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

Authors: SOTUNSA John , Sumedha , Hannah , Olalekan , Mrutynjaya , Shivaprasad , Salecio , Ashallata , Rahat , Esperanca , Anifa , Tang , Beth , Marianne , Andrew , Zulfiqar , Peter Von Dadelszen

Publication Type: Journal article

Journal: Plos One

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Abstract

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<20 xss=removed> Conclusions
Pregnancy hypertension is common in less-developed settings. Most women in this study presented with gestational hypertension amenable to surveillance and timed delivery to improve outcomes.
Trial registration
This study is a secondary analysis of a clinical trial - ClinicalTrials.gov registration number NCT01911494.

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SOTUNSA,J. Sumedha,S. Hannah,N. Olalekan,A. Mrutynjaya,B. Shivaprasad,G. Salecio,M. Ashallata,M. Rahat,Q. Esperanca,S. Anifa,V. Tang,L. Beth,P. Marianne,V. Andrew,S. Zulfiqar,B. Peter,V.D . (2019). The incidence of pregnancy hypertension in India, Pakistan, Mozambique, and Nigeria: A prospective population-level analysis, 16 (), 1-1.

SOTUNSA,J. Sumedha,S. Hannah,N. Olalekan,A. Mrutynjaya,B. Shivaprasad,G. Salecio,M. Ashallata,M. Rahat,Q. Esperanca,S. Anifa,V. Tang,L. Beth,P. Marianne,V. Andrew,S. Zulfiqar,B. Peter,V.D . "The incidence of pregnancy hypertension in India, Pakistan, Mozambique, and Nigeria: A prospective population-level analysis" 16, no (), (2019): 1-1.

SOTUNSA,J. and Sumedha,S. and Hannah,N. and Olalekan,A. and Mrutynjaya,B. and Shivaprasad,G. and Salecio,M. and Ashallata,M. and Rahat,Q. and Esperanca,S. and Anifa,V. and Tang,L. and Beth,P. and Marianne,V. and Andrew,S. and Zulfiqar,B. and Peter,V.D and . (2019). The incidence of pregnancy hypertension in India, Pakistan, Mozambique, and Nigeria: A prospective population-level analysis, 16 (), pp1-1.

SOTUNSAJ, SumedhaS, HannahN, OlalekanA, MrutynjayaB, ShivaprasadG, SalecioM, AshallataM, RahatQ, EsperancaS, AnifaV, TangL, BethP, MarianneV, AndrewS, ZulfiqarB, PeterVD, . The incidence of pregnancy hypertension in India, Pakistan, Mozambique, and Nigeria: A prospective population-level analysis. 2019, 16 ():1-1.

SOTUNSA,John , Sumedha,Sharma , Hannah,Nathan , Olalekan,Adetoro , Mrutynjaya,Bellad , Shivaprasad,Goudar , Salecio,Macuacua , Ashallata,Malapur , Rahat,Quireshi , Esperanca,Sevene , Anifa,Vala , Tang,Lee , Beth,Payne , Marianne,Vidler , Andrew,Shenan , Zulfiqar,Buttha , and Peter,Von Dadelszen . "The incidence of pregnancy hypertension in India, Pakistan, Mozambique, and Nigeria: A prospective population-level analysis", 16 . (2019) : 1-1.

S.John S.Sharma H.Nathan O.Adetoro M.Bellad S.Goudar S.Macuacua A.Malapur R.Quireshi E.Sevene A.Vala T.Lee B.Payne M.Vidler A.Shenan Z.Buttha & P.Von Dadelszen , "The incidence of pregnancy hypertension in India, Pakistan, Mozambique, and Nigeria: A prospective population-level analysis" vol.16, no., pp. 1-1, 2019.

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