Clinical Medicine Research

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A Study on Factors Related to Hypertensive Disorders in Pregnancy in Ngaoundere (Adamawa Region, Cameroon)

Received: 10 January 2016    Accepted: 12 February 2016    Published: 26 April 2016
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Abstract

Background: In sub-Saharan Africa, hypertensive disorders in pregnancy remain a major call for concern owing to their increasing incidence, gravity and associated complications. In Cameroon, the epidemiological reality of hypertensive disorders in pregnancy remains unknown in the majority of regions. Objective: This study aimed to identify the determinants of hypertensive disorders among pregnant women in a hospital milieu in Ngaoundere town. Methods: A cross-sectional study was carried out at the Ngaoundere Regional Hospital, the reference hospital facility of the Adamawa Region of Cameroon from May to June 2014. Results: In total, 160 pregnant women were examined during the period of study, among which 75 recorded a high blood pressure thus fulfilling our inclusion criteria. Age (P=0.013), previous twin pregnancy (P=0.013) and preeclampsia (P=0.013) were found to be significantly predictive of chronic hypertension. Religion (P=0.004) and multiparity (P=0.001) were identified as significant independent predictive risk factors of preeclampsia, History of preeclampsia (P=0.025) was identified as predictive risk factor for superimposed preeclampsia. Conclusion: Independent predisposing factors associated with hypertensive disorders in pregnancy in our milieu, which include advanced age, the notion of preeclampsia and history of twin pregnancy for chronic hypertension, parity and religion for preeclampsia, and history of preeclampsia for superimposed preeclampsia.

DOI 10.11648/j.cmr.20160502.11
Published in Clinical Medicine Research (Volume 5, Issue 2, March 2016)
Page(s) 6-12
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Preeclampsia/Eclampsia, Hypertensive Disorders, Pregnancy, Cameroon

References
[1] Zezza L, Ralli E, Conti E, Passerini J, Autore C, Caserta D. Hypertension in pregnancy. Minerva Gynecol 2014; 66(1): 103-26.
[2] Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. Am J Obstet Gynecol 2000; 183(1): S1-S22.
[3] Magee L, Helewa M, Moutquin J, van Dadelszen P, Committee ftHG. Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy. Society of Obstetricians and Gyneacologists of Canada Clinical Practice Guideline, No. 206. J Obstet Gynaecol Can 2008; 30: S1-S48.
[4] Waugh JJ, Bell SC, Kilby MD, Blackwell CN, Seed P, Shennan AH et coll. «Optimal bedside urinalysis for the detection of proteinuria in hypertensive pregnancy: a study of diagnostic accuracy», BJOG 2005; 112(4): 412-417.
[5] Villar J, Carroli G, Wojdyla D, Abalos E, Giordano D, Ba’aqeel H, et al. World Health Organization Antenatal Care Trial Research Group. Preeclampsia, gestational hypertension and intrauterine growth restriction, related or independent conditions? Am J Obstet Gynecol 2006; 194(4): 921-931.
[6] OMS/AFRO, SAGO, UNFPA. Hypertension artérielle et grossesse in Recommandations pour la pratique clinique des soins obstétricaux et néonataux d’urgence en Afrique: Guide du prestataire. Publication OMS/AFRO. 2009; 27-43.
[7] Moodey J. Maternal death associated with hypertensive disorders of pregnancy: A population based study. Hypertension in pregnancy 2005; 23: 247-256.
[8] Zenebe W, Segni H, Woldie M. Hypertension disorders of pregnancy in Jimma University Specialized Hospital. Ethiop J Health Sci 2011; 21(3).
[9] Tebeu P. M, Foumane P, Mbu R, Fosso G, Biyaga T. P, Fomulu J. N. Risk Factors for Hypertensive Disorders in Pregnancy: A Report from the Maroua Regional Hospital, Cameroon. J Reprod Infertil 2011; 12(3): 227-234.
[10] Bilano VL, Ota E, Ganchimeg T, Mori R, Souza JP. Risk Factors of Pre-Eclampsia/Eclampsia and Its Adverse Outcomes in Low- and Middle-Income Countries: A WHO Secondary Analysis. PLoS One 2014; 9(3): e91198.
[11] Kiondo P, Wamuyu-Maina G, Bimenya GS, Tumwesigye NM, Wandabwa J and Okong P Risk factors for pre-eclampsia in Mulago Hospital, Kampala, Uganda. Tropical Medicine and International Health 2012; 17 (4): 480-487.
[12] Macdonald-Wallis C, Lawlor DA, Heron J, Fraser A, Nelson SM, et al. Relationships of Risk Factors for Pre-Eclampsia with Patterns of Occurrence of Isolated Gestational Proteinuria during Normal Term Pregnancy. PLoS One 2011; 6(7): e22115.
[13] Buambo-Bamanga SF, Ngbale R, Makoumbou P, Ekoundzola JR. L’éclampsie au centre hospitalier et universitaire de Brazzaville, Congo. Clinics in Mother and Child Health. 2009; 6 (2): 1129-1133.
[14] Lynn M. M, Swamy K. G, Edwards S, Maxson P, Gelfand A et James S. Disparities in maternal hypertension and pregnancy outcomes: Evidence from North Carolina, 1994-2003. Public Health Report 2010; Jul-Aug; 125(4): 579–587.
[15] Bateman BT, Shaw KM, Kuklina EV, Callaghan WM, Seely EW, Hernández-Díaz S. Hypertension in Women of Reproductive Age in the United States: NHANES 1999-2008. PLoS One 2012; 7(4): e36171.
[16] Nakimuli A, Elliott AM, Kaleebu P, Moffett A, Mirembe F (2013) Hypertension Persisting after Pre-Eclampsia: A Prospective Cohort Study at Mulago Hospital, Uganda. PLoS One 2013; 8(12): e85273.
[17] Taddei S, Virdis A, Ghiadoni L, Versari D, Salvetti A. Endothelium, aging, and hypertension. Curr Hypertens Rep. 2006; 8: 84-89.
[18] Alves E, Azevedo A, Rodrigues T, Santos AC, Barros H. Impact of risk factors on hypertensive disorders in pregnancy, in primiparae and multiparae. Ann Hum Biol. 2013; 40(5): 377-84.
[19] Luealon P, Phupong V. Risk factors of preeclampsia in Thai women. J Med Assoc Thai. 2010; 93(6): 661-6.
[20] Mboudou ET, Foumane P, Belley Priso E, Dohbit J, Ze Minkande J, Nkengafac WM et al. Hypertension au cours de la grossesse: Aspects cliniques et épidémiologiques à l’Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé, Cameroun. Clinics in Mother and Child Health 2009; 6(2)1087-93.
[21] Teklu S, Gaym A. Prevalence and clinical correlates of the hypertensive disorders of pregnancy at Tikur Anbessa Hospital, Addis Ababa, Ethiopia. Ethiop Med J 2006; 44(1): 17-26.
[22] Sørensen T, Danbolt LJ, Lien L, Koenig HG, Holmen J. The relationship between religious attendance and blood pressure: the HUNT Study, Norway. Int J Psychiatry Med 2011; 42(1): 13-28.
[23] Harioly NMOJ, Rasolonjatovo TY, Andrianirina M, Randriambololona DMA, Ranoaritiana DB, Andrianjatovo JJ, Randriamiarana JM. Profil épidémiologique des prééclampsies et des éclampsies admises à la réanimation des adultes de la maternité de Befelatanana. Revue d’Anesthésie-Réanimation et de Médecine d’Urgence 2009; 1(3): 22-24.
[24] Van Middendorp D, Tensbroek A, Yaw Bio F, Edusei A, Meijjer L, Newton S et al. Rural and urban differences in blood pressure and pregnancy-induced hypertension among pregnant women in Ghana. Globalization and Health. 2013; 9: 59.
[25] Ndaboine EM, Kihunrwa A, Rumanyika R, Im HB et Massinde AN. Maternal and Perinatal Outcomes among Eclamptic Patients Admitted to Bugando Medical Centre, Mwanza, Tanzania. African Journal of Reproductive Health 2012; 16(1): 35.
[26] Reyes Laura M, Garcia Ronald G, Ruiz Silvia L, Camacho Paul A, Ospina Maria B, Aroca Gustavo et al. Risk Factors for Preeclampsia in Women from Colombia: A Case-Control Study. PLoS One. 2012; 7(7): e41622.
[27] Duckitt K, Harrington D. Risk factors for pre-eclampsia at antenatal booking: systematic review of controlled studies. BMJ 2005; 330: 565-567.
[28] Ye C, Ruan Y, Zou L, Li G, Li C, Chen Y et al. The 2011 Survey on Hypertensive Disorders of Pregnancy (HDP) in China: Prevalence, Risk Factors, Complications, Pregnancy and Perinatal Outcomes. PLoS One 2014; 9(6): e100180.
[29] Chittacharoen A, Wetchapruekpitak S, Suthutvoravut S. Pregnancy induced hypertension in twin pregnancy. J Med Assoc Thai 2005; 88 (Suppl 2): S69-74.
[30] Oyati AI, Danbauchi SS, Isa MS, Alhassan MA, Sani BG, Anyiam CA et al. Role of pre-eclamptic toxaemia or eclampsia in hypertensive women attending cardiac clinic of Ahmadu Bello University teaching hospital Zaria, Nigeria. Annals of African Medicine 2008; 7(3): 133-137.
[31] Assis TR, Viana FP, Rassi S. Study on the major maternal risk factors in hypertensive syndromes. Arq Bras Cardiol 2008; 91(1): 11-7.
[32] Lecarpentier E, Tsatsaris V, Goffinet F, Cabrol D, Sibai B, Haddad Bassam. Risk Factors of Superimposed Preeclampsia in Women with Essential Chronic Hypertension Treated before Pregnancy. PLoS One 2013; 8(5): e62140.
Author Information
  • Department of Biomedical Sciences, Faculty of Science, University of Ngaoundere, Ngaoundere, Cameroon; General Medicine Service, Ngaoundere Regional Hospital, Ngaoundere, Cameroon

  • Gynaecology and Obstetrics Service, Ngaoundere Regional Hospital, Ngaoundere, Cameroon

  • Clinical Laboratory Service, Ngaoundere Regional Hospital, Ngaoundere, Cameroon; Faculty of Science, University of Buea, Buea, Cameroon

  • Department of Biomedical Sciences, Faculty of Science, University of Ngaoundere, Ngaoundere, Cameroon

  • Department of Biomedical Sciences, Faculty of Science, University of Ngaoundere, Ngaoundere, Cameroon

  • General Medicine Service, Ngaoundere Regional Hospital, Ngaoundere, Cameroon

  • Gynaecology and Obstetrics Service, Ngaoundere Regional Hospital, Ngaoundere, Cameroon

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    Olivier Pancha Mbouemboue, Diallo Cellou, Marcel Tangyi Tamanji, Chantal Blakga, Armel Herve Nwabo Kamdje, et al. (2016). A Study on Factors Related to Hypertensive Disorders in Pregnancy in Ngaoundere (Adamawa Region, Cameroon). Clinical Medicine Research, 5(2), 6-12. https://doi.org/10.11648/j.cmr.20160502.11

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    ACS Style

    Olivier Pancha Mbouemboue; Diallo Cellou; Marcel Tangyi Tamanji; Chantal Blakga; Armel Herve Nwabo Kamdje, et al. A Study on Factors Related to Hypertensive Disorders in Pregnancy in Ngaoundere (Adamawa Region, Cameroon). Clin. Med. Res. 2016, 5(2), 6-12. doi: 10.11648/j.cmr.20160502.11

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    AMA Style

    Olivier Pancha Mbouemboue, Diallo Cellou, Marcel Tangyi Tamanji, Chantal Blakga, Armel Herve Nwabo Kamdje, et al. A Study on Factors Related to Hypertensive Disorders in Pregnancy in Ngaoundere (Adamawa Region, Cameroon). Clin Med Res. 2016;5(2):6-12. doi: 10.11648/j.cmr.20160502.11

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  • @article{10.11648/j.cmr.20160502.11,
      author = {Olivier Pancha Mbouemboue and Diallo Cellou and Marcel Tangyi Tamanji and Chantal Blakga and Armel Herve Nwabo Kamdje and Jacques Olivier Ngoufack and Andre Youmbi},
      title = {A Study on Factors Related to Hypertensive Disorders in Pregnancy in Ngaoundere (Adamawa Region, Cameroon)},
      journal = {Clinical Medicine Research},
      volume = {5},
      number = {2},
      pages = {6-12},
      doi = {10.11648/j.cmr.20160502.11},
      url = {https://doi.org/10.11648/j.cmr.20160502.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.cmr.20160502.11},
      abstract = {Background: In sub-Saharan Africa, hypertensive disorders in pregnancy remain a major call for concern owing to their increasing incidence, gravity and associated complications. In Cameroon, the epidemiological reality of hypertensive disorders in pregnancy remains unknown in the majority of regions. Objective: This study aimed to identify the determinants of hypertensive disorders among pregnant women in a hospital milieu in Ngaoundere town. Methods: A cross-sectional study was carried out at the Ngaoundere Regional Hospital, the reference hospital facility of the Adamawa Region of Cameroon from May to June 2014. Results: In total, 160 pregnant women were examined during the period of study, among which 75 recorded a high blood pressure thus fulfilling our inclusion criteria. Age (P=0.013), previous twin pregnancy (P=0.013) and preeclampsia (P=0.013) were found to be significantly predictive of chronic hypertension. Religion (P=0.004) and multiparity (P=0.001) were identified as significant independent predictive risk factors of preeclampsia, History of preeclampsia (P=0.025) was identified as predictive risk factor for superimposed preeclampsia. Conclusion: Independent predisposing factors associated with hypertensive disorders in pregnancy in our milieu, which include advanced age, the notion of preeclampsia and history of twin pregnancy for chronic hypertension, parity and religion for preeclampsia, and history of preeclampsia for superimposed preeclampsia.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - A Study on Factors Related to Hypertensive Disorders in Pregnancy in Ngaoundere (Adamawa Region, Cameroon)
    AU  - Olivier Pancha Mbouemboue
    AU  - Diallo Cellou
    AU  - Marcel Tangyi Tamanji
    AU  - Chantal Blakga
    AU  - Armel Herve Nwabo Kamdje
    AU  - Jacques Olivier Ngoufack
    AU  - Andre Youmbi
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    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
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    PB  - Science Publishing Group
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    AB  - Background: In sub-Saharan Africa, hypertensive disorders in pregnancy remain a major call for concern owing to their increasing incidence, gravity and associated complications. In Cameroon, the epidemiological reality of hypertensive disorders in pregnancy remains unknown in the majority of regions. Objective: This study aimed to identify the determinants of hypertensive disorders among pregnant women in a hospital milieu in Ngaoundere town. Methods: A cross-sectional study was carried out at the Ngaoundere Regional Hospital, the reference hospital facility of the Adamawa Region of Cameroon from May to June 2014. Results: In total, 160 pregnant women were examined during the period of study, among which 75 recorded a high blood pressure thus fulfilling our inclusion criteria. Age (P=0.013), previous twin pregnancy (P=0.013) and preeclampsia (P=0.013) were found to be significantly predictive of chronic hypertension. Religion (P=0.004) and multiparity (P=0.001) were identified as significant independent predictive risk factors of preeclampsia, History of preeclampsia (P=0.025) was identified as predictive risk factor for superimposed preeclampsia. Conclusion: Independent predisposing factors associated with hypertensive disorders in pregnancy in our milieu, which include advanced age, the notion of preeclampsia and history of twin pregnancy for chronic hypertension, parity and religion for preeclampsia, and history of preeclampsia for superimposed preeclampsia.
    VL  - 5
    IS  - 2
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