DefinePK

Abstract

Hypertensive disorders in women of reproductive age are an underrecognized public health issue in Nigeria, with significant implications for maternal morbidity, adverse pregnancy outcomes, and long-term cardiovascular risk. Despite their clinical importance, early detection and effective management are often delayed within primary care settings due to a combination of systemic, clinical, and sociocultural barriers. This manuscript explores the prevalence and impact of hypertension among reproductive-age women, emphasizing its relevance beyond pregnancy. It identifies key challenges in diagnosis and management, including non-specific presentation, under-screening, limited availability of diagnostic tools such as urinalysis and ECGs, and poor follow-up systems. Cultural norms, gender-related access barriers, and provider bias further complicate timely care.
Drawing on program insights and facility-level reflections, the manuscript highlights missed diagnosis scenarios, health worker knowledge gaps, and weaknesses in referral pathways. However, examples from audits and pilot interventions suggest that targeted training, use of standardized protocols, and structured case review meetings can improve outcomes. To address these gaps, the paper proposes strategic solutions such as integrating blood pressure screening into antenatal care and community outreach programs, implementing task-shifting models for first-line management, and deploying mobile-based referral decision tools. Investments in digital health systems and continuing medical education for frontline providers are also recommended to strengthen the continuum of care. Overall, this paper calls for systemic reforms to enhance early detection and management of hypertensive disorders in women of reproductive age, leveraging primary healthcare systems to reduce preventable maternal morbidity and long-term complications.
Keywords: Hypertension, Primary Care, Family Physician, Maternal Health.