Factor associated with progression to chronic arterial hypertension in women with preeclampsia in Yaoundé, Cameroon.
| Autor: | Amougou SN; Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.; University Teaching Hospital of Yaounde, Yaounde, Cameroon., Mbita SMM; Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon., Danwe D; Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon., Tebeu PM; University Teaching Hospital of Yaounde, Yaounde, Cameroon.; Department of Gynaecology and Obstetrics, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon. |
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| Jazyk: | angličtina |
| Zdroj: | The Pan African medical journal [Pan Afr Med J] 2019 Jul 15; Vol. 33, pp. 200. Date of Electronic Publication: 2019 Jul 15 (Print Publication: 2019). |
| DOI: | 10.11604/pamj.2019.33.200.16857 |
| Abstrakt: | Introduction: Hypertensive diseases in pregnancy are the leading medical problem during pregnancy. Some of the women affected remain hypertensive after pregnancy and the post-partum period. This study aimed to assess the factors associated to the persistence of hypertension after preeclampsia. Methods: This was a retrospective cohort study which included all women who had preeclampsia. The minimal follow-up period was 12 months. We excluded from the study all women who had superimposed preeclampsia. Sociodemographic data and past history were recorded and a physical exam was performed for all participants. Multivariate logistic regression was used to determine factors independently associated to the persistence of hypertension. Results: Our cohort consisted of 136 women. The mean follow-up period was 3.7 years. Thirty two women (23.53%) remained hypertensive. This represented an incidence rate of 2.85% per year. Old age (≥ 40 years), housewife occupation, multigravidity (> 4), onset of preeclampsia before 34 weeks' gestation, obesity and the presence of hypertension in siblings were factors independently associated to persistent hypertension. Conclusion: Many women affected by preeclampsia remain hypertensive after pregnancy. It is important to provide adequate follow-up for this patients in order to intervene on the factors leading to this outcome. Competing Interests: The authors declare no competing interests. (© Sylvie Ndongo et al.) |
| Databáze: | MEDLINE |
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