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HIV infection and treatment may worsen hypertension and increase cardiovascular disease risk. The authors examined blood pressure and hypertension patterns among 1965 women (2306 pregnancies ending in live births) in a prevention of maternal\u2010to\u2010child transmission (PMTCT) program in Port\u2010au\u2010Prince, Haiti, between 2007 and 2017. Hypertension was defined as blood pressure \u2265140\/90\u00a0mm Hg on two consecutive visits. Latent class analysis assessed trajectories of mean arterial pressure (MAP) and multinomial ordinal logistic regression examined factors associated with higher trajectories. Between 2007\u20132009 and 2013\u20132016, hypertension at PMTCT entry increased from 1.3% to 3.8% (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.005), while incidence at any time during PMTCT follow\u2010up increased from 5.0 to 16.1 per 100 person\u2010years (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001). Hypertension detected \u226420\u00a0weeks and\u00a0&gt;\u00a020\u00a0weeks of gestation (possible gestational hypertension) increased from 1.1% to 3.5% (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.003) and from 2.3% to 6.9% (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001), respectively. Five MAP trajectories ranged from low\u2010stable to high\u2010increasing. In multivariable analysis controlling for history of antiretroviral therapy, age, parity, and weight, program entry in more recent years was associated with greater odds of higher MAP trajectory (adjusted odds ratio for 2013\u20132016\u00a0vs. 2007\u20132009\u00a0=\u00a03.1, 95% confidence interval: 1.7\u20135.6). The increasing prevalence and incidence of hypertension highlight a need for screening and management prior to PMTCT entry and during follow\u2010up. In a population with limited access to chronic disease care, and where many deliveries occur outside of a clinical setting, the period of PMTCT follow\u2010up represents an opportunity to diagnose and initiate management of preexisting and pregnancy\u2010related hypertension.<\/jats:p>","DOI":"10.1111\/jch.14432","type":"journal-article","created":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T13:06:39Z","timestamp":1644239199000},"page":"237-245","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Estimated blood pressure trajectories and hypertension patterns among pregnant women living with HIV, Haiti, 2007\u20132017"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8417-0650","authenticated-orcid":false,"given":"Olga","family":"Tymejczyk","sequence":"first","affiliation":[{"name":"City University of New York Institute for Implementation Science in Population Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie Marcelle","family":"Deschamps","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Rouzier","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"},{"name":"Center for Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret L.","family":"McNairy","sequence":"additional","affiliation":[{"name":"Center for Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert N.","family":"Peck","sequence":"additional","affiliation":[{"name":"Center for Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"},{"name":"Weill Bugando School of Medicine  Mwanza Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Line","family":"Malha","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Hypertension Weill Cornell Medicine  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youry","family":"Macius","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel W.","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Center for Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean W.","family":"Pape","sequence":"additional","affiliation":[{"name":"Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"},{"name":"Center for Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denis","family":"Nash","sequence":"additional","affiliation":[{"name":"City University of New York Institute for Implementation Science in Population Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,7]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organization.WHO recommendations for prevention and treatment of pre\u2010eclampsia and eclampsia.2011."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68397-9"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2013.12.018"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2014.09.002"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050500312433"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2361-0"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2017.07.143"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31470-2"},{"volume-title":"Enqu\u00eate Mortalit\u00e9, Morbidit\u00e9 et Utilisation des Services (EMMUS\u2010VI 2016\u20132017). 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