[Arterial hypertension and pregnancy in Bamako: epidemiologic and clinical aspects]. / HTA et grossesse a Bamako: épidemiologie et clinique.

ABSTRACT

AIM: To study epidemiological aspects of the high blood pressure in pregnancy in Bamako. MATERIAL AND METHODS: The study was prospective from january to december 2006 about 250 pregnant with arterial hypertension and without any other cardiovascular disorder. The study was performed in CHU Gabriel Touré and CSRef I and V in Bamako using SPSS v. 11 for collecting and analyzing data. RESULTS: Arterial hypertension prevalence was 6,5%, with 38% between 20-29 years. 36,8% of them were primigravida 32,4% and 32,4% had 1-3 gestations. 85,6% were married, 74% housewives. 57,6% of the pregnant were not send to school and 28% had primary school instruction 16,4% took contraceptives and 6% were obese. 57,2% didn't have the required minimal number of 3 prenatal consultations and 76,8% were seen in the third trimenon. High blood pressure stage 1 was seen in 40% and stage 2 in 42,4%. Pre-eclampsia and chronic Hypertension made resp. 50,4% and 22%. CONCLUSION: High blood pressure in pregnancy is characterized by an later occur, by housewives with predominance of stage 1 and 3. Prenatal care is characterized by difficulties in realizing investigations and consultations in quantitative insuffisant prenatal consultations.