology department and 312 were hypertensive. The prevalence of HPT during pregnancy was 9.6%. Study population comprised 126 patients who consented to participate in the study. Chronic HTP and preeclampsia accounted for 19% and 49.2 % of all cases respectively. The mean age was 29 ± 6.7 years. Antihypertensive drugs were used in 108 cases (85.7%). At least a bitherapy was found in 46 (36.5%). Cesarean section was the mode of delivery in 79 cases (62.7%). Blood pressure control was significantly higher in patients with new cases (gravidic HPT) compared to those with chronic hypertension over time. Eclampsia was observed in 19.8% and no maternal death occurred. Intrauterine fetal death and prematurity were found in 14.5% and 28.3% of fetuses. Proteinuria and hyperuricemia were associated with fetal complications. Conclusion: Hypertension in pregnancy remains a public health concern in developing countries. Efforts should be made to strengthen and promote maternal and perinatal heath care.