Effect of Dipping Pattern of Gestational Hypertension on Maternal Symptoms and Physical Findings, Birth Weight and Preterm Delivery
The study aimed to determine if the non-dipping pattern of blood pressure (BP) influences preterm delivery in gestational hypertension (GH), but also maternal clinical findings and birth weight. Sixty women with GH, i.e. 30 women with a dipping BP profile (control group) and 30 non-dippers (study...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2021-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/399159 |
| _version_ | 1827282047352176640 |
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| author | Đorđe Ilić Aleksandra Ilić Snežana Stojšić Anastazija Stojšić-Milosavljević Jelena Papović Dragana Grković Olivera Rankov Aleksandra Milovančev Lazar Velicki |
| author_facet | Đorđe Ilić Aleksandra Ilić Snežana Stojšić Anastazija Stojšić-Milosavljević Jelena Papović Dragana Grković Olivera Rankov Aleksandra Milovančev Lazar Velicki |
| author_sort | Đorđe Ilić |
| collection | DOAJ |
| description | The study aimed to determine if the non-dipping pattern of blood pressure (BP)
influences preterm delivery in gestational hypertension (GH), but also maternal clinical findings and
birth weight. Sixty women with GH, i.e. 30 women with a dipping BP profile (control group) and 30
non-dippers (study group), were included in the study. Echocardiography was performed in all subjects,
as well as ambulatory blood pressure monitoring (ABPM) during third trimester. ABPM was
repeated 6-8 weeks after delivery. Thirteen women with preterm delivery were classified as non-dippers
and only four as dippers (p=0.01). The average and peak systolic and diastolic night-time BP had
negative linear correlation with birth weight (p<0.0005). Total vascular resistance (p<0.0005) and
mass index (p=0.014) were significantly higher as compared with women with term delivery, while
ejection fraction (EF) (p=0.007) and circumferential systolic velocity (p=0.042) were significantly reduced
in the preterm delivery group. Multivariate binary logistic regression identified the average
night-time systolic BP, left ventricular mass index and EF as independent predictors of preterm delivery.
Study results suggested a relationship of the non-dipping BP pattern in GH with preterm delivery,
birth weight, and maternal clinical findings. |
| first_indexed | 2024-04-24T09:11:28Z |
| format | Article |
| id | doaj.art-54ff97b87eb148e1890775bd148ac5b8 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:11:28Z |
| publishDate | 2021-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-54ff97b87eb148e1890775bd148ac5b82024-04-15T17:40:30ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512021-01-0160.4.64164910.20471/acc.2021.60.04.11Effect of Dipping Pattern of Gestational Hypertension on Maternal Symptoms and Physical Findings, Birth Weight and Preterm DeliveryĐorđe Ilić0Aleksandra Ilić1Snežana Stojšić2Anastazija Stojšić-Milosavljević3Jelena Papović4Dragana Grković5Olivera Rankov6Aleksandra Milovančev7Lazar Velicki8University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Department of Obstetrics and Gynecology, Clinical Center of Vojvodina, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, SerbiaInstitute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, SerbiaInstitute of Pulmonary Diseases of Vojvodina, Sremska Kamenica, SerbiaInstitute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, SerbiaDepartment of Obstetrics and Gynecology, Clinical Center of Vojvodina, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, SerbiaThe study aimed to determine if the non-dipping pattern of blood pressure (BP) influences preterm delivery in gestational hypertension (GH), but also maternal clinical findings and birth weight. Sixty women with GH, i.e. 30 women with a dipping BP profile (control group) and 30 non-dippers (study group), were included in the study. Echocardiography was performed in all subjects, as well as ambulatory blood pressure monitoring (ABPM) during third trimester. ABPM was repeated 6-8 weeks after delivery. Thirteen women with preterm delivery were classified as non-dippers and only four as dippers (p=0.01). The average and peak systolic and diastolic night-time BP had negative linear correlation with birth weight (p<0.0005). Total vascular resistance (p<0.0005) and mass index (p=0.014) were significantly higher as compared with women with term delivery, while ejection fraction (EF) (p=0.007) and circumferential systolic velocity (p=0.042) were significantly reduced in the preterm delivery group. Multivariate binary logistic regression identified the average night-time systolic BP, left ventricular mass index and EF as independent predictors of preterm delivery. Study results suggested a relationship of the non-dipping BP pattern in GH with preterm delivery, birth weight, and maternal clinical findings.https://hrcak.srce.hr/file/399159Pregnant womenEchocardiographyHemodynamicsBlood pressurePrenatal care |
| spellingShingle | Đorđe Ilić Aleksandra Ilić Snežana Stojšić Anastazija Stojšić-Milosavljević Jelena Papović Dragana Grković Olivera Rankov Aleksandra Milovančev Lazar Velicki Effect of Dipping Pattern of Gestational Hypertension on Maternal Symptoms and Physical Findings, Birth Weight and Preterm Delivery Acta Clinica Croatica Pregnant women Echocardiography Hemodynamics Blood pressure Prenatal care |
| title | Effect of Dipping Pattern of Gestational Hypertension on Maternal Symptoms and Physical Findings, Birth Weight and Preterm Delivery |
| title_full | Effect of Dipping Pattern of Gestational Hypertension on Maternal Symptoms and Physical Findings, Birth Weight and Preterm Delivery |
| title_fullStr | Effect of Dipping Pattern of Gestational Hypertension on Maternal Symptoms and Physical Findings, Birth Weight and Preterm Delivery |
| title_full_unstemmed | Effect of Dipping Pattern of Gestational Hypertension on Maternal Symptoms and Physical Findings, Birth Weight and Preterm Delivery |
| title_short | Effect of Dipping Pattern of Gestational Hypertension on Maternal Symptoms and Physical Findings, Birth Weight and Preterm Delivery |
| title_sort | effect of dipping pattern of gestational hypertension on maternal symptoms and physical findings birth weight and preterm delivery |
| topic | Pregnant women Echocardiography Hemodynamics Blood pressure Prenatal care |
| url | https://hrcak.srce.hr/file/399159 |
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