Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean Delivery
Objective: To investigate whether prior cesarean delivery is associated with occurrence of pregnancy hypertension.Methods: A prospective case-control study in consenting eligible consecutive 475 pregnancies with prior cesarean delivery and age- and parity-matched 475 pregnancies with previous vagina...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2017-06-01
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| Series: | İstanbul Medical Journal |
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http://imj.galenos.com.tr/archives/archive-detail/article-preview/pregnancy-related-hypertension-in-multigravidas-wi/20459
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| _version_ | 1797917308487729152 |
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| author | Deepika SK Dammavalam Pralhad Kushtagi |
| author_facet | Deepika SK Dammavalam Pralhad Kushtagi |
| author_sort | Deepika SK Dammavalam |
| collection | DOAJ |
| description | Objective: To investigate whether prior cesarean delivery is associated with occurrence of pregnancy hypertension.Methods: A prospective case-control study in consenting eligible consecutive 475 pregnancies with prior cesarean delivery and age- and parity-matched 475 pregnancies with previous vaginal delivery. Results were subjected to multiple logistical regression analysis.Results: Body mass index, birth interval, and neonatal birth weight were comparable between the study groups. In women with prior cesarean delivery, pregnancy-related hypertension was significantly higher [15.9% vs. 6.7% in those with prior vaginal delivery, p<0.05; odds ratio (OR), 2.6; 95% confidence interval (CI), 1.707–4.072]. A higher proportion of women were found to develop hypertension by 32 weeks of pregnancy. In both the study groups, the development of pregnancy-related hypertension was found to be higher in the age group of 20–25 years, birth interval of >18 months, second gravidas, and in the gestation period between 32 and 36 weeks. Number of women with severe disease was higher in both the groups.Conclusion: Pregnancy-related hypertension is more common in women with prior cesarean delivery, and it occurs at earlier gestation weeks than in those without prior cesarean delivery. In multigravidas, severe forms of the disease are more common. |
| first_indexed | 2024-04-10T13:11:24Z |
| format | Article |
| id | doaj.art-460f62f9dbbe40999a0eca2c388408c1 |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T13:11:24Z |
| publishDate | 2017-06-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-460f62f9dbbe40999a0eca2c388408c12023-02-15T16:12:37ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2017-06-01182808510.5152/imj.2017.7043113049054Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean DeliveryDeepika SK Dammavalam0Pralhad Kushtagi1 Department of Obstetrics-Gynecology, Kasturba Medical College, A Constituent of Manipal University, Mangaluru, India Department of Obstetrics-Gynecology, Kasturba Medical College, A Constituent of Manipal University, Mangaluru, India Objective: To investigate whether prior cesarean delivery is associated with occurrence of pregnancy hypertension.Methods: A prospective case-control study in consenting eligible consecutive 475 pregnancies with prior cesarean delivery and age- and parity-matched 475 pregnancies with previous vaginal delivery. Results were subjected to multiple logistical regression analysis.Results: Body mass index, birth interval, and neonatal birth weight were comparable between the study groups. In women with prior cesarean delivery, pregnancy-related hypertension was significantly higher [15.9% vs. 6.7% in those with prior vaginal delivery, p<0.05; odds ratio (OR), 2.6; 95% confidence interval (CI), 1.707–4.072]. A higher proportion of women were found to develop hypertension by 32 weeks of pregnancy. In both the study groups, the development of pregnancy-related hypertension was found to be higher in the age group of 20–25 years, birth interval of >18 months, second gravidas, and in the gestation period between 32 and 36 weeks. Number of women with severe disease was higher in both the groups.Conclusion: Pregnancy-related hypertension is more common in women with prior cesarean delivery, and it occurs at earlier gestation weeks than in those without prior cesarean delivery. In multigravidas, severe forms of the disease are more common. http://imj.galenos.com.tr/archives/archive-detail/article-preview/pregnancy-related-hypertension-in-multigravidas-wi/20459 Multigravidapregnancy hypertensionprevious cesarean delivery |
| spellingShingle | Deepika SK Dammavalam Pralhad Kushtagi Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean Delivery İstanbul Medical Journal Multigravida pregnancy hypertension previous cesarean delivery |
| title | Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean Delivery |
| title_full | Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean Delivery |
| title_fullStr | Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean Delivery |
| title_full_unstemmed | Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean Delivery |
| title_short | Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean Delivery |
| title_sort | pregnancy related hypertension in multigravidas with previous cesarean delivery |
| topic | Multigravida pregnancy hypertension previous cesarean delivery |
| url |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/pregnancy-related-hypertension-in-multigravidas-wi/20459
|
| work_keys_str_mv | AT deepikaskdammavalam pregnancyrelatedhypertensioninmultigravidaswithpreviouscesareandelivery AT pralhadkushtagi pregnancyrelatedhypertensioninmultigravidaswithpreviouscesareandelivery |