TITLE:
Prognostic Materno-Fetal Types of Arterille Hypertension during Pregnancy at the Maternity of Donka, National Hospital Donka, Chu of Conakry, Guinea
AUTHORS:
Boubacar Siddi Diallo, Mamadou Sambakeita, Ibrahima Sory Balde, Oumar Diawara, Telly Sy, Mohamed Lamine Kaba, Yolande Hyjazi, Namory Keita
KEYWORDS:
Prognostic, Arterille Hypertension, Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.5,
May
27,
2019
ABSTRACT: Objectives: The objectives of this work were to calculate the frequency of arterial
hypertension during pregnancy, describe the epidemiological profile, and
identify the most common type of hypertension and establish the maternal and
fetal prognosis. Methodology: This was a six-month descriptive prospective study performed in the
Obstetrics and Gynecology Department of Donka National Hospital, CHU, Conakry. The study took
place from July 1st to December 31st, 2015. Results: The frequency of
arterial hypertension during pregnancy was 8.82% in the service. The
epidemiological profile was that of a teenager (32.8%), nulliparous (56%),
coming from home (69.2%), not having performed CPN (52%), no schooling (68%)
and housewives. The primary factor was the risk factor (52.4%). Gestational age greater
than 37 was the most concerned (62%). The reasons for consultation are
dominated by headache (76%) and vertigo (68%). The main type of hypertension
was pre-eclampsia (48%) followed by Transient HTA (28%). The predominant clinical form at admission was
pre-eclampsia (47.2%) followed by eclampsia (23%). Eclampsia was the major
complication (48%), with 6 deaths, or 2.4%. At the first minute, 35.68% of
newborns had an APGAR score of less than 7 and 25.5% had a score of less than 7. Fetal morbidity was
dominated by fetal hypotrophy (30.19%) followed by prematurity (23.92%). We
recorded 30 cases of MFIU and 7 cases of neonatal death out of 255 births, i.e. 14.50%. Conclusion: The
detection of risk factors by a good prenatal follow-up and the regular training
of the care providers for an adequate and multidisciplinary care (obstetrician,
intensive care nephrologist and pediatrician) of hypertensive pregnant women
and their newborns can improve the maternal and fetal prognosis.