Prévalence des  troubles hypertensifs de la grossesse dans un contexte de crise sécuritaire dans des Centres Hospitaliers Régionaux de Kaya et Dori, au Burkina Faso

Franck Garanet; Prisca B Sawadogo; Olivier O Sombié; Jeoffray  Diendere; Adama Ouattara

doi:10.4314/rasp.v7i1.18

Authors

Franck Garanet Institut de Recherche en Sciences de la Santé
Prisca B Sawadogo Centre Hospitalier Universitaire Bogodogo, Service de Gynéco-obstétrique, Ouagadougou ; Burkina Faso
Olivier O Sombié Centre National de la Recherche Scientifique et Technologique (CNRST), Institut de Recherche en Sciences de la Santé (IRSS), Département Biomédical et Santé Publique, Ouagadougou, Burkina Faso.
Jeoffray Diendere Centre National de la Recherche Scientifique et Technologique (CNRST), Institut de Recherche en Sciences de la Santé (IRSS), Département Biomédical et Santé Publique, Ouagadougou, Burkina Faso.
Adama Ouattara Unité de Formation et de Recherche en Sciences de la Santé, faculté de médecine, Ouagadougou, Burkina Faso

DOI:

https://doi.org/10.4314/rasp.v7i1.18

Keywords:

Hypertensive Disorders, Pregnancy, Prevalence, Regional Hospital, Kaya, Dori, Burkina Faso

Abstract

Hypertensive disorders of pregnancy represent a major cause of maternal-fetal morbidity and mortality, with a global prevalence of 10 to 15%. The security crisis in Burkina Faso has led to a massive displacement of population to the cities of Kaya and Dori since 2019. The objective of this study was to estimate the prevalence of hypertensive disorders of pregnancy in the Regional Hospital Centers (CHR) of Kaya and Dori in this context of security crisis. This is a retrospective study with descriptive and analytical aims conducted in the gynecology-obstetrics departments from June 2019 to December 2022. A total of 1300 parturients had presented hypertensive disorders. The mean age was 25.2 ± 7.5 years. The prevalence of severe preeclampsia, moderate preeclampsia, gestational hypertension, chronic hypertension, and HELLP syndrome were 30.8%, 27.9%, 20.2%, 13.2%, 7.6%, and 0.4%, respectively. Hypertensive disorders in pregnancy remain dominated by severe preeclampsia. The prevalence of hypertensive disorders increased from 2019 to 2022 in the two regional hospitals (CHRs) hosting the areas most affected by the security and human rights crisis. In this context of crisis, care for pregnant women must be strengthened to improve pregnancy outcomes and women's cardiovascular health.

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