Recurrence of preeclampsia: effects of gestational age at delivery of the first pregnancy, body mass index, paternity, and interval between births

Objectives The purpose of this study was to establish estimates for recurrence risk of preeclampsia based on gestational age at delivery of the first pregnancy complicated by preeclampsia and to determine whether interbirth interval, paternity, and body mass index (BMI) modify that risk in women wit...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:American journal of obstetrics and gynecology 2008-07, Vol.199 (1), p.55.e1-55.e7
Hauptverfasser: Mostello, Dorothea, MD, Kallogjeri, Dorina, MD, MPH, Tungsiripat, Rachata, MD, MPH, Leet, Terry, PhD
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 55.e7
container_issue 1
container_start_page 55.e1
container_title American journal of obstetrics and gynecology
container_volume 199
creator Mostello, Dorothea, MD
Kallogjeri, Dorina, MD, MPH
Tungsiripat, Rachata, MD, MPH
Leet, Terry, PhD
description Objectives The purpose of this study was to establish estimates for recurrence risk of preeclampsia based on gestational age at delivery of the first pregnancy complicated by preeclampsia and to determine whether interbirth interval, paternity, and body mass index (BMI) modify that risk in women with prior preeclampsia. Study Design A population-based, cohort study was conducted using data from Missouri maternally linked birth certificates. The cohort included women who had 2 singleton births between 1989 and 1997: 6157 women with preeclampsia and 97,703 women without preeclampsia at the time of their first deliveries. Data were analyzed using the Poisson regression. Results At the time of their second delivery, 14.7% women with prior preeclampsia developed recurrent preeclampsia. The risk of recurrent preeclampsia is inversely related to gestational age at the first delivery: 38.6% for 28 weeks' gestation or earlier, 29.1% for 29-32 weeks, 21.9% for 33-36 weeks, and 12.9% for 37 weeks or more. The recurrent preeclampsia risk was fairly constant if both births occurred within 7 years. Obese and overweight women had higher risks of recurrent preeclampsia (19.3% and 14.2%), compared with women with normal BMI (11.2%). The recurrence risk did not differ according to paternity status. Conclusion The risk of preeclampsia recurrence increases with earlier gestational age at the first delivery complicated by preeclampsia and with increasing maternal BMI.
doi_str_mv 10.1016/j.ajog.2007.11.058
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69264450</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0002937807022405</els_id><sourcerecordid>69264450</sourcerecordid><originalsourceid>FETCH-LOGICAL-c505t-7e6b6b4704633913a6a83730231cafbedc058d15058245b0bb737e314ff1291f3</originalsourceid><addsrcrecordid>eNp9ksmO1DAQhi0EYpqBF-CAfIHTJHhJnAQhJDRik0ZCYjlbtlPuccjS2E5DXoMnxla3QOLAySrXV1X2_xdCjykpKaHi-VCqYdmXjJCmpLQkdXsH7SjpmkK0or2LdoQQVnS8aS_QgxCGHLKO3UcXtGUtqWqyQ78-gVm9h9kAXiw-eAAzqukQnHqBwVowMeTEHkJU0S2zGrHaA1YR9zC6I_gtp-MtYOt8iLnDflaz2a6wXvoNTyoE7OYefl7hg4rgZxdTTs19uk3hMTXUEH8AzFg7H2_DQ3TPqjHAo_N5ib6-ffPl-n1x8_Hdh-vXN4WpSR2LBoQWumpIJTjvKFdCtbzhhHFqlNXQmyRITxPbsqrWROuGN8BpZS1lHbX8Ej079T345fua_icnFwyMo5phWYMUHRNVEimB7AQav4TgwcqDd5Pym6REZifkILMTMjshKZVpZCp6cu6-6gn6vyVn6RPw9AyoYNRofRLNhT8cI1XLBK8T9_LEQdLi6MDLYFz2q3c-uSP7xf3_Ha_-KTejm12a-A02CMOy-uRpkFQGJon8nJckrwxp0rJUpOa_AbFNvTg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69264450</pqid></control><display><type>article</type><title>Recurrence of preeclampsia: effects of gestational age at delivery of the first pregnancy, body mass index, paternity, and interval between births</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Mostello, Dorothea, MD ; Kallogjeri, Dorina, MD, MPH ; Tungsiripat, Rachata, MD, MPH ; Leet, Terry, PhD</creator><creatorcontrib>Mostello, Dorothea, MD ; Kallogjeri, Dorina, MD, MPH ; Tungsiripat, Rachata, MD, MPH ; Leet, Terry, PhD</creatorcontrib><description>Objectives The purpose of this study was to establish estimates for recurrence risk of preeclampsia based on gestational age at delivery of the first pregnancy complicated by preeclampsia and to determine whether interbirth interval, paternity, and body mass index (BMI) modify that risk in women with prior preeclampsia. Study Design A population-based, cohort study was conducted using data from Missouri maternally linked birth certificates. The cohort included women who had 2 singleton births between 1989 and 1997: 6157 women with preeclampsia and 97,703 women without preeclampsia at the time of their first deliveries. Data were analyzed using the Poisson regression. Results At the time of their second delivery, 14.7% women with prior preeclampsia developed recurrent preeclampsia. The risk of recurrent preeclampsia is inversely related to gestational age at the first delivery: 38.6% for 28 weeks' gestation or earlier, 29.1% for 29-32 weeks, 21.9% for 33-36 weeks, and 12.9% for 37 weeks or more. The recurrent preeclampsia risk was fairly constant if both births occurred within 7 years. Obese and overweight women had higher risks of recurrent preeclampsia (19.3% and 14.2%), compared with women with normal BMI (11.2%). The recurrence risk did not differ according to paternity status. Conclusion The risk of preeclampsia recurrence increases with earlier gestational age at the first delivery complicated by preeclampsia and with increasing maternal BMI.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2007.11.058</identifier><identifier>PMID: 18280450</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Body Mass Index ; Cohort Studies ; Delivery. Postpartum. Lactation ; Diseases of mother, fetus and pregnancy ; Female ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Male ; Medical sciences ; Missouri - epidemiology ; obesity ; Obesity - complications ; Obstetrics and Gynecology ; Paternity ; Pre-Eclampsia - etiology ; Pre-Eclampsia - prevention &amp; control ; preeclampsia ; Pregnancy ; pregnancy complications ; Pregnancy. Fetus. Placenta ; Recurrence ; Risk Assessment ; Risk Factors ; Time Factors</subject><ispartof>American journal of obstetrics and gynecology, 2008-07, Vol.199 (1), p.55.e1-55.e7</ispartof><rights>Mosby, Inc.</rights><rights>2008 Mosby, Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-7e6b6b4704633913a6a83730231cafbedc058d15058245b0bb737e314ff1291f3</citedby><cites>FETCH-LOGICAL-c505t-7e6b6b4704633913a6a83730231cafbedc058d15058245b0bb737e314ff1291f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajog.2007.11.058$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20482635$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18280450$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mostello, Dorothea, MD</creatorcontrib><creatorcontrib>Kallogjeri, Dorina, MD, MPH</creatorcontrib><creatorcontrib>Tungsiripat, Rachata, MD, MPH</creatorcontrib><creatorcontrib>Leet, Terry, PhD</creatorcontrib><title>Recurrence of preeclampsia: effects of gestational age at delivery of the first pregnancy, body mass index, paternity, and interval between births</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objectives The purpose of this study was to establish estimates for recurrence risk of preeclampsia based on gestational age at delivery of the first pregnancy complicated by preeclampsia and to determine whether interbirth interval, paternity, and body mass index (BMI) modify that risk in women with prior preeclampsia. Study Design A population-based, cohort study was conducted using data from Missouri maternally linked birth certificates. The cohort included women who had 2 singleton births between 1989 and 1997: 6157 women with preeclampsia and 97,703 women without preeclampsia at the time of their first deliveries. Data were analyzed using the Poisson regression. Results At the time of their second delivery, 14.7% women with prior preeclampsia developed recurrent preeclampsia. The risk of recurrent preeclampsia is inversely related to gestational age at the first delivery: 38.6% for 28 weeks' gestation or earlier, 29.1% for 29-32 weeks, 21.9% for 33-36 weeks, and 12.9% for 37 weeks or more. The recurrent preeclampsia risk was fairly constant if both births occurred within 7 years. Obese and overweight women had higher risks of recurrent preeclampsia (19.3% and 14.2%), compared with women with normal BMI (11.2%). The recurrence risk did not differ according to paternity status. Conclusion The risk of preeclampsia recurrence increases with earlier gestational age at the first delivery complicated by preeclampsia and with increasing maternal BMI.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Cohort Studies</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Missouri - epidemiology</subject><subject>obesity</subject><subject>Obesity - complications</subject><subject>Obstetrics and Gynecology</subject><subject>Paternity</subject><subject>Pre-Eclampsia - etiology</subject><subject>Pre-Eclampsia - prevention &amp; control</subject><subject>preeclampsia</subject><subject>Pregnancy</subject><subject>pregnancy complications</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Recurrence</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Time Factors</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ksmO1DAQhi0EYpqBF-CAfIHTJHhJnAQhJDRik0ZCYjlbtlPuccjS2E5DXoMnxla3QOLAySrXV1X2_xdCjykpKaHi-VCqYdmXjJCmpLQkdXsH7SjpmkK0or2LdoQQVnS8aS_QgxCGHLKO3UcXtGUtqWqyQ78-gVm9h9kAXiw-eAAzqukQnHqBwVowMeTEHkJU0S2zGrHaA1YR9zC6I_gtp-MtYOt8iLnDflaz2a6wXvoNTyoE7OYefl7hg4rgZxdTTs19uk3hMTXUEH8AzFg7H2_DQ3TPqjHAo_N5ib6-ffPl-n1x8_Hdh-vXN4WpSR2LBoQWumpIJTjvKFdCtbzhhHFqlNXQmyRITxPbsqrWROuGN8BpZS1lHbX8Ej079T345fua_icnFwyMo5phWYMUHRNVEimB7AQav4TgwcqDd5Pym6REZifkILMTMjshKZVpZCp6cu6-6gn6vyVn6RPw9AyoYNRofRLNhT8cI1XLBK8T9_LEQdLi6MDLYFz2q3c-uSP7xf3_Ha_-KTejm12a-A02CMOy-uRpkFQGJon8nJckrwxp0rJUpOa_AbFNvTg</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Mostello, Dorothea, MD</creator><creator>Kallogjeri, Dorina, MD, MPH</creator><creator>Tungsiripat, Rachata, MD, MPH</creator><creator>Leet, Terry, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><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></search><sort><creationdate>20080701</creationdate><title>Recurrence of preeclampsia: effects of gestational age at delivery of the first pregnancy, body mass index, paternity, and interval between births</title><author>Mostello, Dorothea, MD ; Kallogjeri, Dorina, MD, MPH ; Tungsiripat, Rachata, MD, MPH ; Leet, Terry, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-7e6b6b4704633913a6a83730231cafbedc058d15058245b0bb737e314ff1291f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Cohort Studies</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Missouri - epidemiology</topic><topic>obesity</topic><topic>Obesity - complications</topic><topic>Obstetrics and Gynecology</topic><topic>Paternity</topic><topic>Pre-Eclampsia - etiology</topic><topic>Pre-Eclampsia - prevention &amp; control</topic><topic>preeclampsia</topic><topic>Pregnancy</topic><topic>pregnancy complications</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Recurrence</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mostello, Dorothea, MD</creatorcontrib><creatorcontrib>Kallogjeri, Dorina, MD, MPH</creatorcontrib><creatorcontrib>Tungsiripat, Rachata, MD, MPH</creatorcontrib><creatorcontrib>Leet, Terry, PhD</creatorcontrib><collection>Pascal-Francis</collection><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><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mostello, Dorothea, MD</au><au>Kallogjeri, Dorina, MD, MPH</au><au>Tungsiripat, Rachata, MD, MPH</au><au>Leet, Terry, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrence of preeclampsia: effects of gestational age at delivery of the first pregnancy, body mass index, paternity, and interval between births</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>199</volume><issue>1</issue><spage>55.e1</spage><epage>55.e7</epage><pages>55.e1-55.e7</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objectives The purpose of this study was to establish estimates for recurrence risk of preeclampsia based on gestational age at delivery of the first pregnancy complicated by preeclampsia and to determine whether interbirth interval, paternity, and body mass index (BMI) modify that risk in women with prior preeclampsia. Study Design A population-based, cohort study was conducted using data from Missouri maternally linked birth certificates. The cohort included women who had 2 singleton births between 1989 and 1997: 6157 women with preeclampsia and 97,703 women without preeclampsia at the time of their first deliveries. Data were analyzed using the Poisson regression. Results At the time of their second delivery, 14.7% women with prior preeclampsia developed recurrent preeclampsia. The risk of recurrent preeclampsia is inversely related to gestational age at the first delivery: 38.6% for 28 weeks' gestation or earlier, 29.1% for 29-32 weeks, 21.9% for 33-36 weeks, and 12.9% for 37 weeks or more. The recurrent preeclampsia risk was fairly constant if both births occurred within 7 years. Obese and overweight women had higher risks of recurrent preeclampsia (19.3% and 14.2%), compared with women with normal BMI (11.2%). The recurrence risk did not differ according to paternity status. Conclusion The risk of preeclampsia recurrence increases with earlier gestational age at the first delivery complicated by preeclampsia and with increasing maternal BMI.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>18280450</pmid><doi>10.1016/j.ajog.2007.11.058</doi><tpages>3</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0002-9378
ispartof American journal of obstetrics and gynecology, 2008-07, Vol.199 (1), p.55.e1-55.e7
issn 0002-9378
1097-6868
language eng
recordid cdi_proquest_miscellaneous_69264450
source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adolescent
Adult
Biological and medical sciences
Body Mass Index
Cohort Studies
Delivery. Postpartum. Lactation
Diseases of mother, fetus and pregnancy
Female
Gestational Age
Gynecology. Andrology. Obstetrics
Humans
Male
Medical sciences
Missouri - epidemiology
obesity
Obesity - complications
Obstetrics and Gynecology
Paternity
Pre-Eclampsia - etiology
Pre-Eclampsia - prevention & control
preeclampsia
Pregnancy
pregnancy complications
Pregnancy. Fetus. Placenta
Recurrence
Risk Assessment
Risk Factors
Time Factors
title Recurrence of preeclampsia: effects of gestational age at delivery of the first pregnancy, body mass index, paternity, and interval between births
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T00%3A30%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Recurrence%20of%20preeclampsia:%20effects%20of%20gestational%20age%20at%20delivery%20of%20the%20first%20pregnancy,%20body%20mass%20index,%20paternity,%20and%20interval%20between%20births&rft.jtitle=American%20journal%20of%20obstetrics%20and%20gynecology&rft.au=Mostello,%20Dorothea,%20MD&rft.date=2008-07-01&rft.volume=199&rft.issue=1&rft.spage=55.e1&rft.epage=55.e7&rft.pages=55.e1-55.e7&rft.issn=0002-9378&rft.eissn=1097-6868&rft.coden=AJOGAH&rft_id=info:doi/10.1016/j.ajog.2007.11.058&rft_dat=%3Cproquest_cross%3E69264450%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=69264450&rft_id=info:pmid/18280450&rft_els_id=1_s2_0_S0002937807022405&rfr_iscdi=true