Blood pressure changes across gestation in patients with twin pregnancies

Fox, Nathan S.; Roman, Ashley S.; Hastings, Jeffrey W.; Saltzman, Daniel H.; Hourizadeh, Tanya; Rebarber, Andrei

doi:10.3109/14767058.2013.845660

Cited by 6 publications

(2 citation statements)

References 6 publications

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“…In a previous study, researchers observed that BP began to rise after 30 weeks gestation during twin pregnancies. 25 Together, these studies strongly suggest that women with twin pregnancies are at increased risk for high BP as gestational age increases. Furthermore, pulse rates during the twin pregnancies were significantly higher than those during the singleton pregnancies between 11 and 30 weeks gestation.…”

Section: Discussionmentioning

confidence: 89%

Differences in home blood pressure and pulse rates between singleton and twin pregnancies

et al. 2018

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ObjectivesTo evaluate home blood pressure (HBP) measurements during pregnancy and postpartum and investigate differences between singleton and twin pregnancies.MethodsThis prospective study involved normotensive, pregnant women who were planning to give birth at Saitama Medical Centre, Saitama, Japan between September 2013 and March 2017. HBP and pulse rate were measured twice daily and clinical blood pressure values were determined from patient records.ResultsHBP values were available from 101 participants; 69 women with singleton and 32 women with twin pregnancies. Systolic BP was statistically significantly higher in twin pregnancies from 23 weeks of gestation until 8 weeks after delivery compared with singleton pregnancies. Pulse rate was also statistically significantly higher between 11 and 30 weeks gestation in women with twin pregnancies compared with those with singleton pregnancies.ConclusionsBP monitoring is important in the management of twin pregnancies, especially during the later gestational weeks and postpartum period and HBP would facilitate this monitoring.

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Section: Discussionmentioning

confidence: 89%

Differences in home blood pressure and pulse rates between singleton and twin pregnancies

et al. 2018

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“…Поскольку многоплодная беременность является отдельным фактором риска ПЭ (относительный риск 2,9), контроль показателей АД у этой категории женщин приобретает особое значение [35], при этом их прицельный мониторинг необходим при АД>120/80 мм рт. ст., поскольку последнее соответствует 95-му процентилю кривой распределения АД в данной популяционной группе [36].…”

Section: Discussionunclassified

Is high normotension a norm or a risk factor for perinatal complications: prospective cohort study

Podzolkova

Skvortsova²,

Denisova³

et al. 2022

Consilium Medicum

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Aim. Comparative assessment of the effect of high normotension and hypertension 12nd stage on the risk of gestational and perinatal complications. Materials and methods. A prospective cohort study (n=110) assessing the effect of high normotension on the risk of gestational complications and pregnancy outcomes was conducted. The main group (n=70) included 30 patients with high normotension subgroup A, and 40 patients with hypertension 12nd stage subgroup B. The comparison group included 40 patients with "white coat hypertension". Results. The most frequent complications in the 2nd and 3rd trimesters of pregnancy were toxaemia, threatened miscarriage, edema (detected in more than half of patients with high normotension and hypertension 12nd stage) and well as threatened preterm labor (p0.05). The frequency of pre-eclampsia development in subgroups A and B did not differ significantly, however, in patients with high normotension in the 3rd trimester during a test of endothelium-dependent vasodilation were detected signs of endothelial dysfunction, which may be one of the mechanisms for the subsequent formation of hypertension in these patients. Placental insufficiency of varying severity was detected only in subgroups A and B. Placental insufficiency, along with intrauterine fetal hypoxia of different etiologies, were the most frequent causes of emergency caesarean section, occurring only in the main group 3 (75.0%) in subgroup A and 6 (66.67%) in subgroup B and associated with blood pressure above 130/85 mm Hg. Conclusion. The importance of preventing blood pressure increase to high normal rate is explained by the development of endothelial dysfunction at late gestation, which can serve as the mechanisms of hypertension formation in this category of pregnant women.

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Maternal hemodynamics in late gestation and immediate postpartum in singletons vs. twin pregnancies

Lavie

Ram

Lev

et al. 2017

Arch Gynecol Obstet

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Blood pressure changes across gestation in patients with twin pregnancies

Abstract: In patients with twin pregnancies, the BP remains stable from 6 weeks until 30 weeks, at which time it begins to rise steadily. The 95th percentile for SBP and DBP prior to 30 weeks are ∼120 and 80 mmHg, respectively.

Cited by 6 publications

References 6 publications

Differences in home blood pressure and pulse rates between singleton and twin pregnancies

Differences in home blood pressure and pulse rates between singleton and twin pregnancies

Is high normotension a norm or a risk factor for perinatal complications: prospective cohort study

Maternal hemodynamics in late gestation and immediate postpartum in singletons vs. twin pregnancies

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