Clinical risk factors for vasculo-placental disorders: results from a prospective case-control study nested in HEMOTHEPP French cohort study
Determine clinical risk factors for vasculo-placental disorders in singleton pregnancies. Prospective case-control study nested in HEMOTHEPP French cohort. Women delivered between June, 2015 and January, 2019 in any maternity ward of Finistère. Cases were women with vasculo-placental disorders (pre-...
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| Veröffentlicht in: | Journal of gynecology obstetrics and human reproduction 2023-01, Vol.52 (1), p.102511-102511, Article 102511 |
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| creator | de Moreuil, Claire Pan-Petesch, Brigitte Trémouilhac, Christophe Dupré, Pierre-François Merviel, Philippe Anouilh, François Bellot, Charles Müller, Matthieu Drugmanne, Guillaume Nowak, Emmanuel Coadic, Julien Bihan, Line Gourhant, Lénaick Lemarié, Catherine Robin, Sara Couturaud, Francis Moigne, Emmanuelle Le |
| description | Determine clinical risk factors for vasculo-placental disorders in singleton pregnancies.
Prospective case-control study nested in HEMOTHEPP French cohort.
Women delivered between June, 2015 and January, 2019 in any maternity ward of Finistère.
Cases were women with vasculo-placental disorders (pre-eclampsia, intrauterine growth restriction (IUGR), placental abruption or stillbirth). Controls were women matched for age at delivery and parity.
Clinical data were collected by obstetricians or midwives during antenatal care visits and delivery, and recorded by trained research assistants.
Occurrence of a vasculo-placental disorder.
505 women with vasculo-placental disorder (299 pre-eclampsia, 253 IUGR, 44 placental abruptions, 11 stillbirths) and 1515 matched controls were selected out of 20,075 participants. In multivariable analysis, four clinical parameters were associated with pre-eclampsia: obesity (Odd ratio (OR) = 3.11, 95%CI 2.11-4.58), French overseas origin (OR = 4.41, 95%CI 1.87-10.42), previous vasculo-placental disorder (OR = 5.14, 95%CI 2.72-9.70), aspirin during pregnancy (OR = 10.10, 95%CI 1.99-51.08). Three clinical parameters were associated with IUGR: auto-immune/inflammatory disorder (OR = 3.75, 95%CI 1.83-7.68), previous vasculo-placental disorder (OR = 3.63, 95%CI 2.06-6.41), smoking during pregnancy (OR = 2.66, 95%CI 1.91- 3.71). A previous venous thromboembolism (VTE) was associated with IUGR in univariable but not in multivariable analysis (OR = 3.72, 95%CI 0.82-17.00, p = 0.09).
Clinical risk factors differ between IUGR and pre-eclampsia, the later, but not the former, being associated with cardiovascular risk factors. |
| doi_str_mv | 10.1016/j.jogoh.2022.102511 |
| format | Article |
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Prospective case-control study nested in HEMOTHEPP French cohort.
Women delivered between June, 2015 and January, 2019 in any maternity ward of Finistère.
Cases were women with vasculo-placental disorders (pre-eclampsia, intrauterine growth restriction (IUGR), placental abruption or stillbirth). Controls were women matched for age at delivery and parity.
Clinical data were collected by obstetricians or midwives during antenatal care visits and delivery, and recorded by trained research assistants.
Occurrence of a vasculo-placental disorder.
505 women with vasculo-placental disorder (299 pre-eclampsia, 253 IUGR, 44 placental abruptions, 11 stillbirths) and 1515 matched controls were selected out of 20,075 participants. In multivariable analysis, four clinical parameters were associated with pre-eclampsia: obesity (Odd ratio (OR) = 3.11, 95%CI 2.11-4.58), French overseas origin (OR = 4.41, 95%CI 1.87-10.42), previous vasculo-placental disorder (OR = 5.14, 95%CI 2.72-9.70), aspirin during pregnancy (OR = 10.10, 95%CI 1.99-51.08). Three clinical parameters were associated with IUGR: auto-immune/inflammatory disorder (OR = 3.75, 95%CI 1.83-7.68), previous vasculo-placental disorder (OR = 3.63, 95%CI 2.06-6.41), smoking during pregnancy (OR = 2.66, 95%CI 1.91- 3.71). A previous venous thromboembolism (VTE) was associated with IUGR in univariable but not in multivariable analysis (OR = 3.72, 95%CI 0.82-17.00, p = 0.09).
Clinical risk factors differ between IUGR and pre-eclampsia, the later, but not the former, being associated with cardiovascular risk factors.</description><identifier>ISSN: 2468-7847</identifier><identifier>ISSN: 2468-8495</identifier><identifier>EISSN: 2468-7847</identifier><identifier>DOI: 10.1016/j.jogoh.2022.102511</identifier><identifier>PMID: 36417979</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Abruptio Placentae ; Case-Control Studies ; Cohort Studies ; Female ; Fetal Growth Retardation - epidemiology ; Humans ; Intrauterine growth restriction ; Life Sciences ; Male ; Placenta - blood supply ; Placental Insufficiency ; Pre-eclampsia ; Pre-Eclampsia - epidemiology ; Pregnancy ; Risk Factors ; Stillbirth ; Venous Thromboembolism</subject><ispartof>Journal of gynecology obstetrics and human reproduction, 2023-01, Vol.52 (1), p.102511-102511, Article 102511</ispartof><rights>2022 Elsevier Masson SAS</rights><rights>Copyright © 2022 Elsevier Masson SAS. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-37b37e99400bd1a645bdd63fa9567d489822889db8f6635ef5007e241b499bab3</citedby><cites>FETCH-LOGICAL-c438t-37b37e99400bd1a645bdd63fa9567d489822889db8f6635ef5007e241b499bab3</cites><orcidid>0000-0003-1142-0978 ; 0000-0002-1855-8032 ; 0000-0003-0184-0880 ; 0000-0003-2888-9983</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36417979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04169737$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>de Moreuil, Claire</creatorcontrib><creatorcontrib>Pan-Petesch, Brigitte</creatorcontrib><creatorcontrib>Trémouilhac, Christophe</creatorcontrib><creatorcontrib>Dupré, Pierre-François</creatorcontrib><creatorcontrib>Merviel, Philippe</creatorcontrib><creatorcontrib>Anouilh, François</creatorcontrib><creatorcontrib>Bellot, Charles</creatorcontrib><creatorcontrib>Müller, Matthieu</creatorcontrib><creatorcontrib>Drugmanne, Guillaume</creatorcontrib><creatorcontrib>Nowak, Emmanuel</creatorcontrib><creatorcontrib>Coadic, Julien</creatorcontrib><creatorcontrib>Bihan, Line</creatorcontrib><creatorcontrib>Gourhant, Lénaick</creatorcontrib><creatorcontrib>Lemarié, Catherine</creatorcontrib><creatorcontrib>Robin, Sara</creatorcontrib><creatorcontrib>Couturaud, Francis</creatorcontrib><creatorcontrib>Moigne, Emmanuelle Le</creatorcontrib><title>Clinical risk factors for vasculo-placental disorders: results from a prospective case-control study nested in HEMOTHEPP French cohort study</title><title>Journal of gynecology obstetrics and human reproduction</title><addtitle>J Gynecol Obstet Hum Reprod</addtitle><description>Determine clinical risk factors for vasculo-placental disorders in singleton pregnancies.
Prospective case-control study nested in HEMOTHEPP French cohort.
Women delivered between June, 2015 and January, 2019 in any maternity ward of Finistère.
Cases were women with vasculo-placental disorders (pre-eclampsia, intrauterine growth restriction (IUGR), placental abruption or stillbirth). Controls were women matched for age at delivery and parity.
Clinical data were collected by obstetricians or midwives during antenatal care visits and delivery, and recorded by trained research assistants.
Occurrence of a vasculo-placental disorder.
505 women with vasculo-placental disorder (299 pre-eclampsia, 253 IUGR, 44 placental abruptions, 11 stillbirths) and 1515 matched controls were selected out of 20,075 participants. In multivariable analysis, four clinical parameters were associated with pre-eclampsia: obesity (Odd ratio (OR) = 3.11, 95%CI 2.11-4.58), French overseas origin (OR = 4.41, 95%CI 1.87-10.42), previous vasculo-placental disorder (OR = 5.14, 95%CI 2.72-9.70), aspirin during pregnancy (OR = 10.10, 95%CI 1.99-51.08). Three clinical parameters were associated with IUGR: auto-immune/inflammatory disorder (OR = 3.75, 95%CI 1.83-7.68), previous vasculo-placental disorder (OR = 3.63, 95%CI 2.06-6.41), smoking during pregnancy (OR = 2.66, 95%CI 1.91- 3.71). A previous venous thromboembolism (VTE) was associated with IUGR in univariable but not in multivariable analysis (OR = 3.72, 95%CI 0.82-17.00, p = 0.09).
Clinical risk factors differ between IUGR and pre-eclampsia, the later, but not the former, being associated with cardiovascular risk factors.</description><subject>Abruptio Placentae</subject><subject>Case-Control Studies</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Fetal Growth Retardation - epidemiology</subject><subject>Humans</subject><subject>Intrauterine growth restriction</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Placenta - blood supply</subject><subject>Placental Insufficiency</subject><subject>Pre-eclampsia</subject><subject>Pre-Eclampsia - epidemiology</subject><subject>Pregnancy</subject><subject>Risk Factors</subject><subject>Stillbirth</subject><subject>Venous Thromboembolism</subject><issn>2468-7847</issn><issn>2468-8495</issn><issn>2468-7847</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9uEzEQxlcIRKvSJ0BCPsJhU_9be43EoYpSghTUHsrZ8tqzxMFZB3s3Ut-hD43DlqonTjMa_WZG3_dV1XuCFwQTcbVb7OLPuF1QTGmZ0IaQV9U55aKtZcvl6xf9WXWZ8w5jTFoqBBNvqzMmOJFKqvPqcRn84K0JKPn8C_XGjjFl1MeEjibbKcT6EIyFYSyI8zkmByl_RgnyFMYCprhHBh1SzAewoz8CsiZDbeMwphhQHif3gAbIIzjkB7Refb-9X6_u7tBNgsFukY3bmMaZe1e96U3IcPlUL6ofN6v75bre3H79trze1JazdqyZ7JgEpTjGnSNG8KZzTrDeqEZIx1vVUtq2ynVtX_Q20DcYS6CcdFypznTsovo0392aoA_J70160NF4vb7e6NMMcyKUZPJICvtxZovE31PRofc-WwjBDBCnrKlkSvJiJy8om1Fb3MgJ-ufbBOtTanqn_6amT6npObWy9eHpwdTtwT3v_MuoAF9mAIolRw9JZ-uLd-B8KpZrF_1_H_wB5LSp-A</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>de Moreuil, Claire</creator><creator>Pan-Petesch, Brigitte</creator><creator>Trémouilhac, Christophe</creator><creator>Dupré, Pierre-François</creator><creator>Merviel, Philippe</creator><creator>Anouilh, François</creator><creator>Bellot, Charles</creator><creator>Müller, Matthieu</creator><creator>Drugmanne, Guillaume</creator><creator>Nowak, Emmanuel</creator><creator>Coadic, Julien</creator><creator>Bihan, Line</creator><creator>Gourhant, Lénaick</creator><creator>Lemarié, Catherine</creator><creator>Robin, Sara</creator><creator>Couturaud, Francis</creator><creator>Moigne, Emmanuelle Le</creator><general>Elsevier Masson SAS</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0003-1142-0978</orcidid><orcidid>https://orcid.org/0000-0002-1855-8032</orcidid><orcidid>https://orcid.org/0000-0003-0184-0880</orcidid><orcidid>https://orcid.org/0000-0003-2888-9983</orcidid></search><sort><creationdate>202301</creationdate><title>Clinical risk factors for vasculo-placental disorders: results from a prospective case-control study nested in HEMOTHEPP French cohort study</title><author>de Moreuil, Claire ; Pan-Petesch, Brigitte ; Trémouilhac, Christophe ; Dupré, Pierre-François ; Merviel, Philippe ; Anouilh, François ; Bellot, Charles ; Müller, Matthieu ; Drugmanne, Guillaume ; Nowak, Emmanuel ; Coadic, Julien ; Bihan, Line ; Gourhant, Lénaick ; Lemarié, Catherine ; Robin, Sara ; Couturaud, Francis ; Moigne, Emmanuelle Le</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-37b37e99400bd1a645bdd63fa9567d489822889db8f6635ef5007e241b499bab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abruptio Placentae</topic><topic>Case-Control Studies</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Fetal Growth Retardation - epidemiology</topic><topic>Humans</topic><topic>Intrauterine growth restriction</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Placenta - blood supply</topic><topic>Placental Insufficiency</topic><topic>Pre-eclampsia</topic><topic>Pre-Eclampsia - epidemiology</topic><topic>Pregnancy</topic><topic>Risk Factors</topic><topic>Stillbirth</topic><topic>Venous Thromboembolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Moreuil, Claire</creatorcontrib><creatorcontrib>Pan-Petesch, Brigitte</creatorcontrib><creatorcontrib>Trémouilhac, Christophe</creatorcontrib><creatorcontrib>Dupré, Pierre-François</creatorcontrib><creatorcontrib>Merviel, Philippe</creatorcontrib><creatorcontrib>Anouilh, François</creatorcontrib><creatorcontrib>Bellot, Charles</creatorcontrib><creatorcontrib>Müller, Matthieu</creatorcontrib><creatorcontrib>Drugmanne, Guillaume</creatorcontrib><creatorcontrib>Nowak, Emmanuel</creatorcontrib><creatorcontrib>Coadic, Julien</creatorcontrib><creatorcontrib>Bihan, Line</creatorcontrib><creatorcontrib>Gourhant, Lénaick</creatorcontrib><creatorcontrib>Lemarié, Catherine</creatorcontrib><creatorcontrib>Robin, Sara</creatorcontrib><creatorcontrib>Couturaud, Francis</creatorcontrib><creatorcontrib>Moigne, Emmanuelle Le</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Journal of gynecology obstetrics and human reproduction</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Moreuil, Claire</au><au>Pan-Petesch, Brigitte</au><au>Trémouilhac, Christophe</au><au>Dupré, Pierre-François</au><au>Merviel, Philippe</au><au>Anouilh, François</au><au>Bellot, Charles</au><au>Müller, Matthieu</au><au>Drugmanne, Guillaume</au><au>Nowak, Emmanuel</au><au>Coadic, Julien</au><au>Bihan, Line</au><au>Gourhant, Lénaick</au><au>Lemarié, Catherine</au><au>Robin, Sara</au><au>Couturaud, Francis</au><au>Moigne, Emmanuelle Le</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical risk factors for vasculo-placental disorders: results from a prospective case-control study nested in HEMOTHEPP French cohort study</atitle><jtitle>Journal of gynecology obstetrics and human reproduction</jtitle><addtitle>J Gynecol Obstet Hum Reprod</addtitle><date>2023-01</date><risdate>2023</risdate><volume>52</volume><issue>1</issue><spage>102511</spage><epage>102511</epage><pages>102511-102511</pages><artnum>102511</artnum><issn>2468-7847</issn><issn>2468-8495</issn><eissn>2468-7847</eissn><abstract>Determine clinical risk factors for vasculo-placental disorders in singleton pregnancies.
Prospective case-control study nested in HEMOTHEPP French cohort.
Women delivered between June, 2015 and January, 2019 in any maternity ward of Finistère.
Cases were women with vasculo-placental disorders (pre-eclampsia, intrauterine growth restriction (IUGR), placental abruption or stillbirth). Controls were women matched for age at delivery and parity.
Clinical data were collected by obstetricians or midwives during antenatal care visits and delivery, and recorded by trained research assistants.
Occurrence of a vasculo-placental disorder.
505 women with vasculo-placental disorder (299 pre-eclampsia, 253 IUGR, 44 placental abruptions, 11 stillbirths) and 1515 matched controls were selected out of 20,075 participants. In multivariable analysis, four clinical parameters were associated with pre-eclampsia: obesity (Odd ratio (OR) = 3.11, 95%CI 2.11-4.58), French overseas origin (OR = 4.41, 95%CI 1.87-10.42), previous vasculo-placental disorder (OR = 5.14, 95%CI 2.72-9.70), aspirin during pregnancy (OR = 10.10, 95%CI 1.99-51.08). Three clinical parameters were associated with IUGR: auto-immune/inflammatory disorder (OR = 3.75, 95%CI 1.83-7.68), previous vasculo-placental disorder (OR = 3.63, 95%CI 2.06-6.41), smoking during pregnancy (OR = 2.66, 95%CI 1.91- 3.71). A previous venous thromboembolism (VTE) was associated with IUGR in univariable but not in multivariable analysis (OR = 3.72, 95%CI 0.82-17.00, p = 0.09).
Clinical risk factors differ between IUGR and pre-eclampsia, the later, but not the former, being associated with cardiovascular risk factors.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>36417979</pmid><doi>10.1016/j.jogoh.2022.102511</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-1142-0978</orcidid><orcidid>https://orcid.org/0000-0002-1855-8032</orcidid><orcidid>https://orcid.org/0000-0003-0184-0880</orcidid><orcidid>https://orcid.org/0000-0003-2888-9983</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2468-7847 |
| ispartof | Journal of gynecology obstetrics and human reproduction, 2023-01, Vol.52 (1), p.102511-102511, Article 102511 |
| issn | 2468-7847 2468-8495 2468-7847 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Abruptio Placentae Case-Control Studies Cohort Studies Female Fetal Growth Retardation - epidemiology Humans Intrauterine growth restriction Life Sciences Male Placenta - blood supply Placental Insufficiency Pre-eclampsia Pre-Eclampsia - epidemiology Pregnancy Risk Factors Stillbirth Venous Thromboembolism |
| title | Clinical risk factors for vasculo-placental disorders: results from a prospective case-control study nested in HEMOTHEPP French cohort study |
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