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Arterial Hypertension and Pregnancy about 72 Cases

World Journal of Cardiovascular Diseases 2023年第12期13卷 870-878页

作者： Solange Flore Ngamami Mongo Kivié Mou-Moué Ngolo Letomo Christian Michel Kouala Landa rode vaclair kibongui massinssa Rogue Pattern Bakekolo Franck Yannis Kouikani Bani Aloise Macaire Bertrand Fikahem Ellenga Mbolla Department of Cardiology B University Hospital of Brazzaville Brazzaville Republic of Congo Departement of Medecine Faculty of Health Sciences Marien Ngouabi University Brazzaville Republic of Congo Hô pital général de Loandjili Pointe Noire République du Congo

Background: Hypertension is the leading cause of cardiovascular disease worldwide. Hypertensive disorders in pregnancy also constitute a major global health threat. There are different types of hypertension that can occur during pregnancy;with different mechanisms and consequences for mother and fetus. Objectives: To determine the frequency of hypertension (hypertension) during pregnancy. Document the risk factors for pregnancy-related hypertension. Review the material and fetal complications which determine the prognosis. Methods and Patients: This was a retrospective cross-sectional study from January 1 to June 30, 2022 in the Obstetrics and Gynecology Department of the Brazzaville Hospital and University Center. We noted 72 cases of hypertension among 1188 births admitted during the reference period. Hypertension was defined as blood pressure 40/90mmHg. Results: Hypertension was observed in 6% of those giving birth. The average age of the patients was 28 ± 8 years (range 15 to 39 years). The age group of 15 to 34 years was the most affected, 56 cases (778%). The risk factors were young age (15 - 34 years), late transfer of women in labor, 49 cases (68%). Primiparity, 33 cases (45.8%), absence of prenatal consultation, 7 cases (9.7%), hypertension, 8 cases (11%), twinning, 4 cases (5%), fetal macrosomia, one case (1.3%). Maternal complications recorded were: 21 cases of eclampsia (29%), 6 cases of left ventricular failure (8.3%), 5 cases of anemia (6.9%), 2 cases of retroplacental hematoma (2.8%), 1 case of HELLP syndrome, as much renal failure. Fetal and neonatal complications were 23 cases of prematurity (32%), 10 cases of acute fetal distress (14%), 4 cases of hypotrophy (5.6%). Eleven cases of death (15.3%) were: 3 in utero. B in the neonatal period.

关键词： Hypertension Pregnancy Pre-Eclampsia Complications

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