Author(s)

Hyacinthe Zamané^1,2*, Georges Millogo^2,3, Charlemagne Marie Ouédraogo^1,2, Yobi Alexis Sawadogo^1,2, Edmond Nongkouni¹, Sibraogo Kiemtoré^1,2, Sibraogo Kiemtoré^1,2, Dantola Paul Kaïn^1,2, Yirbar Kambiré^2,4, Jean Lankoandé^1,2

¹Department of Obstetrics and Gynecology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso.
²Unity of Training and Research in Health Sciences (UFR/SDS), University of Ouagadougou, Ouagadougou, Burkina Faso.
³Department of Cardiology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso.
⁴Department of Medecine and Medical Specialties, National Blaise Compaoré Teaching Hospital, Ouagadougou, Burkina Faso.

Context: The use of hormonal contraceptives could lead to a rise in blood pressure with an onset of hypertension. The objective of the study was to describe the epidemiological, clinical and therapeutic patterns of hypertension occurring in women on hormonal contraception. Patients and Methods: A retrospective study was carried out over a period of 5 years. It involved clients on hormonal contraception who developed hypertension during follow-up at the Family Planning Unit of the Yalgado Ouedraogo Teaching Hospital in Burkina Faso. Results: The global frequency of hypertension in clients on hormonal contraception was 1.8%; it varied depending on the type of methods of contraception used; it was 4.2% for clients on oral combined pills, 1% for implant users and 0.97% for women on injectable. The mean age of patients was 35.6 ± 8.4 years. Sixty-seven patients (84.8%) had mild to moderate hypertension. The mean time to onset of hypertension was respectively seventeen (17), thirty six (36) and thirty eight (38) months for patients on OCPs, CIP, and implants. After the discovery of hypertension, the contraception methods have been changed in 75.9% of cases, stopped in 5.2% of cases and the same contraception method was continued in 8.9% of cases. None of the patients who continued the same contraceptive method had obtained a normalization of blood pressure. Blood pressure was normalized in 48.6% of patients who have changed contraceptive methods. The average time of normalization of the blood pressure varied from three to five months, depending on the method that induces the hypertension. Conclusion: Hypertension on hormonal contraception is not uncommon. It is important to assess the risk factors for its occurrence at the initiation of contraception.

Hormonal Contraception, Hypertension, Ouagadougou

Zamané, H. , Millogo, G. , Ouédraogo, C. , Sawadogo, Y. , Nongkouni, E. , Kiemtoré, S. , Kiemtoré, S. , Kaïn, D. , Kambiré, Y. and Lankoandé, J. (2016) Hormonal Contraception and Hypertension at the Department of Obstetrics and Gynecology, Yalgado Ouédraogo Teaching Hospital: Epidemiological, Clinical and Therapeutic Patterns. Open Journal of Obstetrics and Gynecology, 6, 379-384. doi: 10.4236/ojog.2016.66049.