Antenatal and perinatal factors influencing neonatal blood pressure: a systematic review

Objective A comprehensive understanding of the factors contributing to perinatal blood pressure is vital to ensure optimal postnatal hemodynamic support. The objective of this study was to review existing literature on maternal and perinatal factors influencing blood pressure in neonates up to 3 mon...

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Veröffentlicht in:Journal of perinatology 2021-09, Vol.41 (9), p.2317-2329
Hauptverfasser: Rabe, Heike, Bhatt-Mehta, Varsha, Bremner, Stephen A., Ahluwalia, Aisling, Mcfarlane, Renske, Baygani, Simin, Batton, Beau, Klein, Agnes, Ergenekon, Ebru, Koplowitz, Luana Pesco, Dempsey, Eugene, Apele-Freimane, Dina, Iwami, Hiroko, Dionne, Janis M.
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container_end_page 2329
container_issue 9
container_start_page 2317
container_title Journal of perinatology
container_volume 41
creator Rabe, Heike
Bhatt-Mehta, Varsha
Bremner, Stephen A.
Ahluwalia, Aisling
Mcfarlane, Renske
Baygani, Simin
Batton, Beau
Klein, Agnes
Ergenekon, Ebru
Koplowitz, Luana Pesco
Dempsey, Eugene
Apele-Freimane, Dina
Iwami, Hiroko
Dionne, Janis M.
description Objective A comprehensive understanding of the factors contributing to perinatal blood pressure is vital to ensure optimal postnatal hemodynamic support. The objective of this study was to review existing literature on maternal and perinatal factors influencing blood pressure in neonates up to 3 months corrected age. Methods A systematic search of published literature in OVID Medline, OVID Embase and the COCHRANE library identified publications relating to maternal factors affecting blood pressure of neonates up to corrected age of 3 months. Summary data were extracted and compared (PROSPERO CRD42018092886). Results Of the 3683 non-duplicate publications identified, 44 were eligible for inclusion in this review. Topics elicited were sociodemographic factors, maternal health status, medications, smoking during pregnancy, and cord management at birth. Limited data were available for each factor. Results regarding the impact of these factors on neonatal blood pressure were inconsistent across studies. Conclusions There is insufficient evidence to draw definitive conclusions regarding the impact of various maternal and perinatal factors on neonatal blood pressure. Future investigations of neonatal cardiovascular therapies should account for these factors in their study design. Similarly, studies on maternal diseases and perinatal interventions should include neonatal blood pressure as part of their primary or secondary analyses.
doi_str_mv 10.1038/s41372-021-01169-5
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The objective of this study was to review existing literature on maternal and perinatal factors influencing blood pressure in neonates up to 3 months corrected age. Methods A systematic search of published literature in OVID Medline, OVID Embase and the COCHRANE library identified publications relating to maternal factors affecting blood pressure of neonates up to corrected age of 3 months. Summary data were extracted and compared (PROSPERO CRD42018092886). Results Of the 3683 non-duplicate publications identified, 44 were eligible for inclusion in this review. Topics elicited were sociodemographic factors, maternal health status, medications, smoking during pregnancy, and cord management at birth. Limited data were available for each factor. Results regarding the impact of these factors on neonatal blood pressure were inconsistent across studies. Conclusions There is insufficient evidence to draw definitive conclusions regarding the impact of various maternal and perinatal factors on neonatal blood pressure. Future investigations of neonatal cardiovascular therapies should account for these factors in their study design. Similarly, studies on maternal diseases and perinatal interventions should include neonatal blood pressure as part of their primary or secondary analyses.</description><identifier>ISSN: 0743-8346</identifier><identifier>ISSN: 1476-5543</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-021-01169-5</identifier><identifier>PMID: 34365475</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308 ; 692/700/1720 ; Blood Pressure ; Documents ; Female ; Fetus ; Growth ; Health aspects ; Hemodynamics ; Humans ; Infant ; Infant, Newborn ; Infants (Newborn) ; Literature reviews ; Medicine ; Medicine &amp; Public Health ; Neonates ; Newborn babies ; Pediatric research ; Pediatric Surgery ; Pediatrics ; Physiological aspects ; Pregnancy ; Prenatal influences ; Reviews</subject><ispartof>Journal of perinatology, 2021-09, Vol.41 (9), p.2317-2329</ispartof><rights>The Author(s) 2021</rights><rights>2021. 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subjects 692/308
692/700/1720
Blood Pressure
Documents
Female
Fetus
Growth
Health aspects
Hemodynamics
Humans
Infant
Infant, Newborn
Infants (Newborn)
Literature reviews
Medicine
Medicine & Public Health
Neonates
Newborn babies
Pediatric research
Pediatric Surgery
Pediatrics
Physiological aspects
Pregnancy
Prenatal influences
Reviews
title Antenatal and perinatal factors influencing neonatal blood pressure: a systematic review
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