Incidence of and risk factors for severe maternal complications associated with hypertensive disorders after 36 weeks’ gestation in uncomplicated twin pregnancies: A prospective cohort study

Yamamoto, Ryo; Ishii, Keisuke; Muto, Haruka; Ota, Shiyo; Kawaguchi, Haruna; Hayashi, Satoru; Mitsuda, Nobuaki

doi:10.1111/jog.13650

Cited by 5 publications

(5 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The difference between the incidence of hypertensive disorders of pregnancy in the PA group and the control group was not significant. It might be significant in a larger study group, as reported by numerous literature results [9][10][11][12][13]. This confirms the possible common etiopathology of both conditions.…”

Section: Group Characteristics and Placental Abruption Risk Factorssupporting

confidence: 83%

“…PA in a previous pregnancy, particularly in cases with a history of multiple PAs, is one of the strongest and most unquestionable PA risk factors [8,9]. Numerous studies also confirmed hypertensive disorders of pregnancy to be one of the most important risk factors for PA [9][10][11][12][13]. The maternal medical history of other chronic diseases is also relevant [14][15][16][17], as are several genetic factors [18].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center

Bączkowska

Kosińska-Kaczyńska

Zgliczyńska

et al. 2022

IJERPH

View full text Add to dashboard Cite

Placental abruption (PA) is a separation of the placenta from the uterine wall occurring with the fetus still present in the uterine cavity. It contributes to numerous neonatal and maternal complications, increasing morbidity and mortality. We conducted a retrospective study at a tertiary perinatal care center, which included 2210 cases of labor that took place in 2015 with a PA occurrence of 0.7%. No maternal or fetal death during delivery was reported in this period. The identified PA risk factors were uterine malformations, pPROM, placenta previa spectrum, and oligohydramnios. The significant maternal PA complications identified were maternal anemia, uterine rupture, and HELLP syndrome. Preterm delivery occurred significantly more often in the PA group, and the number of weeks of pregnancy and the birth weight at delivery were both significantly lower in the PA group. PA is a relatively rare perinatal complication with very serious consequences, and it still lacks effective prophylaxis and treatment. Despite its rare occurrence, each center should develop a certain strategy for dealing with this pathology or predicting which patients are at risk. Much work is still needed to ensure the proper care of the mother and the baby in this life-threatening condition.

show abstract

Section: Group Characteristics and Placental Abruption Risk Factorssupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center

Bączkowska

Kosińska-Kaczyńska

Zgliczyńska

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Existing data suggest an increased risk of maternal and perinatal adverse outcomes in women with HDP compared to women without HDP [15,17,19,20]. Several demographic (age, education, rural domicile), medical (pre-existing hypertension, multiparity, gestational age at delivery) and management (timing of drug administration) characteristics have been identified as risk factors for adverse perinatal and maternal outcomes among women with HDP [9- 11,14,15,[21][22][23]. However, it is unknown if similar rates of adverse outcomes and risk factors persist in a mostly rural population.…”

Section: Introductionmentioning

confidence: 99%

Risks of adverse perinatal and maternal outcomes among women with hypertensive disorders of pregnancy in southwestern Uganda

et al. 2020

View full text Add to dashboard Cite

“…Potential PE-associated factors were selected, according to previous studies of hypertensive disorders in singleton and/or twin pregnancies, including: maternal age, 8-10 parity, maternal pre-pregnancy body mass index, [9][10][11] assisted reproductive technology, 12 a family history of hypertension, 8,10 chorionicity, 7,13 maternal weight gain during pregnancy, 14 gestational diabetes mellitus, 9,10,15 and gestational proteinuria (≥300 mg/day). 16 Univariate analysis was used to estimate the crude odds ratios (ORs) and 95% CIs of perinatal factors. The variance inflation factor was calculated, using regression analysis, to confirm multicollinearity.…”

Section: Methodsmentioning

confidence: 99%

Incidence of chest X‐ray abnormalities early in the third trimester of twin pregnancy and its relationship with the subsequent development of preeclampsia

Yagi

Kawaguchi

Yamamoto

et al. 2021

J of Obstet and Gynaecol

Self Cite

View full text Add to dashboard Cite

Aim: To clarify the incidence of abnormal findings on chest X-ray (CXR) early in the third trimester of twin pregnancy and its relationship with the development of preeclampsia and preeclampsia-related diseases. Methods: This was a retrospective cohort study conducted among women with twin pregnancies who underwent chest radiography for preoperative screening early in the third trimester and delivered at our center at >34 weeks' gestation from 2013 to 2017. The primary outcome was the incidence of positive CXR findings, defined either as cardiomegaly or blunting of the costophrenic angle. The secondary outcome was the incidence of maternal complications, including preeclampsia; hemolytic, elevated liver enzymes, and low platelet syndrome; eclampsia; cerebrovascular disease; and placental abruption. We evaluated the significance of positive CXR findings, in addition to confounding factors, in the subsequent development of preeclampsia.Results: During the study period, 358 twin pregnancies were identified, and 330 were finally enrolled. The incidence of positive CXR findings was 18.2%. The incidence of preeclampsia in the CXR-positive group was 36.7% (22/60), which was significantly higher than that in the CXR-negative group (7.0% [19/270]) (p < 0.01). Moreover, positive CXR findings were independently associated with subsequent preeclampsia (adjusted odds ratio: 9.15, 95% confidence interval: 4.13-20.3). Conclusion: In twin pregnancies, the incidence of CXR abnormalities early in the third trimester was 18.2%, even without the development of hypertension. This should be considered a significant risk factor for subsequent preeclampsia.

show abstract

Incidence of and risk factors for severe maternal complications associated with hypertensive disorders after 36 weeks’ gestation in uncomplicated twin pregnancies: A prospective cohort study

Abstract: Severe maternal HD and related complications increased from late preterm to early term; particularly, patients with gestational proteinuria were at high risk.

Cited by 5 publications

References 33 publications

Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center

Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center

Risks of adverse perinatal and maternal outcomes among women with hypertensive disorders of pregnancy in southwestern Uganda

Incidence of chest X‐ray abnormalities early in the third trimester of twin pregnancy and its relationship with the subsequent development of preeclampsia

Contact Info

Product

Resources

About