Abstract

Pregnancy-induced hypertension (PIH), which encompasses conditions such as gestational hypertension and 
preeclampsia, represents a significant public health concern in East Africa, contributing to high maternal and 
neonatal morbidity and mortality. This review examines the epidemiology, risk factors, outcomes, and management 
challenges associated with PIH in the region. The prevalence of PIH in East Africa varies across urban and rural 
settings, with urban areas experiencing higher detection rates due to better healthcare infrastructure. Key risk 
factors include socio-economic challenges, poor access to healthcare, inadequate nutrition, and the rising burden of 
non-communicable diseases such as obesity and diabetes. Clinical outcomes are dire, with PIH leading to 
complications such as preterm births, intrauterine growth restriction, eclampsia, and increased maternal mortality. 
The management of PIH in East Africa faces substantial barriers, including limited healthcare resources, a shortage 
of trained healthcare providers, and inadequate antenatal care in rural areas. This review underscores the need for 
improved healthcare access, early detection, and targeted interventions to reduce the burden of PIH in East Africa.