Attolou V, Takpara I, Akpovi J, Avode G, Nida M, de Souza J, Agboton H, Alihonou E
CNHU de Cotonou, Bénin.
Sante. 1998 Sep-Oct;8(5):353-6.
We carried out a retrospective and prospective study between January 1995 and August 1996, of pregnant women with high blood pressure. The aim of this work was to determine the prevalence of each type of hypertension according to the classification of the American College of Obstetricians and Gynecologists (ACOG) and to evaluate the prognosis for the mother and child. The prevalence of hypertension in pregnancy was found to be 7.65%. A family history of hypertension, obesity and a personal history of hypertension in pregnancy were all risk factors. Severe hypertension (diastolic blood pressure (DBP) > 110 mm Hg) affected 59.4% of the women. Chronic hypertension occurred in 41.51% of cases, preeclampsia in 26.41% of cases, associated preeclampsia in 18.87% of cases and isolated hypertension in 13.21% of cases. Eclampsia (70.6%) was the principal maternal complication in this study population. Fifty-four of the women gave birth to normal babies, 21 to hypotrophic babies, 15 gave birth prematurely and 3 had miscarriages. Six of the seven deaths involved women with DBP above 110 mm Hg.
我们在1995年1月至1996年8月期间对患有高血压的孕妇进行了一项回顾性和前瞻性研究。这项工作的目的是根据美国妇产科医师学会（ACOG）的分类确定每种高血压类型的患病率，并评估母婴的预后情况。妊娠期高血压的患病率为7.65%。高血压家族史、肥胖以及妊娠期高血压个人史均为危险因素。重度高血压（舒张压（DBP）>110 mmHg）影响了59.4%的女性。慢性高血压占病例的41.51%，先兆子痫占26.41%，伴有先兆子痫占18.87%，孤立性高血压占13.21%。子痫（70.6%）是该研究人群中的主要孕产妇并发症。54名女性分娩出正常婴儿，21名分娩出低体重儿，15名早产，3名流产。7例死亡中有6例涉及舒张压高于110 mmHg的女性。
