BACKGROUND Hypertensive disorders of pregnancy are associated with high maternal and fetal morbidity and mortality. There are limited global data on the characteristics of women during and after pregnancy hypertension. METHODS May Measurement Month is a global campaign to raise awareness of the importance of blood pressure. Adults (≥18 years) recruited through opportunistic sampling during May 2019 had blood pressure measured and comorbidities and lifestyle data collected. This secondary analysis included 16 519 pregnant women and 529 172 nonpregnant women (16 457 with previous raised blood pressure in pregnancy) from 64 countries. RESULTS Almost half of the pregnant women (43.3%) reported not having had their blood pressure measured in the past year, and 14.3% (95% CI, 12.1-16.6) had hypertension (blood pressure ≥140/90 mm Hg or taking antihypertensive medication). Diabetes was self-reported in 7.6% (5.9-9.3) of pregnant women with hypertension and 2.8% (1.9-3.6) of pregnant women without hypertension. In nonpregnant women with and without a history of pregnancy hypertension, age-standardized proportions with current hypertension were 53.2% (50.8-55.7) versus 33.3% (29.3-37.3); with diabetes were 14.4% (11.8-17.0) versus 8.5% (6.3-10.9); and with body mass index ≥30 kg/m2 were 28.4% (23.5-33.3) versus 16.6% (13.0-20.2). CONCLUSIONS Hypertension in pregnancy was common in this global sample but many cases had not previously been identified. There was a clustering of cardiovascular risk factors in both pregnant women with current hypertension and previously raised blood pressure in pregnancy. This work highlights the importance of screening pregnant women for hypertension, which remains a challenge in large parts of the world.

中文翻译：

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怀孕期间和怀孕后的全球血压筛查：2019 年 5 月测量月。


背景 妊娠期高血压疾病与高母体和胎儿发病率和死亡率有关。关于妇女孕期和孕后高血压特征的全球数据有限。方法 May Measurement Month 是一项全球运动，旨在提高人们对血压重要性的认识。2019 年 5 月通过机会性抽样招募的成年人 （≥18 岁） 测量了血压并收集了合并症和生活方式数据。这项二次分析包括来自 64 个国家的 16 519 名孕妇和 529 172 名非孕妇（16 457 名既往妊娠期血压升高）。结果 近一半的孕妇 （43.3%） 报告在过去一年中没有测量过血压，14.3% （95% CI，12.1-16.6） 患有高血压 （血压 ≥140/90 mm Hg 或服用抗高血压药物）。7.6% （5.9-9.3） 的高血压孕妇和 2.8% （1.9-3.6） 的无高血压孕妇自我报告糖尿病。在有和没有妊娠高血压病史的非孕妇中，当前高血压的年龄标准化比例为 53.2% （50.8-55.7） 对 33.3% （29.3-37.3）;糖尿病患者为 14.4% （11.8-17.0） 对 8.5% （6.3-10.9）;体重指数为 ≥30 kg/m2 为 28.4% （23.5-33.3） 对 16.6% （13.0-20.2）。结论 妊娠期高血压在该全球样本中很常见，但许多病例以前未被发现。当前高血压和既往妊娠期血压升高的孕妇都存在心血管危险因素的聚集性。这项工作强调了孕妇高血压筛查的重要性，这在世界大部分地区仍然是一个挑战。