Qiang Yang, Xiaoli Ding, Lihua Qian
Department of Gynecology, Taixing People's Hospital, Taizhou, Jiangsu, China.
Xiamen Cardiovascular Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Iran J Public Health. 2025 Apr;54(4):701-709. doi: 10.18502/ijph.v54i4.18409.
Hypertensive disorders of pregnancy (HDP) are the predominant pregnancy complication in both high and low-middle-income countries. The age-standardized incidence rate and the absolute incidence number of HDP in low-middle-income countries are 2-fold and 4-fold higher than in high-income countries in 2021, respectively. However, the reduction in the age-standardized prevalence rate (-41.1% vs. -8.7%) and incidence rate (-40.8% vs. -7.1%) of HDP is ≈5-fold faster in low-middle income countries compared with high-income countries between 1990 and 2021. Moreover, HDP is significantly associated with the increased risk of adverse perinatal outcomes, including preterm birth, low birth weight, and perinatal mortality in both high and low-middle-income countries. In the current review, we have highlighted the prevalence, incidence, and temporal trend of HDP and its association with adverse perinatal outcomes in high and low-middle-income countries.
妊娠高血压疾病（HDP）是高收入国家和中低收入国家主要的妊娠并发症。2021年，中低收入国家HDP的年龄标准化发病率和绝对发病数分别比高收入国家高2倍和4倍。然而，1990年至2021年期间，中低收入国家HDP年龄标准化患病率（-41.1%对-8.7%）和发病率（-40.8%对-7.1%）的下降速度比高收入国家快约5倍。此外，在高收入国家和中低收入国家，HDP均与不良围产期结局风险增加显著相关，包括早产、低出生体重和围产期死亡。在本综述中，我们着重介绍了高收入国家和中低收入国家HDP的患病率、发病率、时间趋势及其与不良围产期结局的关联。
