Incidence and Predictive Factors of Gestational Hypertension in a Pregnant Population of Abidjan, Côte d'Ivoire: A Cohort Study
Incidence et Facteurs Prédictifs de l'Hypertension Gestationnelle dans un Groupe de Femmes Ivoiriennes d'Abidjan, Côte d'Ivoire : Une Étude de Cohorte
DOI:
https://doi.org/10.5281/hra.v3i3.6488Keywords:
Hypertension, Pregnancy, Induced, Côte d'IvoireAbstract
ABSTRACT
Introduction. In sub-Saharan Africa, hypertensive disorders in pregnancy including gestational hypertension are the second leading cause of maternal mortality. The study aimed to determine incidence rate and predictive factors of gestational hypertension in a population of Abidjan pregnant women. Methodology. This was a multicenter prospective cohort study over a period of 9 months from February 2022 to May 2023 enrolling pregnant women followed up in 5 health facilities in the Abobo East Health District located in the municipality of Abobo (Côte d’Ivoire, West Africa). Results. Three hundred and forty-one pregnant women were followed up with an average age of 27.03 ± 6.09 years. We noted 40 new cases of hypertension, representing a cumulative incidence of 11.7%. Incidence density (ID) was 4.5 cases per 1000 women-months of follow-up. Three factors were positively associated with gestational hypertension: Age (p=, 95% CI, obesity at inclusion and heart rate at inclusion. After multivariate analysis, only obesity appeared to be an independent factor associated with gestational hypertension (p=0.04). Conclusion. Incidence rate of gestational hypertension is relatively high in our population, with obesity as the independent factor associated with it.
RESUME
Introduction. En Afrique subsaharienne, les troubles hypertensifs de la grossesse, y compris l'hypertension gestationnelle, sont la deuxième cause de mortalité maternelle. L'étude visait à déterminer le taux d'incidence et les facteurs prédictifs de l'hypertension gestationnelle dans une population de femmes enceintes d'Abidjan. Méthodologie. Il s'agissait d'une étude de cohorte prospective multicentrique sur une période de 9 mois allant de février 2022 à mai 2023 enrôlant des femmes enceintes suivies dans 5 formations sanitaires du district sanitaire d'Abobo Est situé dans la commune d'Abobo (Côte d'Ivoire, Afrique de l'Ouest). Résultats. Trois cent quarante et une femmes enceintes ont été suivies avec un âge moyen de 27,03 ± 6,09 ans. Nous avons noté 40 nouveaux cas d'hypertension, soit une incidence cumulée de 11,7%. La densité d'incidence (DI) était de 4,5 cas pour 1000 femmes-mois de suivi. Trois facteurs ont été positivement associés à l'hypertension gestationnelle : L'âge (p=, 95% CI, l'obésité à l'inclusion et la fréquence cardiaque à l'inclusion. Après analyse multivariée, seule l'obésité est apparue comme un facteur indépendant associé à l'hypertension gestationnelle (p=0,04). Conclusion. Le taux d'incidence de l'hypertension gestationnelle est relativement élevé dans notre population, l'obésité étant le facteur indépendant associé à cette hypertension.
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Copyright (c) 2025 Malik Koussoh Simone, Koffi Kouassi Florent, Boka Bénédicte Carine, Meless Guanga David, Yeo Teniloh Augustin, Adoubi Kassi Anicet, Sackou-Kouakou Julie, Oga Agbaya Serge
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