Multisystem Effects of Hypertensive Disorders of Pregnancy

Witcher, Patricia M.; Chez, Bonnie Flood; Baird, Suzanne McMurtry

doi:10.1097/jpn.0000000000000114

Cited by 13 publications

(8 citation statements)

References 39 publications

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“…This finding is consistent with studies showing the influence of employment status on preterm birth, small for gestational age and other neonatal outcomes [50, 51]. Finally, we confirmed previous evidence that diabetes, hypertension and to a greater extent pre-eclampsia and drug therapies for managing these concomitant diseases, are leading causes of adverse neonatal outcomes [52–57]. …”

Section: Discussionsupporting

confidence: 93%

Mother’s education and the risk of several neonatal outcomes: an evidence from an Italian population-based study

Cantarutti

Franchi

Compagnoni

et al. 2017

BMC Pregnancy Childbirth

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BackgroundMaternal socioeconomic disparities strongly affect child health, particularly in low and middle income countries. We assessed whether neonatal outcomes varied by maternal education in a setting where healthcare system provides universal coverage of health services to all women, irrespective of their socioeconomic status.MethodsA population-based study was performed on 383,103 singleton live births occurring from 2005 to 2010 in Lombardy, an Italian region with approximately 10 million inhabitants. The association between maternal education, birthplace and selected neonatal outcomes (preterm birth, low birth weight, small-for-gestational age, low 5-min Apgar score, severe congenital anomalies, cerebral distress and respiratory distress) was estimated by fitting logistic regression models. Model adjustments were applied for sociodemographic, reproductive and medical maternal traits.ResultsCompared with low-level educated mothers, those with high education had reduced odds of preterm birth (Odds Ratio; OR = 0.81, 95% CI 0.77–0.85), low birth weight (OR = 0.78, 95% CI 0.70–0.81), small for gestational age (OR = 0.82, 95% CI 0.79–0.85), and respiratory distress (OR = 0.84, 95% CI 0.80–0.88).Mothers born in a foreign country had higher odds of preterm birth (OR = 1.16, 95% CI 1.11–1.20), low Apgar score (OR = 1.18, 95% CI 1.07–1.30) and respiratory distress (OR = 1.19, 95% CI 1.15–1.24) than Italian-born mothers. The influence of maternal education on neonatal outcomes was confirmed among both, Italian-born and foreign-born mothers.ConclusionsLow levels of education and maternal birthplace are important factors associated with adverse neonatal outcomes in Italy. Future studies are encouraged to investigate factors mediating the effects of socioeconomic inequality for identifying the main target groups for interventions.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-017-1418-1) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 93%

Mother’s education and the risk of several neonatal outcomes: an evidence from an Italian population-based study

Cantarutti

Franchi

Compagnoni

et al. 2017

BMC Pregnancy Childbirth

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“…For the reasons, it may be associated with the attention of HDP in clinical practice, especially the pregnant women of the pre-eclampsia. The physicians would recommend pregnant and fetal monitoring and interference actively in order to prevent the progression of pre-eclampsia [15,16]. Our data indicated that the majority of cases (90%) underwent hormonal therapy to ensure the pulmonary development, which could sharply reduce the possibility of RDS induced by preterm delivery.…”

Section: Discussionmentioning

confidence: 91%

Effects of Hypertensive Disorders of Pregnancy On The Mortality and Complications in Very Low Birth Weight Neonates

Zhang

Chen

Yang

et al. 2021

Preprint

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Purpose This study was designed to investigate the effects of hypertensive disorders of pregnancy (HDP) on the mortality and complications in very low birth weight neonates. Methods Premature infants at a gestational age of < 37 weeks with a birth weight of < 1,500g were included in this retrospective analysis. Gestational age-matched pregnant women with normal blood pressure giving birth to a very low birth weight neonate served as normal control. HDP neonates were divided into three subgroups based on the disease severity, including gestational hypertension, pre-eclampsia and eclampsia. Then we compared the incidence of complications among three subgroups. We also analyzed the relationship between the subgroups and the neonatal prognosis. Results The incidence of fetal distress, small for gestational age (SGA), mechanical ventilation, neonatal respiratory distress syndrome (RDS), neonatal necrotizing enterocolitis (NEC, ≥ 2 stage), and mortality in HDP group were significantly higher than those of the control. The 1 min Apgar score in HDP group was significantly lower than that of the normal control (P < 0.05). There were significant differences in fetal distress, 1 min Apgar score, mechanical ventilation, RDS and NEC (≥ 2 stage) among HDP, pre-eclampsia and eclampsia subgroups (P < 0.05). Multivariate regression analysis indicated that pre-eclampsia was an independent risk factor for SGA (OR = 4.123, 95%CI: 2.783–6.109) and NEC (OR = 2.493, 95%CI: 1.161–5.351). Eclampsia was a risk factor for SGA (OR = 3.804, 95%CI: 1.239–11.681) and NEC (OR = 7.264, 95%CI: 1.771–29.797). Conclusions HDP may affect the prognosis of very low birth weight neonates. Pre-eclampsia and eclampsia were risk factors for SGA and NEC.

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“…After such administration, it's important to monitor for signs of magnesium toxicity, which include bradycardia, bradypnea, oliguria, and altered states of consciousness (such as confusion, anxiety). (Pfaff, 2014;Witcher et al, 2015) Intrapartum phase. In women with mild preeclampsia without signs of clinical instability or indicators for preterm delivery, full-term delivery may be considered.…”

Section: Managementmentioning

confidence: 99%

CE: Gestational Hypertension, Preeclampsia, and Peripartum Cardiomyopathy: A Clinical Review

Maheu‐Cadotte¹,

Pépin²,

Lavallée³

et al. 2019

AJN, American Journal of Nursing

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Gestational hypertension, preeclampsia, and peripartum cardiomyopathy are among the most common and often severe pregnancy-specific cardiovascular diseases (CVDs) and causes of complications in pregnancy. This clinical review provides nurses with an overview of pregnancyspecific CVDs, outlines their pathophysiology, and discusses risk factors and assessment. It describes management interventions according to timing: the antepartum, intrapartum, and postpartum phases are each addressed.

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Multisystem Effects of Hypertensive Disorders of Pregnancy

Cited by 13 publications

References 39 publications

Mother’s education and the risk of several neonatal outcomes: an evidence from an Italian population-based study

Mother’s education and the risk of several neonatal outcomes: an evidence from an Italian population-based study

Effects of Hypertensive Disorders of Pregnancy On The Mortality and Complications in Very Low Birth Weight Neonates

CE: Gestational Hypertension, Preeclampsia, and Peripartum Cardiomyopathy: A Clinical Review

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