Ethnicity, Obesity and Emotional Factors Associated With Gestational Hypertension

Abstract

Identifying factors that can be related to the occurrence of gestational arterial hypertension. The sample was composed by 105 pregnant women in their third trimester of gestation, during the period between September 2013 and August 2014. General assessment questionnaires together with a questionnaire to evaluate anxiety (STAI-A-STATE) were applied; arterial blood pressure values were collected. To classify anxiety, a mean of the final result of all the questionnaires gotten was calculated. Pregnant women who showed scores higher than the mean were considered anxious. All data were analyzed by a logistic regression. The significance level adopted was 0.05. A data analysis allowed us to verify that 92.38% of the pregnant women had an anxious personality STAI-A-STATE and 12.38% of them had a momentary hypertension. The momentary hypertension showed a correlation between the hypertension and the state anxiety score (p = 0.049). The hypertension showed an association with the presence of depression (OR 8.69), obesity (OR 6.45), anxiety (OR 7.77), nausea (OR 12.79) and non-white race (OR 8.18). According to the study realized, the factors non-white race, depression, nausea, obesity and anxiety can be considered risk factors for the occurrence of gestational arterial hypertension. Based on these findings, a high quality prenatal assistance is considered of prime importance.

Factors associated with Specific Hypertensive Gestation Syndrome (SHGS) in postpartum adolescent and young adult mothers in the Northeast of Brazil: a multiple analysis of hierarchical models

“…There was no significant association between the study outcome and the skin color / race, diverging from other studies 16,25,27,28 which observed statistical significance among black women. For the use of tobacco during gestation, the results of the present study ratify researches carried out at the national level, in Maternities of the States of the Northeast, 19 Southeast 23 and Southern Regions of Brazil, 23 as well as with research data from other countries with women of Nordic countries 26 (Sweden, Norway, Denmark, Finland and Iceland), since no significant associations were found.…”

“…16 The results of this study identified as risk factors for the occurrence of SGHS, the absence of a partner, the inadequacy of schooling for the age and the presence of a clinical history of risk.…”

Sympathovagal imbalance, cardiometabolic risks and hypertension status are linked to depression in women having risk factors for pregnancy-induced hypertension

“…Obesity and depression have been cited as the most prevalent comorbidities of gestation. [33] However, the correlation between higher BMI associated to depression and the development of gestational hypertension has not been fully established yet. Moreover, in the present study, there was no correlation of BMI with PSS in the study group.…”