Counseling post-partum après les troubles hypertensifs : analyse descriptive des données de Kaya HDSS au Burkina Faso.
Mots-clés:
Counseling, Troubles hypertensifs de la grossesse, post-partum, KayaHDSS_Burkina-Faso.Résumé
Les Troubles hypertensifs de la grossesse(THG) représentent une cause majeure de morbidité et de mortalité materno-fœtale, avec une prévalence mondiale de 10 à 15 %. Des études ont montré que les femmes atteintes de THG ont un risque deux fois plus élevé de maladies cardiovasculaires. La période post-partum permet d’identifier ces femmes afin de leur prodiguer un éventail de soins préventifs à travers un counseling. Notre étude a pour objectif d’évaluer le counseling post-partum sur la base de la documentation et de la déclaration. Nous avons conduit une étude transversal descriptive du 10 au 18 juillet 2021 . Un questionnaire standard a été utilisée la collecte des données auprès des femmes. Il s’est agi d’un échantillonnage exhaustif. Toutes les femmes atteintes de THG sur le site de KaHDSS ont été visées sous condition de satisfaire aux critères d’inclusion. Au total 60 femmes ont participé à l’étude. Les femmes avaient un âge moyen de 31,6±7,6 ans. Elles étaient majoritairement mariées 58(96,7%), issues du milieu urbain 57 (95,0%). En post partum, 32(53,3%) des femmes ont reçu un bulletin de consultation en cardiologie et 23,0% ont reçu des conseils pour éviter la sédentarité. Les femmes hypertendues ayant bénéficié de prise de la tension artérielle à J6 et J42 post partum sont respectivement 27(45,0%) et 9(15,0%). La proportion globale de femmes bénéficiaires d’un counseling post-partum était respectivement de 10(16,7%) sur la base de la documentation et 14(23,3%) sur la base de la déclaration. La majorité des femmes atteintes de troubles hypertensifs ne bénéficient pas d’un counseling post-partum sur les maladies cardiovasculaires. Des stratégies d’éducation nutritionnelle et thérapeutique doit être couplés aux consultations post natales afin d’améliorer les conseils visant à réduire la survenue des maladies cardiovasculaires chez les femmes ayant des antécédents de troubles hypertensifs.
Références
American College of Obstetricians and Gynecologists & Society for Maternal-Fetal Medicine. (2019). Obstetric Care Consensus No. 8 : Interpregnancy Care. Obstetrics and Gynecology, 133(1), e51‑e72. https://doi.org/10.1097/AOG.0000000000003025
American Society for Reproductive Medicine & American College of Obstetricians and Gynecologists’ Committee on Gynecologic Practice. (2019). Prepregnancy counseling : Committee Opinion No. 762. Fertility and Sterility, 111(1), 32‑42. https://doi.org/10.1016/j.fertnstert.2018.12.003
Bara, A., Tougri, H., Belrhiti, Z., Baguiya, A., Ouedraogo, A. M., Compaoré, R., & Kouanda, S. (2020). [Performance analysis of a privately managed public hospital in Burkina Faso]. Sante Publique (Vandoeuvre-Les-Nancy, France), 32(5), 519‑523. https://doi.org/10.3917/spub.205.0519
Bokslag, A., Hermes, W., de Groot, C. J. M., & Teunissen, P. W. (2016). Reduction of cardiovascular risk after preeclampsia : The role of framing and perceived probability in modifying behavior. Hypertension in Pregnancy, 35(4), 470‑473. https://doi.org/10.1080/10641955.2016.1185112
Brown, M. A., Magee, L. A., Kenny, L. C., Karumanchi, S. A., McCarthy, F. P., Saito, S., Hall, D. R., Warren, C. E., Adoyi, G., & Ishaku, S. (2018). The hypertensive disorders of pregnancy : ISSHP classification, diagnosis & management recommendations for international practice. Pregnancy Hypertension, 13, 291‑310. https://doi.org/10.1016/j.preghy.2018.05.004
Burgess, A., McDowell, W., & Ebersold, S. (2019). Association Between Lactation and Postpartum Blood Pressure in Women with Preeclampsia. MCN. The American Journal of Maternal Child Nursing, 44(2), 86‑93. https://doi.org/10.1097/NMC.0000000000000502
Coleman-Minahan, K., Aiken, A. R. A., & Potter, J. E. (2017). Prevalence and Predictors of Prenatal and Postpartum Contraceptive Counseling in Two Texas Cities. Women’s Health Issues: Official Publication of the Jacobs Institute of Women’s Health, 27(6), 707‑714. https://doi.org/10.1016/j.whi.2017.05.004
Davis, E. F., Lewandowski, A. J., Aye, C., Williamson, W., Boardman, H., Huang, R.-C., Mori, T. A., Newnham, J., Beilin, L. J., & Leeson, P. (2015). Clinical cardiovascular risk during young adulthood in offspring of hypertensive pregnancies : Insights from a 20-year prospective follow-up birth cohort. BMJ Open, 5(6), e008136. https://doi.org/10.1136/bmjopen-2015-008136
Djellouli, N., Mann, S., Nambiar, B., Meireles, P., Miranda, D., Barros, H., Bocoum, F. Y., Yaméogo, W. M. E., Yaméogo, C., Belemkoabga, S., Tougri, H., Coulibaly, A., Kouanda, S., Mochache, V., Mwakusema, O. K., Irungu, E., Gichangi, P., Dembo, Z., Kadzakumanja, A., … Colbourn, T. (2017). Improving postpartum care delivery and uptake by implementing context-specific interventions in four countries in Africa : A realist evaluation of the Missed Opportunities in Maternal and Infant Health (MOMI) project. BMJ Global Health, 2(4), e000408. https://doi.org/10.1136/bmjgh-2017-000408
Druetz, T., Bicaba, A., Some, T., Kouanda, S., Ly, A., & Haddad, S. (2019). La gratuité des soins améliore grandement l’accessibilité aux services de santé, mais les gains demeurent fragiles. https://idl-bnc-idrc.dspacedirect.org/handle/10625/57546
Ehrenthal, D. B., Maiden, K., Rogers, S., & Ball, A. (2014). Postpartum healthcare after gestational diabetes and hypertension. Journal of Women’s Health (2002), 23(9), 760‑764. https://doi.org/10.1089/jwh.2013.4688
Ekawati, F. M., Emilia, O., Brennecke, S., Gunn, J., Licqurish, S., & Lau, P. (2020). Opportunities for improving hypertensive disorders of pregnancy (HDP) management in primary care settings : A review of international published guidelines in the context of pregnancy care in Indonesia. Pregnancy Hypertension, 19, 195‑204. https://doi.org/10.1016/j.preghy.2020.01.012
Geelhoed, J. J. M., Fraser, A., Tilling, K., Benfield, L., Davey Smith, G., Sattar, N., Nelson, S. M., & Lawlor, D. A. (2010). Preeclampsia and gestational hypertension are associated with childhood blood pressure independently of family adiposity measures : The Avon Longitudinal Study of Parents and Children. Circulation, 122(12), 1192‑1199. https://doi.org/10.1161/CIRCULATIONAHA.110.936674
Gemechu, K. S., Assefa, N., & Mengistie, B. (2020). Prevalence of hypertensive disorders of pregnancy and pregnancy outcomes in Sub-Saharan Africa : A systematic review and meta-analysis. Women’s Health, 16, 1745506520973105. https://doi.org/10.1177/1745506520973105
Gestational Hypertension and Preeclampsia : ACOG Practice Bulletin Summary, Number 222. (2020). Obstetrics and Gynecology, 135(6), 1492‑1495. https://doi.org/10.1097/AOG.0000000000003892
Guiella, G. (2019). Post-partum family planning interventions in Burkina Faso. The Lancet. Global Health, 7(8), e996‑e997. https://doi.org/10.1016/S2214-109X(19)30294-3
Hauspurg, A., Countouris, M. E., & Catov, J. M. (2019). Hypertensive Disorders of Pregnancy and Future Maternal Health : How Can the Evidence Guide Postpartum Management? Current Hypertension Reports, 21(12), 96. https://doi.org/10.1007/s11906-019-0999-7
Hutchesson, M., Shrewsbury, V., Park, F., Callister, R., & Collins, C. (2018). Are women with a recent diagnosis of pre-eclampsia aware of their cardiovascular disease risk? A cross-sectional survey. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 58(6), E27‑E28. https://doi.org/10.1111/ajo.12900
Jaffré, Y., & Olivier de Sardan, J.-P. (2003). Une médecine inhospitalière. Les difficiles relations entre soignants et soignés dans cinq capitales d’Afrique de l’Ouest. Karthala; Cairn.info. https://www.cairn.info/une-medecine-inhospitaliere--9782845863736.htm
Lisonkova, S., Sabr, Y., Mayer, C., Young, C., Skoll, A., & Joseph, K. S. (2014). Maternal morbidity associated with early-onset and late-onset preeclampsia. Obstetrics and Gynecology, 124(4), 771‑781. https://doi.org/10.1097/AOG.0000000000000472
Lui, N. A., Jeyaram, G., & Henry, A. (2019). Postpartum Interventions to Reduce Long-Term Cardiovascular Disease Risk in Women After Hypertensive Disorders of Pregnancy : A Systematic Review. Frontiers in Cardiovascular Medicine, 6, 160. https://doi.org/10.3389/fcvm.2019.00160
Magee, L. A., Pels, A., Helewa, M., Rey, E., & von Dadelszen, P. (2014). Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy. Pregnancy Hypertension: An International Journal of Women’s Cardiovascular Health, 4(2), 105‑145. https://doi.org/10.1016/j.preghy.2014.01.003
Meazaw, M. W., Chojenta, C., Muluneh, M. D., & Loxton, D. (2020). Systematic and meta-analysis of factors associated with preeclampsia and eclampsia in sub-Saharan Africa. PloS One, 15(8), e0237600. https://doi.org/10.1371/journal.pone.0237600
Melchiorre, K., Thilaganathan, B., Giorgione, V., Ridder, A., Memmo, A., & Khalil, A. (2020). Hypertensive Disorders of Pregnancy and Future Cardiovascular Health. Frontiers in Cardiovascular Medicine, 7, 59. https://doi.org/10.3389/fcvm.2020.00059
Mol, B. W. J., Roberts, C. T., Thangaratinam, S., Magee, L. A., de Groot, C. J. M., & Hofmeyr, G. J. (2016). Pre-eclampsia. Lancet (London, England), 387(10022), 999‑1011. https://doi.org/10.1016/S0140-6736(15)00070-7
Mosca, L., Benjamin, E. J., Berra, K., Bezanson, J. L., Dolor, R. J., Lloyd-Jones, D. M., Newby, L. K., Piña, I. L., Roger, V. L., Shaw, L. J., Zhao, D., Beckie, T. M., Bushnell, C., D’Armiento, J., Kris-Etherton, P. M., Fang, J., Ganiats, T. G., Gomes, A. S., Gracia, C. R., … Wenger, N. K. (2011). Effectiveness-based guidelines for the prevention of cardiovascular disease in women--2011 update : A guideline from the american heart association. Circulation, 123(11), 1243‑1262. https://doi.org/10.1161/CIR.0b013e31820faaf8
Mounier-Vehier, C., Madika, A.-L., Boudghène-Stambouli, F., Ledieu, G., Delsart, P., & Tsatsaris, V. (2016). [Hypertension in pregnancy and future maternal health]. Presse Medicale (Paris, France: 1983), 45(7-8 Pt 1), 659‑666. https://doi.org/10.1016/j.lpm.2016.05.017
Nicklas, J. M., Zera, C. A., England, L. J., Rosner, B. A., Horton, E., Levkoff, S. E., & Seely, E. W. (2014). A web-based lifestyle intervention for women with recent gestational diabetes mellitus : A randomized controlled trial. Obstetrics and Gynecology, 124(3), 563‑570. https://doi.org/10.1097/AOG.0000000000000420
Olié, V., Moutengou, E., Deneux-Tharaux, C., & Plu-Bureau, G. (2018). Désordres hypertensifs et risque de maladies cardiovasculaires pendant la grossesse et le post-partum. Revue d’Épidémiologie et de Santé Publique, 66, S16‑S17. https://doi.org/10.1016/j.respe.2018.01.032
Optimizing Postpartum Care. (2018). 131(5).
Organisation mondiale de la Santé. (2014). Recommandations de l’OMS pour la prévention et le traitement de la prééclampsie et de l’éclampsie : Implications et actions (WHO/RHR/14.17). Organisation mondiale de la Santé. https://apps.who.int/iris/handle/10665/119716
Poon, L. C., Shennan, A., Hyett, J. A., Kapur, A., Hadar, E., Divakar, H., McAuliffe, F., da Silva Costa, F., von Dadelszen, P., McIntyre, H. D., Kihara, A. B., Di Renzo, G. C., Romero, R., D’Alton, M., Berghella, V., Nicolaides, K. H., & Hod, M. (2019). The International Federation of Gynecology and Obstetrics (FIGO) initiative on pre-eclampsia : A pragmatic guide for first-trimester screening and prevention. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 145 Suppl 1(Suppl 1), 1‑33. https://doi.org/10.1002/ijgo.12802
Roberge, S., Demers, S., & Bujold, E. (2017). Antiplatelet therapy before or after 16 weeks’ gestation for preventing preeclampsia. American Journal of Obstetrics and Gynecology, 216(6), 620‑621. https://doi.org/10.1016/j.ajog.2017.01.034
Roth, H., Homer, C. S. E., Arnott, C., Roberts, L., Brown, M., & Henry, A. (2020). Assessing knowledge of healthcare providers concerning cardiovascular risk after hypertensive disorders of pregnancy : An Australian national survey. BMC Pregnancy and Childbirth, 20(1), 717. https://doi.org/10.1186/s12884-020-03418-5
Sacks, E., & Langlois, É. V. (2016). Postnatal care : Increasing coverage, equity, and quality. The Lancet. Global Health, 4(7), e442-443. https://doi.org/10.1016/S2214-109X(16)30092-4
Sesso, H. D., Cook, N. R., Buring, J. E., Manson, J. E., & Gaziano, J. M. (2008). Alcohol consumption and the risk of hypertension in women and men. Hypertension (Dallas, Tex.: 1979), 51(4), 1080‑1087. https://doi.org/10.1161/HYPERTENSIONAHA.107.104968
Stuart, J. J., Tanz, L. J., Cook, N. R., Spiegelman, D., Missmer, S. A., Rimm, E. B., Rexrode, K. M., Mukamal, K. J., & Rich-Edwards, J. W. (2018). Hypertensive Disorders of Pregnancy and 10-Year Cardiovascular Risk Prediction. Journal of the American College of Cardiology, 72(11), 1252‑1263. https://doi.org/10.1016/j.jacc.2018.05.077
Triebwasser, J. E., Janssen, M. K., & Sehdev, H. M. (2021). Postpartum counseling in women with hypertensive disorders of pregnancy. American Journal of Obstetrics & Gynecology MFM, 3(1), 100285. https://doi.org/10.1016/j.ajogmf.2020.100285
van Kesteren, F., Visser, S., Hermes, W., Teunissen, P. W., Franx, A., van Pampus, M. G., Mol, B. W., & de Groot, C. J. M. (2016). Counselling and management of cardiovascular risk factors after preeclampsia. Hypertension in Pregnancy, 35(1), 55‑61. https://doi.org/10.3109/10641955.2015.1100311
Vogel, B., Acevedo, M., Appelman, Y., Merz, C. N. B., Chieffo, A., Figtree, G. A., Guerrero, M., Kunadian, V., Lam, C. S. P., Maas, A. H. E. M., Mihailidou, A. S., Olszanecka, A., Poole, J. E., Saldarriaga, C., Saw, J., Zühlke, L., & Mehran, R. (2021). The Lancet women and cardiovascular disease Commission : Reducing the global burden by 2030. The Lancet, 397(10292), 2385‑2438. https://doi.org/10.1016/S0140-6736(21)00684-X
Wilkerson, R. G., & Ogunbodede, A. C. (2019). Hypertensive Disorders of Pregnancy. Emergency Medicine Clinics of North America, 37(2), 301‑316. https://doi.org/10.1016/j.emc.2019.01.008
Yugbaré Belemsaga, D., Bado, A., Goujon, A., Duysburgh, E., Degomme, O., Kouanda, S., & Temmerman, M. (2016). A cross-sectional mixed study of the opportunity to improve maternal postpartum care in reproductive, maternal, newborn, and child health services in the Kaya health district of Burkina Faso. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 135 Suppl 1, S20‑S26. https://doi.org/10.1016/j.ijgo.2016.08.005
Downloads
Publiée
Comment citer
Numéro
Rubrique
ARK
Licence
Copyright (c) 2024 Franck Garanet, Imou OURO-BANG'NA, Abou Coulibaly, Adama Baguiya, Seni Kouanda
Ce travail est disponible sous la licence Creative Commons Attribution 4.0 International .
https://creativecommons.org/licenses/by/4.0/
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms
