TITLE:
Maternal and Perinatal Prognosis of Arterial Hypertension and Pregnancy in a Peripheral Health Center in Mali
AUTHORS:
Samaké Alou, Diarra Lasseny, Keita Mamadou, Haidara Dramane, Haidara Mamadou, Diallo Mamadou, Konaté Moussa, Maiga Mariam, MS Ag Med Elméhdi Elansari, Kassogue Djibril, Dao Seydou Zana, Samake Hawa, Konate Karim, Dembele Bertin, Coulibaly Moussa, Mariko Seydou, Colette Dohinnon
KEYWORDS:
Pregnancy, High Blood Pressure, Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.5,
May
29,
2024
ABSTRACT: Introduction: Maternal mortality constitutes a public health problem and its rate is an indicator of a country’s development. Among the causes of maternal and perinatal death, high blood pressure associated with pregnancy occupies a significant part. It represents 5% of direct maternal deaths. Objective: to study the maternal and perinatal prognosis of high blood pressure during pregnancy in the Tenenkou reference health center in Mali. Methodology: This was a descriptive, analytical and retrospective cross-sectional study over a period of twelve months from January 1, 2021 to December 31, 2021 and involving 144 cases of high blood pressure associated with pregnancy. Results: We obtained a frequency of 11.75%. The majority of patients 70.9% were aged between 20 - 35 years. The important risk factor found was young age. During our study, 46.5% of patients had performed at least one CPN and only 13.9% performed 04 CPN. Pre-eclampsia was the most common type of high blood pressure during pregnancy, i.e. 61.1%. Eclampsia and retroplacental hematoma were the most common maternal complications, respectively 27.8% and 11.1%. The most common fetal complications were premature births and fetal distress with 20.9% and 17.4% respectively. Conclusion: Hypertension associated with pregnancy still remains a major cause of maternal-fetal morbidity and mortality in our context where diagnosis is often late. The main clinical form was preeclampsia. Eclampsia and retroplacental hematoma were the most frequent maternal complications. Fetal complications were mainly prematurity and fetal distress.