Pulmonary embolism and stroke in relation to pregnancy: How can high-risk women be identified?
Objective: Risks of circulatory diseases are increased substantially during late pregnancy and around the time of delivery. This study was undertaken to determine whether preeclampsia, multiple pregnancy, or cesarean delivery account for the majority of pregnancy-related risks of pulmonary embolism...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2002-02, Vol.186 (2), p.198-203 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Ros, Helena Salonen Lichtenstein, Paul Bellocco, Rino Petersson, Gunnar Cnattingius, Sven |
| description | Objective: Risks of circulatory diseases are increased substantially during late pregnancy and around the time of delivery. This study was undertaken to determine whether preeclampsia, multiple pregnancy, or cesarean delivery account for the majority of pregnancy-related risks of pulmonary embolism and stroke (caused by hemorrhage, infarction, and intracranial venous thrombosis). Study Design: We analyzed a population-based cohort of 1,003,489 deliveries in Sweden. Relative risks of pulmonary embolism and stroke were modeled by use of Poisson regression. Results: Preeclampsia was associated with 3- to 12-fold increases in risks of pulmonary embolism and stroke during late pregnancy, at delivery, and in the puerperium, and similar increases in risks were also observed for multiple pregnancies and cesarean delivery. These strong associations could not explain the overall pregnancy-related risks of pulmonary embolism and stroke. Conclusion: Preeclampsia, multiple birth, and cesarean delivery are important risk factors for pulmonary embolism and stroke, but they do not account for the majority of the excess risks associated with pregnancy. (Am J Obstet Gynecol 2002;186:198-203.) |
| doi_str_mv | 10.1067/mob.2002.119177 |
| format | Article |
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This study was undertaken to determine whether preeclampsia, multiple pregnancy, or cesarean delivery account for the majority of pregnancy-related risks of pulmonary embolism and stroke (caused by hemorrhage, infarction, and intracranial venous thrombosis). Study Design: We analyzed a population-based cohort of 1,003,489 deliveries in Sweden. Relative risks of pulmonary embolism and stroke were modeled by use of Poisson regression. Results: Preeclampsia was associated with 3- to 12-fold increases in risks of pulmonary embolism and stroke during late pregnancy, at delivery, and in the puerperium, and similar increases in risks were also observed for multiple pregnancies and cesarean delivery. These strong associations could not explain the overall pregnancy-related risks of pulmonary embolism and stroke. Conclusion: Preeclampsia, multiple birth, and cesarean delivery are important risk factors for pulmonary embolism and stroke, but they do not account for the majority of the excess risks associated with pregnancy. (Am J Obstet Gynecol 2002;186:198-203.)</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1067/mob.2002.119177</identifier><identifier>PMID: 11854635</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Adult ; Biological and medical sciences ; Cesarean delivery ; Cesarean Section - statistics & numerical data ; Cohort Studies ; Comorbidity ; Cross-Sectional Studies ; Diseases of mother, fetus and pregnancy ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Medicin och hälsovetenskap ; multiple pregnancy ; Pre-Eclampsia - epidemiology ; preeclampsia ; Pregnancy ; Pregnancy Complications - epidemiology ; Pregnancy, Multiple - statistics & numerical data ; Pregnancy. Fetus. Placenta ; Puerperal Disorders - epidemiology ; pulmonary embolism ; Pulmonary Embolism - epidemiology ; Regression Analysis ; Risk Assessment - methods ; stroke ; Stroke - epidemiology</subject><ispartof>American journal of obstetrics and gynecology, 2002-02, Vol.186 (2), p.198-203</ispartof><rights>2002 Mosby, Inc.</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-ab9caa27a6537527e700807d81afdb2a09b5920a4f396c1e51a8804b4160295e3</citedby><cites>FETCH-LOGICAL-c459t-ab9caa27a6537527e700807d81afdb2a09b5920a4f396c1e51a8804b4160295e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1067/mob.2002.119177$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13516310$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11854635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:1937032$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Ros, Helena Salonen</creatorcontrib><creatorcontrib>Lichtenstein, Paul</creatorcontrib><creatorcontrib>Bellocco, Rino</creatorcontrib><creatorcontrib>Petersson, Gunnar</creatorcontrib><creatorcontrib>Cnattingius, Sven</creatorcontrib><title>Pulmonary embolism and stroke in relation to pregnancy: How can high-risk women be identified?</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective: Risks of circulatory diseases are increased substantially during late pregnancy and around the time of delivery. This study was undertaken to determine whether preeclampsia, multiple pregnancy, or cesarean delivery account for the majority of pregnancy-related risks of pulmonary embolism and stroke (caused by hemorrhage, infarction, and intracranial venous thrombosis). Study Design: We analyzed a population-based cohort of 1,003,489 deliveries in Sweden. Relative risks of pulmonary embolism and stroke were modeled by use of Poisson regression. Results: Preeclampsia was associated with 3- to 12-fold increases in risks of pulmonary embolism and stroke during late pregnancy, at delivery, and in the puerperium, and similar increases in risks were also observed for multiple pregnancies and cesarean delivery. These strong associations could not explain the overall pregnancy-related risks of pulmonary embolism and stroke. Conclusion: Preeclampsia, multiple birth, and cesarean delivery are important risk factors for pulmonary embolism and stroke, but they do not account for the majority of the excess risks associated with pregnancy. (Am J Obstet Gynecol 2002;186:198-203.)</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cesarean delivery</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>multiple pregnancy</subject><subject>Pre-Eclampsia - epidemiology</subject><subject>preeclampsia</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Pregnancy, Multiple - statistics & numerical data</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Puerperal Disorders - epidemiology</subject><subject>pulmonary embolism</subject><subject>Pulmonary Embolism - epidemiology</subject><subject>Regression Analysis</subject><subject>Risk Assessment - methods</subject><subject>stroke</subject><subject>Stroke - epidemiology</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtv1DAURi0EotPCmh3yBnaZ-hHHMRtUVZQiVYIFbLEc-6Y1k9iDnTDqv8ejBGbVlV_nXNv3Q-gNJVtKGnk5xm7LCGFbShWV8hnaUKJk1bRN-xxtSDmpFJftGTrP-ddxyRR7ic4obUXdcLFBP7_NwxiDSY8Yxi4OPo_YBIfzlOIOsA84wWAmHwOeIt4nuA8m2McP-DYesDUBP_j7hyr5vMOHOELAXZEchMn3HtzHV-hFb4YMr9fxAv24-fT9-ra6-_r5y_XVXWVroabKdMoaw6RpBJeCSZCEtES6lpredcwQ1QnFiKl7rhpLQVDTtqTuatoQpgTwC1QtdfMB9nOn98mP5U86Gq_XrV2ZgRZKECUKL5_k9ym6k_RPpKWPhLNivl_Mgv2eIU969NnCMJgAcc5a0rqpuTyClwtoU8w5Qf__Ekr0MTxdwtPH8PQSXjHerqXnbgR34te0CvBuBUy2ZuhTicLnE8cFbTglhVMLB6Xlfzwkna2HYMH5BHbSLvonH_EXfdG2kw</recordid><startdate>20020201</startdate><enddate>20020201</enddate><creator>Ros, Helena Salonen</creator><creator>Lichtenstein, Paul</creator><creator>Bellocco, Rino</creator><creator>Petersson, Gunnar</creator><creator>Cnattingius, Sven</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><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20020201</creationdate><title>Pulmonary embolism and stroke in relation to pregnancy: How can high-risk women be identified?</title><author>Ros, Helena Salonen ; Lichtenstein, Paul ; Bellocco, Rino ; Petersson, Gunnar ; Cnattingius, Sven</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-ab9caa27a6537527e700807d81afdb2a09b5920a4f396c1e51a8804b4160295e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cesarean delivery</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>multiple pregnancy</topic><topic>Pre-Eclampsia - epidemiology</topic><topic>preeclampsia</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Pregnancy, Multiple - statistics & numerical data</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Puerperal Disorders - epidemiology</topic><topic>pulmonary embolism</topic><topic>Pulmonary Embolism - epidemiology</topic><topic>Regression Analysis</topic><topic>Risk Assessment - methods</topic><topic>stroke</topic><topic>Stroke - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ros, Helena Salonen</creatorcontrib><creatorcontrib>Lichtenstein, Paul</creatorcontrib><creatorcontrib>Bellocco, Rino</creatorcontrib><creatorcontrib>Petersson, Gunnar</creatorcontrib><creatorcontrib>Cnattingius, Sven</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><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ros, Helena Salonen</au><au>Lichtenstein, Paul</au><au>Bellocco, Rino</au><au>Petersson, Gunnar</au><au>Cnattingius, Sven</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pulmonary embolism and stroke in relation to pregnancy: How can high-risk women be identified?</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2002-02-01</date><risdate>2002</risdate><volume>186</volume><issue>2</issue><spage>198</spage><epage>203</epage><pages>198-203</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective: Risks of circulatory diseases are increased substantially during late pregnancy and around the time of delivery. This study was undertaken to determine whether preeclampsia, multiple pregnancy, or cesarean delivery account for the majority of pregnancy-related risks of pulmonary embolism and stroke (caused by hemorrhage, infarction, and intracranial venous thrombosis). Study Design: We analyzed a population-based cohort of 1,003,489 deliveries in Sweden. Relative risks of pulmonary embolism and stroke were modeled by use of Poisson regression. Results: Preeclampsia was associated with 3- to 12-fold increases in risks of pulmonary embolism and stroke during late pregnancy, at delivery, and in the puerperium, and similar increases in risks were also observed for multiple pregnancies and cesarean delivery. These strong associations could not explain the overall pregnancy-related risks of pulmonary embolism and stroke. Conclusion: Preeclampsia, multiple birth, and cesarean delivery are important risk factors for pulmonary embolism and stroke, but they do not account for the majority of the excess risks associated with pregnancy. (Am J Obstet Gynecol 2002;186:198-203.)</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>11854635</pmid><doi>10.1067/mob.2002.119177</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adult Biological and medical sciences Cesarean delivery Cesarean Section - statistics & numerical data Cohort Studies Comorbidity Cross-Sectional Studies Diseases of mother, fetus and pregnancy Female Gynecology. Andrology. Obstetrics Humans Medical sciences Medicin och hälsovetenskap multiple pregnancy Pre-Eclampsia - epidemiology preeclampsia Pregnancy Pregnancy Complications - epidemiology Pregnancy, Multiple - statistics & numerical data Pregnancy. Fetus. Placenta Puerperal Disorders - epidemiology pulmonary embolism Pulmonary Embolism - epidemiology Regression Analysis Risk Assessment - methods stroke Stroke - epidemiology |
| title | Pulmonary embolism and stroke in relation to pregnancy: How can high-risk women be identified? |
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