%0 Journal Article
%T High Blood Pressure and Pregnancy: Epidemiological, Diagnostic, Therapeutic and Prognostic Aspects at the Maternity Unit of the Institute of Social Hygiene of Dakar (Senegal)
%A Mouhamadou Mansour Niang
%A Fatou Samb
%A Kevin Nkondjio
%A Cheikh Tidiane Cisse
%J Advances in Reproductive Sciences
%P 140-150
%@ 2330-0752
%D 2023
%I Scientific Research Publishing
%R 10.4236/arsci.2023.114013
%X <strong>Objectives:</strong><span style=\"font-size:10.0pt;font-family:;\" \"=\"\"> To specify the
epidemiological and clinical profile of the patients, to determine the methods
of management and to evaluate the maternal and perinatal prognosis in the
association of arterial hypertension and pregnancy (HTA) at the Institute of
Social Hygiene of Dakar. <b>Material</b> <b>and</b> <b>Methods:</b> This was a
retrospective, descriptive and analytical study on the management of the
association of hypertension and pregnancy in the maternity ward of the
Institute of Social Hygiene of Dakar between January 1<sup>st</sup>, 2019 and
on December 31<sup>st</sup>, 2020. <b>Results:</b> During the study period, we
recorded 326 cases of hypertension associated with pregnancy among the 4290
pregnant women, <i>i.e.</i> a frequency of
7.6%. The epidemiological profile of the patients was that of a woman with an average
age of 29, nulliparous (48.2%), married (99.1%), at a low socioeconomic level
(61.3%) and with a personal history preeclampsia (14.4%). Most patients (83.1%)
were evacuated or referred with pre-ec</span><span style=\"font-size:10.0pt;font-family:;\" \"=\"\">- </span><span style=\"font-size:10.0pt;font-family:;\" \"=\"\">lampsia as the main reason (40.8%). The average gestational age was 37
weeks of amenorrhea (SA) with extremes of 20 SA 6 days and 41 SA 5 days. Term
pregnancies were the most represented (76.7%). Prenatal follow-up (CPN) was
carried out in 319 patients (97.8%) with an average number of CPN of 3 and
extremes of 1 and 9. Severe diastolic and severe systolic hypertension
concerned respectively 19.3% and 16, 9% of patients. One hundred and eighty
patients (55.2%) presented with oliguria. Strip albuminuria was performed in
235 patients (72.1%). It found 3 or more crosses in 38.3% of cases. We recorded
53 cases of anemia (16.3%), 16 cases of significant proteinuria (5%), hepatic
cytolysis in 22 patients (6.7%), thrombocytopenia in 37 patients (11.3%), and
43 cases of hyperuricaemia (13.2%). Obstetric ultrasound found 36 cases of
severe oligohydramnios (11%), 8 twin pregnancies <span>(2.4%) and an umbilical Doppler anomaly in 10 patients (3.1%).
Pre-eclampsia</span> was the most co<span>mmon
clinical form (70.5%), followed by chronic hypertension (15.1%) </span>and
pregnancy-induced hypertension (14.4%). In our study, 32 patients (9.8%) had
received resuscitation. The most used anti-hypertensives were alpha methyl-dopa
(46.1%) and nicardipine (24.5%). The obstetrical treatment consisted of uterine
evacuation which was most often done by caesarean
%K HTA
%K Pregnancy
%K Preeclampsia
%K Caesarean Section
%K Prematurity
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=129190