Vol. 24 No. 1b (2024): Special Issue
Open Access
Peer Reviewed

Understanding Hypertension during Pregnancy: Risk Factors and Prevention Strategies

Authors

Illiyani Sholihatin , Rinesita Murniati , Fathimah Nur Alami , Zirly Vera Aziri

DOI:

10.29303/jbt.v24i1b.7940

Published:

2024-12-14

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Abstract

Hypertension during pregnancy is a major contributor to morbidity, mortality, and hospitalization for both mothers and their unborn infants. Hypertension during pregnancy can significantly raising the risk of chronic diseases in the mother including heart failure, stroke, and chronic kidney disease, as well as increasing the chance of preterm birth and low birth weight of the baby. This conditions includes chronic hypertension, gestational hypertension preeclampsia, and eclampsia. This paper aims to review existing literature about factors influencing hypertension in pregnancy and the strategies to prevent this conditions. The analyzed literature shows that the high prevalence of hypertension during pregnancy is associated with several risk factors, including body mass index (BMI), maternal age, multiple pregnancies, gestational diabetes, history of hypertensive disorders in prior pregnancies, type 2 DM, and a family history of conditions such as type 2 DM, hypertension, and preeclampsia. Additionally, other factors such as level of education and socioeconomic status also effect the incidence of hypertension in pregnancy. The data were collected through an online search of library databases such as ProQuest, PubMed, MDPI, ScienceDirect, and Google Scholar. This paper presents an overview of the risk factors and preventive strategies for hypertension during pregnancy.

Keywords:

Hypertension in Pregnancy, risk factors, prevention, maternal health.

References

Agrawal, A., & Wenger, & N. K. (2020). Hypertension during pregnancy. Current Hypertension Report, 22(64), 339–348. https://doi.org/10.1002/9781119409861.ch24

Alatas, H. (2019). Hipertensi pada kehamilan. Herb-Medicine Journal, 2(2), 27. https://doi.org/10.30595/hmj.v2i2.4169

Ananti, P. S., & Melyana, W. N. (2018). Penurunan Tingkat Stres Ibu Hamil dengan Terapi Musik dan Aromaterapi pada Kelas Ibu Hamil. Jurnal Kebidanan, 8(1), 37–43.

Antza, C., Cifkova, R., & Kotsis, V. (2017). Hypertensive complications of pregnancy: a clinical overview. In Metabolism (Vol. 86). Elsevier Inc. https://doi.org/10.1016/j.metabol.2017.11.011

Collier, A. Y., Smith, L. A., & Karumanci, S. A. (2022). Review of the immune mechanisms of preeclampsia and the potential of immune modulating therapy. HHS Public Access, 82(5), 362–370. https://doi.org/10.1016/j.humimm.2021.01.004.Review

Davenport, M. H., Ruchat, S. M., Poitras, V. J., Jaramillo Garcia, A., Gray, C. E., Barrowman, N., Skow, R. J., Meah, V. L., Riske, L., Sobierajski, F., James, M., Kathol, A. J., Nuspl, M., Marchand, A. A., Nagpal, T. S., Slater, L. G., Weeks, A., Adamo, K. B., Davies, G. A., … Mottola, M. F. (2018). Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: A systematic review and meta-analysis. British Journal of Sports Medicine, 52(21), 1367–1375. https://doi.org/10.1136/bjsports-2018-099355

Dimitriadis, E., Rolnik, D. L., Zhou, W., Estrada-Gutierrez, G., Koga, K., Francisco, R. P. V., Whitehead, C., Hyett, J., da Silva Costa, F., Nicolaides, K., & Menkhorst, E. (2023). Pre-eclampsia. Nature Reviews Disease Primers, 9(8), 1–22. https://doi.org/10.1038/s41572-023-00417-6

Jhee, J. H., Lee, S., Park, Y., Lee, S. E., Kim, Y. A., Kang, S. W., Kwon, J. Y., & Park, J. T. (2019). Prediction model development of late-onset preeclampsia using machine learning-based methods. PLoS ONE, 14(8), 1–12. https://doi.org/10.1371/journal.pone.0221202

Kemenkes RI. (2020). Rencana Aksi Program Kesehatan Masyarakat Tahun 2020-2024.

Khalaf, S. Al, Bodunde, E., Maher, G. M., O’Reilly, É. J., McCarthy, F. P., O’Shaughnessy, M. M., O’Neill, S. M., & Khashan, A. S. (2022). Chronic kidney disease and adverse pregnancy outcomes: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology, 226(5), 656–670. https://doi.org/10.1016/j.ajog.2021.10.037.

Moore, L. G. (2021). Reproductive challenges at high altitude: Fertility, pregnancy and neonatal well-being. Reproduction, 161(1), F81–F90. https://doi.org/10.1530/REP-20-0349

Opdahl, S., Henningsen, A. A., Tiitinen, A., Bergh, C., Pinborg, A., Romundstad, P. R., Wennerholm, U. B., Gissler, M., Skjærven, R., & Romundstad, L. B. (2015). Risk of hypertensive disorders in pregnancies following assisted reproductive technology: A cohort study from the CoNARTaS group. Human Reproduction, 30(7), 1724–1731. https://doi.org/10.1093/humrep/dev090

Pratiwi, L., Hasbiah, H., & Afrika, E. (2022). Hubungan usia, paritas, dan riwayat hipertensi terhadap terjadinya hipertensi gestasional pada ibu hamil di Puskesmas Babat. PREPOTIF : Jurnal Kesehatan Masyarakat, 6(1), 590–596. https://doi.org/10.31004/prepotif.v6i1.2993

Robillard, P., Dekker, G., Scioscia, M., Bonsante, F., Boukerrou, M., Hulsey, T. C., Cedex, S., Hospitalier, C., Sud, U., Cedex, S., Hospital, L. M., Terme, P. A., & Cedex, P. (2020). Validation of the 34-week gestation as definition of late onset preeclampsia: Testing different cutoffs from 30 to 37 weeks on a population-based cohort of 1700 preeclamptics. HHS Public Access, 99(9), 1181–1190. https://doi.org/10.1111/aogs.13846.Validation

Robillard, P. Y., Dekker, G., Scioscia, M., Bonsante, F., Iacobelli, S., Boukerrou, M., & Hulsey, T. C. (2019). Increased BMI has a linear association with late-onset preeclampsia: A population-based study. PLoS ONE, 14(10), 1–14. https://doi.org/10.1371/journal.pone.0223888

Robillard, P. Y., Dekker, G., Scioscia, M., Bonsante, F., Iacobelli, S., Boukerrou, M., & Hulsey, T. C. (2020). The blurring boundaries between placental and maternal preeclampsia: a critical appraisal of 1800 consecutive preeclamptic cases. Journal of Maternal-Fetal and Neonatal Medicine, 35(13), 2450–2456. https://doi.org/10.1080/14767058.2020.1786516

Saito, K., Kuwahara, A., Ishikawa, T., Morisaki, N., Miyado, M., Miyado, K., Fukami, M., Miyasaka, N., Ishihara, O., Irahara, M., & Saito, H. (2019). Endometrial preparation methods for frozen-thawed embryo transfer are associated with altered risks of hypertensive disorders of pregnancy, placenta accreta, and gestational diabetes mellitus. Human Reproduction, 34(8), 1567–1575. https://doi.org/10.1093/humrep/dez079

Sari, N. K., Rahayujati, T. B., & Hakimi, M. (2018). Kasus Hipertensi pada Kehamilan di Indonesia. Berita Kedokteran Masyarakat, 32(9), 295. https://doi.org/10.22146/bkm.12414

Sava, R. I., March, K. L., & Pepine, C. J. (2018). Hypertension in pregnancy: Taking cues from pathophysiology for clinical practice. Clinical Cardiology, 41(2), 220–227. https://doi.org/10.1002/clc.22892

Sinkey, R. G., Battarbee, A. N., Bello, N. A., Ives, C. W., Oparil, S., & Tita, A. T. (2021). Prevention, diagnosis and management of hypertensive disorders of pregnancy: a comparison of international guidelines. HHS Public Access, 22(9), 1–17. https://doi.org/10.1007/s11906-020-01082-w.

Sukmariah, H., Nisrina, Agustina, T. A., & Ismiyati. (2019). Upaya Pencegahan Hipertensi Dalam Kehamilan (HDK) Dengan Metode Non-Farmakologi (Nutrisi Dan Stress). January 2020.

Turbeville, H. R., & Sasser, J. M. (2020). Preeclampsia beyond pregnancy: Long-term consequences for mother and child. American Journal of Physiology - Renal Physiology, 318(6), F1315–F1326. https://doi.org/10.1152/ajprenal.00071.2020

Umesawa, M., & Kobashi, G. (2017). Epidemiology of hypertensive disorders in pregnancy: prevalence, risk factors, predictors and prognosis. Hypertension Research, 40(3), 213–220. https://doi.org/10.1038/hr.2016.126

Von Versen-Hoÿnck, F., Narasimhan, P., Selamet Tierney, E. S., Martinez, N., Conrad, K. P., Baker, V. L., & Winn, V. D. (2019). Absent or excessive corpus luteum number is associated with altered maternal vascular health in early pregnancy. Hypertension, 73(3), 680–690. https://doi.org/10.1161/HYPERTENSIONAHA.118.12046

Yang, Y., & Wu, N. (2022). Gestational diabetes mellitus and preeclampsia: Correlation and influencing factors. Frontiers in Cardiovascular Medicine, 9(February), 1–14. https://doi.org/10.3389/fcvm.2022.831297

Author Biographies

Illiyani Sholihatin, Universitas Mataram

Author Origin : Indonesia

Rinesita Murniati, Universitas Mataram

Author Origin : Indonesia

Fathimah Nur Alami, Universitas Mataram

Author Origin : Indonesia

Zirly Vera Aziri, Universitas Mataram

Author Origin : Indonesia

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How to Cite

Sholihatin, I., Murniati, R., Alami, F. N., & Aziri, Z. V. (2024). Understanding Hypertension during Pregnancy: Risk Factors and Prevention Strategies. Jurnal Biologi Tropis, 24(1b), 342–348. https://doi.org/10.29303/jbt.v24i1b.7940

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