Recurrence of hypertensive disorder in second pregnancy

The purpose of this study was to investigate the recurrence of hypertensive disorders in pregnancy with regard to the type of disorder, the onset of hypertension, and the modulating effect of overweight and weight gain between pregnancies. Maternity records from 896 parous women with hypertensive di...

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Veröffentlicht in:American journal of obstetrics and gynecology 2006-04, Vol.194 (4), p.916-920
Hauptverfasser: Hjartardottir, Sigrun, Leifsson, Björn G., Geirsson, Reynir T., Steinthorsdottir, Valgerdur
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container_issue 4
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container_title American journal of obstetrics and gynecology
container_volume 194
creator Hjartardottir, Sigrun
Leifsson, Björn G.
Geirsson, Reynir T.
Steinthorsdottir, Valgerdur
description The purpose of this study was to investigate the recurrence of hypertensive disorders in pregnancy with regard to the type of disorder, the onset of hypertension, and the modulating effect of overweight and weight gain between pregnancies. Maternity records from 896 parous women with hypertensive disorders in pregnancy in the first pregnancy were reviewed to reclassify disease status and calculate odds ratios for recurrence. Recurrence of hypertensive disorders in pregnancy occurred in 58% to 94% of second pregnancies, depending on first pregnancy disorder. Overweight (odds ratio, 1.82) and weight gain (odds ratio, 2.20) were related to recurrence among women with gestational hypertension. Early hypertension (≤34 weeks of gestation) increased the recurrence risk for women with gestational hypertension (odds ratio, 1.85) and preeclampsia (odds ratio, 3.42). Recurrence of hypertensive disorders in pregnancy is common, but not specified by type of disorder in first pregnancy. Overweight and weight gain between pregnancies are associated with recurrent hypertensive disorders in pregnancy in women with gestational hypertension. Early onset of hypertension is a risk factor, independent of body weight.
doi_str_mv 10.1016/j.ajog.2005.10.819
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Maternity records from 896 parous women with hypertensive disorders in pregnancy in the first pregnancy were reviewed to reclassify disease status and calculate odds ratios for recurrence. Recurrence of hypertensive disorders in pregnancy occurred in 58% to 94% of second pregnancies, depending on first pregnancy disorder. Overweight (odds ratio, 1.82) and weight gain (odds ratio, 2.20) were related to recurrence among women with gestational hypertension. Early hypertension (≤34 weeks of gestation) increased the recurrence risk for women with gestational hypertension (odds ratio, 1.85) and preeclampsia (odds ratio, 3.42). Recurrence of hypertensive disorders in pregnancy is common, but not specified by type of disorder in first pregnancy. Overweight and weight gain between pregnancies are associated with recurrent hypertensive disorders in pregnancy in women with gestational hypertension. 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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Biological and medical sciences
Diseases of mother, fetus and pregnancy
Female
Gestational hypertension
Gynecology. Andrology. Obstetrics
Humans
Hypertension, Pregnancy-Induced - epidemiology
Medical sciences
Overweight
Parity
Preeclampsia
Pregnancy
Pregnancy. Fetus. Placenta
Recurrence
Risk factor
Risk Factors
title Recurrence of hypertensive disorder in second pregnancy
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