坦桑尼亚妊娠高血压疾病患者产后3个月持续性高血压：一项多中心队列研究。
Persistent postpartum hypertension 3 months post-delivery among women with hypertensive disorders of pregnancy in Tanzania: A multicenter cohort study.
作者信息
Ahmed Alawiya A, Willkens Megan A, Matovelo Dismas, Kiritta Richard, Kaizilege Godfrey, Mathad Jyoti, Peck Robert N
机构信息
Department of Obstetrics and Gynecology, Weill Bugando School of Medicine, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Weill Cornell Medicine, Center for Global Health, New York, NY, United States.
出版信息
Pregnancy Hypertens. 2024 Mar;35:51-54. doi: 10.1016/j.preghy.2023.12.006. Epub 2024 Jan 4.
Postpartum care of hypertensive disorders of pregnancy (HDP) often extends only 6 weeks after delivery in low-income countries. This multicenter observational cohort study was conducted to determine 3-month postpartum outcomes of HDP in Tanzania. Of 309 consecutive women admitted to 3 public hospitals, five (1.7 %) died within 3 months. Of the remaining 304, 292 (94.5 %) returned for 3-month follow-up visit and 41.1 % (95 % CI: 35.6 %-46.9 %) had persistent postpartum hypertension. The strongest independent predictor of hypertension persistence was reduced eGFR at delivery (aOR = 2.1[1.01,4.4]). Postpartum follow-up should routinely be extended to 3 months in all women with HDP to diagnose hypertension and prevent cardiovascular disease.
在低收入国家，妊娠高血压疾病（HDP）的产后护理通常仅在分娩后持续6周。本多中心观察性队列研究旨在确定坦桑尼亚HDP患者产后3个月的结局。在3家公立医院连续收治的309名妇女中，有5名（1.7%）在3个月内死亡。在其余304名妇女中，292名（94.5%）返回进行3个月的随访，41.1%（95%CI：35.6%-46.9%）患有持续性产后高血压。高血压持续存在的最强独立预测因素是分娩时估算肾小球滤过率（eGFR）降低（调整后比值比[aOR]=2.1[1.01,4.4]）。所有HDP妇女的产后随访应常规延长至3个月，以诊断高血压并预防心血管疾病。
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