Counseling post-partum après les troubles hypertensifs : analyse descriptive des données de Kaya HDSS au Burkina Faso.
Keywords:
Counseling, hypertension disorders of pregnancy, postpartum, Counseling, hypertension disorders of pregnancy, postpartum, caKayaHDSS_Burkina-Faso.Abstract
Hypertensive disorders of pregnancy (HGD) represent a major cause of maternal-fetal morbidity and mortality, with a global prevalence of 10 to 15%. Studies have shown that women with HGT have twice the risk of cardiovascular disease. The postpartum period allows these women to be identified in order to provide them with a range of preventative care through counseling. Our study aims to evaluate postpartum counseling based on documentation and reporting. We conducted a descriptive cross-sectional study from July 10 to 18, 2021. A standard questionnaire was used to collect data from women. This was an exhaustive sampling. All women with THG on the KaHDSS site were targeted provided they met the inclusion criteria. A total of 60 women participated in the study. The women had a mean age of 31.6±7.6 years. They were mainly married 58 (96.7%), from an urban environment 57 (95.0%). Postpartum, 32 (53.3%) of women received a cardiology consultation bulletin and 23.0% received advice to avoid a sedentary lifestyle. Hypertensive women who had blood pressure taken on D6 and D42 postpartum were 27 (45.0%) and 9 (15.0%) respectively. The overall proportion of women receiving postpartum counseling was 10(16.7%) based on documentation and 14(23.3%) based on reporting, respectively. The majority of women with hypertensive disorders do not benefit from postpartum counseling about cardiovascular disease. Nutritional and therapeutic education strategies must be coupled with postnatal consultations to improve advice aimed at reducing the occurrence of cardiovascular diseases in women with a history of hypertensive disorders.
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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
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