Hypertension in women

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One of the most modifiable risk factors for cardiovascular disease in the United States is hypertension, which can pose substantial dangers to both the mother and the foetus when it develops during pregnancy. Currently, there is neither a federal nor a state surveillance system that explicitly tracks hypertension in women of reproductive age (WRA). The National Health and Nutrition Examination Survey (NHANES), the National Health Interview Survey (NHIS), the Pregnancy Risk Assessment and Monitoring System (PRAMS), the Behavioral Risk Factor Surveillance System (BRFSS), the National Health and Nutrition Examination Survey (NHANES), the National Health Interview Survey (NHIS), and the Pregnancy Risk Assessment and Monitoring System (PRAMS), as well as the administrative data sets from the Health Care Cost and Utilization Project (National Inpatient Sample, State Inpatient Databases. Data sets from the BRFSS, NHIS, NHANES, and administrative sources can be used to distinguish between pregnant and non-pregnant WRA. PRAMS only records data on pre- and post-natal hypertension in mothers who gave birth to a living child. The data sources that we examined lacked comprehensive information on postpartum hypertension. Improved data gathering may increase opportunities for WRA hypertension surveillance.

Women with a history of hypertensive disorders of pregnancy had a 2- to 4-fold higher risk of developing cardiovascular disease later in life, according to previous meta-analyses (HDP). Given HDP's vascular foundations, it is assumed that it may potentially be a risk factor for developing dementia in the future. In this article, we discuss the research on HDP's effect on dementia and look at some unusual relationships between HDP and different types of dementia.

Online electronic databases were searched for observational studies on the association between HDP and dementia through July 1, 2021. (PROSPERO identifier: CRD42020185630). We incorporated English-language observational studies. Any HDP and HDP subtypes—gestational hypertension, pre- or eclampsia, or other/unspecified HDP—were exposed among women. Any dementia and dementia subtypes, including Alzheimer's disease, vascular dementia, and other/unspecified dementias, were the results.

In comparison to women without hypertensive problems ($20,252), those with preeclampsia, eclampsia, chronic hypertension, and gestational hypertension had higher mean medical costs of $9,389, $6,041, and $2,237, respectively (ps 0.001). Outpatient services were responsible for one-third (36%) of the extra costs related with hypertensive problems during pregnancy.

Among women with hypertension who had private insurance, hypertensive problems during pregnancy were linked to significantly higher medical costs and use of health services. By kind of hypertensive disease, medical costs differed. This is useful to stakeholders. data to evaluate the possible economic advantages of measures that avert these illnesses or their sequelae.