Low prevalence of high blood pressure in pregnant women in Burkina Faso: a cross-sectional study

BMC Pregnancy and Childbirth

Research

Franck Garanet¹  Seni Kouanda²  Tieba Millogo²  Adama Baguiya²  Fati Kirakoya-Samadoulougou³  Sekou Samadoulougou⁴  Jean-Marie Degryse⁵  Bruno Bonnechère⁶ 

[1] Centre National de la Recherche Scientifique et Technologique (CNRST), Institut de Recherche en Sciences de la Santé (IRSS), Département Biomédical et Santé Publique, Ouagadougou, Burkina Faso;Centre de Recherche en Epidémiologie, Biostatistiques et Recherche Clinique, Ecole de Santé Publique, Université libre de Bruxelles, Bruxelles, Belgique;Université Ouaga1 Joseph Ki-Zerbo, Ecole Doctorale Science de la Santé (ED2S), Laboratoire de Santé Publique (LASAP), Ouagadougou, Burkina Faso;Centre National de la Recherche Scientifique et Technologique (CNRST), Institut de Recherche en Sciences de la Santé (IRSS), Département Biomédical et Santé Publique, Ouagadougou, Burkina Faso;Institut Africain de Santé Publique (IASP), Ouagadougou, Burkina Faso;Centre de Recherche en Epidémiologie, Biostatistiques et Recherche Clinique, Ecole de Santé Publique, Université libre de Bruxelles, Bruxelles, Belgique;Centre for Research on Planning and Development (CRAD), Laval University, G1V 0A6, Quebec, Canada;Evaluation Platform On Obesity Prevention, Quebec Heart and Lung Institute, G1V 4G5, Quebec, Canada;Institut de Recherche Sciences et Société (IRSS), Université Catholique de Louvain, Bruxelles, Belgique;Department of Public Health and Primary Care - Katholieke Universiteit Leuven, Leuven, Belgique;REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium;

关键词: High blood pressure;    Pregnancy;    Prevalence;    Rural and Semi-urban;    Burkina Faso;   

DOI  :  10.1186/s12884-022-05242-5

 received in 2021-05-12, accepted in 2022-11-24,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundHigh blood pressure (HBP) during pregnancy causes maternal and fetal mortality. Studies regarding its prevalence and associated factors in frontline level health care settings are scarce. We thus aimed to evaluate the prevalence of HBP and its associated factors among pregnant women at the first level of the health care system in Burkina Faso.MethodsThis cross-sectional study was conducted in six health facilities between December 2018 and March 2019. HBP was defined as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg. Multivariable logistic regression analysis was performed to identify factors associated with HBP.ResultsA total of 1027 pregnant women were included. The overall prevalence of HBP was 1.4% (14/1027; 95% confidence interval [CI] 0.7–2.3), with 1.6% (7/590; 95% CI 0.8–3.3) in rural and 1.2% (7/437; 95% CI 0.6- 2.5) in semi-urban areas. The prevalence was 0.7% (3/440; 95% CI 0.2–2.1) among women in the first, 1.5% (7/452; 95% CI 0.7–3.2) in the second and 3% (4/135; 95% CI 1.1–7.7) in the third trimester. In the multivariable analysis, pregnancy trimester, maternal age, household income, occupation, parity, and residential area were not associated with HBP during pregnancy.ConclusionThe prevalence of HBP among pregnant women at the first level of health system care is significantly lower compared to prevalence’s from hospital studies. Public health surveillance, primary prevention activities, early screening, and treatment of HDP should be reinforced in all health facilities to reduce the burden of adverse pregnancy outcomes in Burkina Faso.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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