Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: cross-sectional results from the hypertension treatment in Nigeria Program
Abstract Background Hypertensive disorders of pregnancy, including hypertension, are a leading cause of maternal mortality in Nigeria. However, there is a paucity of data on pregnant women with hypertension who receive care in primary health care facilities. This study presents the results from a cr...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05723-1 |
| _version_ | 1797811264410353664 |
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| author | Zainab Mahmoud Ikechukwu A. Orji Gabriel L. Shedul Kasarachi Aluka-Omitiran Nanna Ripiye Blessing Akor Helen Eze Tunde Ojo Guhan Iyer Abigail S. Baldridge Lisa R. Hirschhorn Mark D. Huffman Dike B. Ojji |
| author_facet | Zainab Mahmoud Ikechukwu A. Orji Gabriel L. Shedul Kasarachi Aluka-Omitiran Nanna Ripiye Blessing Akor Helen Eze Tunde Ojo Guhan Iyer Abigail S. Baldridge Lisa R. Hirschhorn Mark D. Huffman Dike B. Ojji |
| author_sort | Zainab Mahmoud |
| collection | DOAJ |
| description | Abstract Background Hypertensive disorders of pregnancy, including hypertension, are a leading cause of maternal mortality in Nigeria. However, there is a paucity of data on pregnant women with hypertension who receive care in primary health care facilities. This study presents the results from a cross-sectional analysis of pregnant women enrolled in the Hypertension Treatment in Nigeria Program which is aimed at integrating and strengthening hypertension care in primary health care centres. Methods A descriptive analysis of the baseline results from the Hypertension Treatment in Nigeria Program was performed. Baseline blood pressures, treatment and control rates of pregnant women were analysed and compared to other adult women of reproductive age. A complete case analysis was performed, and a two-sided p value < 0.05 was considered statistically significant. Results Between January 2020 to October 2022, 5972 women of reproductive age were enrolled in the 60 primary healthcare centres participating in the Hypertension Treatment in Nigeria Program and 112 (2%) were pregnant. Overall mean age (SD) was 39.6 years (6.3). Co-morbidities were rare in both groups, and blood pressures were similar amongst pregnant and non-pregnant women (overall mean (SD) first systolic and diastolic blood pressures were 157.4 (20.6)/100.7 (13.6) mm Hg and overall mean (SD) second systolic and diastolic blood pressures were 151.7 (20.1)/98.4 (13.5) mm Hg). However, compared to non-pregnant women, pregnant women had a higher rate of newly diagnosed hypertension (65.2% versus 54.4% p = 0.02) and lower baseline walk-in treatment (32.1% versus 42.1%, p = 0.03). The control rate was numerically lower among pregnant patients (6.3% versus 10.2%, p = 0.17), but was not statistically significant. Some pregnant patients (8.3%) were on medications contraindicated in pregnancy, and none of the pregnant women were on aspirin for primary prevention of preeclampsia. Conclusions These findings indicate significant gaps in care and important areas for future studies to improve the quality of care and outcomes for pregnant women with hypertension in Nigeria, a country with the highest burden of maternal mortality globally. |
| first_indexed | 2024-03-13T07:20:02Z |
| format | Article |
| id | doaj.art-579f4e2fe9f7444fb1aa3b0c570d8ad6 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-13T07:20:02Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-579f4e2fe9f7444fb1aa3b0c570d8ad62023-06-04T11:41:32ZengBMCBMC Pregnancy and Childbirth1471-23932023-06-012311610.1186/s12884-023-05723-1Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: cross-sectional results from the hypertension treatment in Nigeria ProgramZainab Mahmoud0Ikechukwu A. Orji1Gabriel L. Shedul2Kasarachi Aluka-Omitiran3Nanna Ripiye4Blessing Akor5Helen Eze6Tunde Ojo7Guhan Iyer8Abigail S. Baldridge9Lisa R. Hirschhorn10Mark D. Huffman11Dike B. Ojji12Washington UniversityCardiovascular Research Unit, University of Abuja and University of Abuja Teaching HospitalCardiovascular Research Unit, University of Abuja and University of Abuja Teaching HospitalCardiovascular Research Unit, University of Abuja and University of Abuja Teaching HospitalCardiovascular Research Unit, University of Abuja and University of Abuja Teaching HospitalCardiovascular Research Unit, University of Abuja and University of Abuja Teaching HospitalCardiovascular Research Unit, University of Abuja and University of Abuja Teaching HospitalCardiovascular Research Unit, University of Abuja and University of Abuja Teaching HospitalWashington UniversityNorthwestern University Feinberg School of MedicineNorthwestern University Feinberg School of MedicineWashington UniversityCardiovascular Research Unit, University of Abuja and University of Abuja Teaching HospitalAbstract Background Hypertensive disorders of pregnancy, including hypertension, are a leading cause of maternal mortality in Nigeria. However, there is a paucity of data on pregnant women with hypertension who receive care in primary health care facilities. This study presents the results from a cross-sectional analysis of pregnant women enrolled in the Hypertension Treatment in Nigeria Program which is aimed at integrating and strengthening hypertension care in primary health care centres. Methods A descriptive analysis of the baseline results from the Hypertension Treatment in Nigeria Program was performed. Baseline blood pressures, treatment and control rates of pregnant women were analysed and compared to other adult women of reproductive age. A complete case analysis was performed, and a two-sided p value < 0.05 was considered statistically significant. Results Between January 2020 to October 2022, 5972 women of reproductive age were enrolled in the 60 primary healthcare centres participating in the Hypertension Treatment in Nigeria Program and 112 (2%) were pregnant. Overall mean age (SD) was 39.6 years (6.3). Co-morbidities were rare in both groups, and blood pressures were similar amongst pregnant and non-pregnant women (overall mean (SD) first systolic and diastolic blood pressures were 157.4 (20.6)/100.7 (13.6) mm Hg and overall mean (SD) second systolic and diastolic blood pressures were 151.7 (20.1)/98.4 (13.5) mm Hg). However, compared to non-pregnant women, pregnant women had a higher rate of newly diagnosed hypertension (65.2% versus 54.4% p = 0.02) and lower baseline walk-in treatment (32.1% versus 42.1%, p = 0.03). The control rate was numerically lower among pregnant patients (6.3% versus 10.2%, p = 0.17), but was not statistically significant. Some pregnant patients (8.3%) were on medications contraindicated in pregnancy, and none of the pregnant women were on aspirin for primary prevention of preeclampsia. Conclusions These findings indicate significant gaps in care and important areas for future studies to improve the quality of care and outcomes for pregnant women with hypertension in Nigeria, a country with the highest burden of maternal mortality globally.https://doi.org/10.1186/s12884-023-05723-1HypertensionPregnancyPreeclampsiaMaternal mortality |
| spellingShingle | Zainab Mahmoud Ikechukwu A. Orji Gabriel L. Shedul Kasarachi Aluka-Omitiran Nanna Ripiye Blessing Akor Helen Eze Tunde Ojo Guhan Iyer Abigail S. Baldridge Lisa R. Hirschhorn Mark D. Huffman Dike B. Ojji Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: cross-sectional results from the hypertension treatment in Nigeria Program BMC Pregnancy and Childbirth Hypertension Pregnancy Preeclampsia Maternal mortality |
| title | Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: cross-sectional results from the hypertension treatment in Nigeria Program |
| title_full | Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: cross-sectional results from the hypertension treatment in Nigeria Program |
| title_fullStr | Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: cross-sectional results from the hypertension treatment in Nigeria Program |
| title_full_unstemmed | Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: cross-sectional results from the hypertension treatment in Nigeria Program |
| title_short | Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: cross-sectional results from the hypertension treatment in Nigeria Program |
| title_sort | clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the federal capital territory of nigeria cross sectional results from the hypertension treatment in nigeria program |
| topic | Hypertension Pregnancy Preeclampsia Maternal mortality |
| url | https://doi.org/10.1186/s12884-023-05723-1 |
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