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Gestational Hypertension in Black Women
4
Phyllis Nortey
Gestational Hypertension in Black Women
Background
Introduction
- Gestational hypertension is a huge issue for women
- Issue for black women
- Suffer from hypertension at a higher rate than their white counterparts
- Health disparity
- There is a 73% concern of hypertension in the African American community (Asiedu, et all)
Healthy People 2020
Healthy People 2020 has an objective to improve cardiovascular health for all through prevention, education and more. This includes hypertension and gestational hypertension. They also recommend screening in pregnant women to prevent preeclampsia ("Preeclampsia: Screening in Pregnant Women").
Audience
- This presentation would be presented to the board members of Umass Memorial Hospital of Worcester, Massachusetts
- Benefits
- Spending less money on hospitalizations due to complications due to hypertension
- Less deaths due to preeclampia and other complications
- Safe deliveries
- Stakeholders
- Patients, physicians, government, health care executives
What do they have in common?
Implications
Implications
- Pre-eclampsia
- This is a condition that begins around 20 weeks of gestation
- It can be very serious and even fatal.
- It causes damage to other organ systems such as liver and kidneys ('Preeclampsia').
- Preeclampsia affects black women on a much higher rate than other races.
Intervention
Intervention
- Prevention
- Screening
- Elevated blood pressure= work with them to lower it
- Exercise program specific and safe for pregnant women ("Exercise During Pregnancy")
- 30 minutes a day of brisk walking on a treadmill or around a safe neighborhood.
Final Pitch
Final Pitch
- Education
- Prevention
- Screening
- Exercise
- Program for Patients
- What's Next?
- Tracking maternal mortality rate
- Before and after program implementation
- Tracking pre-eclampsia rates
- Tracking blood pressure prevalence in demographic
Measures of Success
References
References
Asiedu, G. B., Hayes, S. N., Williams, K. P., Bondaryk, M. R., Halyard, M. Y., Parker, M. W., … Breitkopf, C. R. (2017, February). Prevalent Health Concerns Among African American Women Belonging to a National Volunteer Service Organization (The Links, Incorporated). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917461/.Evidence-Based Resource Summary. (n.d.). Retrieved from https://www.healthypeople.gov/2020/tools-resources/evidence-based-resource/preeclampsia-screening-in-pregnant-women.Exercise During Pregnancy: Safety, Benefits & Guidelines. (2019, September 17). Retrieved from https://americanpregnancy.org/pregnancy-health/exercise-during-pregnancy/.Heart Disease and Stroke. (n.d.). Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/heart-disease-and-stroke.Preeclampsia. (2018, November 16). Retrieved from https://www.mayoclinic.org/diseases-conditions/preeclampsia/symptoms-causes/syc-20355745.