Gestational Hypertension, A Concern In Women Attending Antenatal Care In The South West Region Of Cameroon

Hypertensive disorders of pregnancy, an umbrella term that includes preexisting and gestational hypertension, preeclampsia, and eclampsia, complicate up to 10% of pregnancies and represent a significant cause of maternal and perinatal morbidity and mortality. Despite the differences in guidelines, there appears to be consensus that severe hypertension and non-severe hypertension with evidence of end-organ damage need to be controlled; yet the ideal target ranges below 160/110 mmHg remain a source of debate. Risks to the fetus include premature delivery, growth retardation, and
death. The only definitive treatment of preeclampsia is delivery. Treatment of severe hypertension is necessary to prevent cerebrovascular, cardiac, and renal complications in the mother.

This was a facility based cross sectional study with objectives to assess life style, socioeconomic status and impact on gestational hypertension and the correlation between Gestational hypertension and midwifery factors (Gravida, Parity and Gestational age). It was done using a research instrument with participants’ medical records and on- the -spot blood pressure checks. Data was managed and then analysed. based on the research questions and the blood pressure readings. Some conclusions
and recommendations were arrived at after the study.

There is need to do more research to create targeted management strategies to chronic versus gestational hypertension, as well as non-severe hypertension with evidence of end-organ damage. Furthermore, more studies are needed on counsel and follow-up at transfer to community care in women who have had hypertension during pregnancy, and the interventions that reduce the risk of recurrent hypertensive disorders of pregnancy, and subsequent cardiovascular disease.