Volume 8, Issue 3, May 2020, Page: 62-66
High Blood Pressure in the Birth Room: Epidemiology and Outcome of Pregnancies at the General Hospital of Loandjili (Pointe-Noire, Congo)
Eouani Levy Max Emery, Department of Obstetrics Gynecology, Loandjili General Hospital, Pointe-Noire, Congo; Department of Obstetrics Gynecology, Hospital University of Brazzaville, Brazzaville, Congo
Buambo Gauthier Régis Jostin, Department of Obstetrics Gynecology, Hospital University of Brazzaville, Brazzaville, Congo
Mokoko Jules Cesar, Department of Obstetrics Gynecology, Hospital University of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Itoua Clautaire, Department of Obstetrics Gynecology, Hospital University of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Potokoue Mpia Sekangue Samantha Nuelly, Department of Obstetrics Gynecology, Hospital University of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Kombo Boukaka Davy, Department of Obstetrics Gynecology, Loandjili General Hospital, Pointe-Noire, Congo
Iloki Léon Hervé, Department of Obstetrics Gynecology, Hospital University of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo
Received: Apr. 10, 2020;       Accepted: Apr. 27, 2020;       Published: May 12, 2020
DOI: 10.11648/j.jgo.20200803.13      View  149      Downloads  99
Abstract
Objective: According to the World Health Organization, blood pressure disorders of pregnancy constitute a real public health problem of worldwide scope. It is an important factor of gravity, provider of a high maternal and perinatal morbidity and mortality in our maternities. The aim of this work is to study the epidemiological profile of pregnant women with hypertension and the outcome of their pregnancy. Methods: Descriptive cross-sectional study, carried out from January 1 to December 31, 2019, in the birthing block of the Obstetrics Gynecology service of the Loandjili General Hospital in Pointe-Noire, having included exhaustively and consecutively, all of them having given birth high blood pressure from a theoretical or ultrasound term of at least 22 weeks of amenorrhea or a birth weight of at least 500 g according to the WHO. New-borns of hypertensive mothers were also considered. The variables studied were socio-demographic, reproductive, linked to monitoring of pregnancy, clinical, relating to childbirth and maternal and perinatal prognosis. Results: Eighty and fourteen hypertensive pregnancies were recorded among 1677 admitted to the birthing room, a frequency of 5.6%. They were of a median age of 33, predominantly employed (60%), multigest (69%) and multiparous (44%). They were the most referred (66%) and admitted for high blood pressure or its complications in more than three quarters of cases (78%). Delivery was premature in more than half of the cases (54%), either spontaneously or induced. In this context, caesarean section was the preferred delivery route (77% of cases), performed urgently (94.4%) for severe maternal morbidity. Indications for emergency caesarean section were dominated by severe preeclampsia (67%), retroplacental hematoma (14%) and eclampsia (11%). One case of maternal death has been noted. Stillbirth was noted in 5% of cases (n=5). Neonatal morbidity was represented by poor adaptation to ectopic life (n=24 or 27%), hypotrophy (n=3 or 14%), prematurity (n=19 or 20%), neonatal resuscitation (n=24 or 27%) and the transfer to neonatology (n=45 or 48%). Conclusion: The association of high blood pressure and pregnancy remains frequent in our maternities. Given its high morbidity and mortality, it poses a real challenge for the obstetrician as to the outcome of pregnancies. The obstetrical prognosis and the improvement of the maternal and new-born prognosis go through the promotion of quality prenatal contacts and prevention.
Keywords
High Blood Pressure, Pregnancy, Epidemiology, Prognosis, Pointe-Noire, Congo
To cite this article
Eouani Levy Max Emery, Buambo Gauthier Régis Jostin, Mokoko Jules Cesar, Itoua Clautaire, Potokoue Mpia Sekangue Samantha Nuelly, Kombo Boukaka Davy, Iloki Léon Hervé, High Blood Pressure in the Birth Room: Epidemiology and Outcome of Pregnancies at the General Hospital of Loandjili (Pointe-Noire, Congo), Journal of Gynecology and Obstetrics. Vol. 8, No. 3, 2020, pp. 62-66. doi: 10.11648/j.jgo.20200803.13
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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