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Adherence to anti-hypertensive medication in pregnancy
Amyna Helou1, Kay Stewart1, Johnson George1
1Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Victoria, Australia.
Pregnancy Hypertension
|July 17, 2021
Summary
Nine out of ten pregnant women with hypertension showed suboptimal adherence to anti-hypertensive medications. Key factors included confusion, lifestyle adjustments, and delaying care for medical issues.
Area of Science:
- Obstetrics and Gynecology
- Pharmacology
- Public Health
Background:
- Hypertension in pregnancy, including chronic and gestational hypertension, requires consistent anti-hypertensive medication management.
- Suboptimal medication adherence can lead to adverse maternal and fetal outcomes.
Purpose of the Study:
- To evaluate anti-hypertensive medication adherence in pregnant women.
- To identify factors contributing to adherence and non-adherence.
Main Methods:
- An observational study involving 100 pregnant women with hypertension on anti-hypertensives.
- Quantitative data on adherence and blood pressure, supplemented by in-depth interviews with 27 participants.
Main Results:
- 92% of participants reported suboptimal adherence to anti-hypertensive medications.
- Primary reasons for non-adherence included medication confusion, lifestyle modifications, and delaying medical attention for issues.
Conclusions:
- A high prevalence of suboptimal adherence exists among pregnant women using anti-hypertensives.
- Healthcare providers must actively promote medication adherence in this population.
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