Impact of pregnancy on hypertension and cardiovascular risks among reproductive aged Congolese women: Insights from the 2019 to 2024 May measurement month surveys

IF 2.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

Pregnancy Hypertension-An International Journal of Womens Cardiovascular Health Pub Date : 2025-08-05 DOI:10.1016/j.preghy.2025.101246

Jean Missel Selemani , Tresor Mvunzi Swambulu , Jacques Mbaz Musung , Bertin Isaga , Fortunat Chubaka Chimana , Dieudonné Bihehe Masemo , Nathan Buila Bimbi , Olivier Ngeleza Nyakio , Jean-René Mbuyamba-Kabangu , Philippe Bianga Katchunga

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引用次数: 0

Abstract

Objective

This study aimed to analyze the influence of pregnancy on the prevalence and risk of arterial hypertension and its complications among women of reproductive age in the general Congolese population.

Study design

Cross-sectional design based on the DRC’s May Measurement Month (MMM) surveys.

Main outcome measures

Between 2019 and 2024, a total of 35,630 women aged 18 to 54 were interviewed. During the MMM campaigns, their blood pressure, weight and height were measured. Arterial hypertension was defined as having a blood pressure of ≥ 140/90 mmHg and/or the use of an antihypertensive medication.

Results

Pregnant women [n = 3,301 (9.3 %)] exhibited significantly higher prevalence of arterial hypertension compared to non-pregnant women (23.3 % vs. 21.7 %; p = 0.03). They also had higher rates of overweight/obesity (44.7 % vs. 36.3 %; p < 0.0001), a history of hypertensive disorders of pregnancy (21.1 % vs. 2.6 %; p < 0.0001), and diabetes mellitus (3.4 % vs. 1.9 %; p < 0.0001). Independent predictors of arterial hypertension include age (adjusted OR = 1.07; p < 0.0001), BMI (adjusted OR = 1.05; p < 0.0001), diabetes mellitus [ORa = 2.48; p < 0.0001], moderate physical activity (adjusted OR = 0.63; p < 0.0001), and previous hypertensive disorders in pregnancy [adjusted OR = 2.96; p < 0.0001]. Additionally, a previous history of Stroke was significantly more prevalent among hypertensive pregnant women (1.7 % vs. 0.6 %; p = 0.005) and those with previous hypertensive disorders of pregnancy (3.0 % vs. 0.7 %; p < 0.0001).

Conclusions

This study highlights the impact of pregnancy on pre-existing arterial hypertension as well as cardiovascular morbidity among reproductive aged congolese women. It underscores the necessity to enhance prenatal consultations and family planning services to mitigate these effects.

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妊娠对刚果育龄妇女高血压和心血管风险的影响：2019年至2024年5月测量月调查的见解

目的：本研究旨在分析妊娠对刚果（金）育龄妇女动脉高血压及其并发症患病率和风险的影响。研究设计：基于刚果民主共和国5月测量月（MMM）调查的横断面设计。主要结果指标：2019年至2024年期间，共有35630名18至54岁的女性接受了采访。在MMM运动期间，测量了他们的血压、体重和身高。动脉高血压被定义为血压≥140/90 mmHg和/或使用抗高血压药物。结果：孕妇[n = 3,301(9.3%)]动脉高血压的患病率明显高于非孕妇(23.3% vs. 21.7%；p = 0.03)。他们也有更高的超重/肥胖率(44.7% vs 36.3%；结论：本研究强调了怀孕对刚果育龄妇女中既存的动脉高血压和心血管疾病的影响。它强调必须加强产前咨询和计划生育服务，以减轻这些影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pregnancy Hypertension-An International Journal of Womens Cardiovascular Health OBSTETRICS & GYNECOLOGYPERIPHERAL VASCULAR-PERIPHERAL VASCULAR DISEASE

CiteScore

4.90

自引率

0.00%

发文量

127

期刊介绍： Pregnancy Hypertension: An International Journal of Women''s Cardiovascular Health aims to stimulate research in the field of hypertension in pregnancy, disseminate the useful results of such research, and advance education in the field. We publish articles pertaining to human and animal blood pressure during gestation, hypertension during gestation including physiology of circulatory control, pathophysiology, methodology, therapy or any other material relevant to the relationship between elevated blood pressure and pregnancy. The subtitle reflects the wider aspects of studying hypertension in pregnancy thus we also publish articles on in utero programming, nutrition, long term effects of hypertension in pregnancy on cardiovascular health and other research that helps our understanding of the etiology or consequences of hypertension in pregnancy. Case reports are not published unless of exceptional/outstanding importance to the field.