[Gestational arterial hypertension: clinico-epidemiological study]

Area of Science:

• Obstetrics and Gynecology
• Cardiology
• Public Health

Context:

• Hypertension in pregnancy is a significant global health concern.
• Accurate prevalence data is crucial for effective maternal healthcare strategies.
• This study assessed hypertension prevalence in a large cohort of Russian pregnant women.

Purpose:

• To determine the epidemiological prevalence of blood hypertension (BH) in pregnant women.
• To identify diagnostic criteria for hypertension in gravidae.
• To characterize different forms of hypertension during pregnancy.

Summary:

• A study of 5160 pregnant women in Russia revealed a 20.2% prevalence of blood hypertension (BH).
• Chronic BH was diagnosed in 306 women, with the remainder experiencing gestational BH.
• Essential hypertension was identified in 174 patients, highlighting the diverse etiologies of hypertension in pregnancy.

Impact:

• Establishes a reliable diagnostic criterion for hypertension in pregnant women: a sustained diastolic blood pressure above 90 mm Hg.
• Reveals that classic proteinuric forms of gestational hypertension are infrequent.
• Provides essential epidemiological data to inform clinical practice and public health initiatives for managing hypertension in pregnancy.