Hypertension is one of the leading modifiable risk factors for cardiovascular morbidity and mortality worldwide. In women of reproductive age (15–49 years), hypertension presents unique clinical implications due to interactions with hormonal cycles, pregnancy, contraceptive use, and long-term cardiovascular outcomes. Preventing hypertension in this population is essential not only for reducing lifetime cardiovascular disease (CVD) risk but also for promoting safe pregnancy outcomes and protecting maternal and fetal health. This article provides a comprehensive analysis of epidemiology, risk factors, pathophysiology, preventive measures, socioeconomic determinants, and the critical role of nursing in the prevention of hypertension in reproductive-age women. Hypertension is one of the most common chronic non-communicable diseases affecting women of reproductive age. Early prevention is essential to reduce long-term cardiovascular complications, ensure healthy pregnancy outcomes, and promote overall well-being. This article discusses major risk factors, preventive strategies, and the role of nurses and healthcare systems in controlling hypertension among reproductive-age women

x

World Health Organization. Hypertension: Key Facts. Geneva: WHO; 2023.

American Heart Association. Cardiovascular Disease in Women: 2023 Update. AHA Journals.

Brown MC, et al. "Hypertensive Disorders of Pregnancy and Long-Term Cardiovascular Risk." BMJ, 2023.

Whelton PK, et al. "2017 ACC/AHA Guideline for High Blood Pressure Management." Hypertension, 2018.

Sibai BM. "Preeclampsia as a Cause of Long-Term Hypertension." N Engl J Med.

National Institutes of Health. Women’s Health and Hypertension Overview. 2022.

Fraser A, et al. "Pregnancy Complications and Future Cardiovascular Health." Lancet, 2021.

Chasan-Taber L. "Lifestyle Behaviors and Hypertension in Reproductive-Age Women." Journal of Women's Health, 2022.

ACOG. Hypertension in Women of Reproductive Age: Clinical Guidelines. 2024.

O’Neil A, et al. "Psychosocial Stress and Hypertension Risk in Young Women." BMC Medicine, 2023.