The incidence of pregnancy hypertension in India, Pakistan, Mozambique, and Nigeria: A prospective population-level analysis

The incidence of pregnancy hypertension in India, Pakistan, Mozambique, and Nigeria: A prospective population-level analysis
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DOI:
10.1371/journal.pmed.1002783
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发表时间:
2019-04-01
期刊:
影响因子:
15.8
通讯作者:
von Dadelszen, Peter
von Dadelszen, Peter
中科院分区:
医学1区
文献类型:
--
作者:
Magee, Laura A.;Sharma, Sumedha;von Dadelszen, Peter

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背景欠发达国家对妊娠高血压的估计大多来自医院的横断面调查,被认为是高估的。在社区级子痫前期干预(CLIP)群组随机试验的27个干预群中,我们通过标准化方法估计了基于人口的发病率。方法和结果:在家中或当地初级卫生中心确定符合CLIP条件的孕妇(2013-2017)。这里包括在试验结束时分娩的妇女,并接受了社区卫生工作者的访问,该工作者接受了提供以高血压为导向的补充护理的培训,包括标准化的血压测量。高血压(BP 140/90 mm Hg)被定义为慢性(首次发现于
Background Most pregnancy hypertension estimates in less-developed countries are from cross-sectional hospital surveys and are considered overestimates. We estimated population-based rates by standardised methods in 27 intervention clusters of the Community-Level Interventions for Pre-eclampsia (CLIP) cluster randomised trials.Methods and findings CLIP-eligible pregnant women identified in their homes or local primary health centres (2013-2017). Included here are women who had delivered by trial end and received a visit from a community health worker trained to provide supplementary hypertension-oriented care, including standardised blood pressure (BP) measurement. Hypertension (BP 140/90 mm Hg) was defined as chronic (first detected at