Prevalence of hypertensive disorders of pregnancy at or beyond 39 weeks gestational age and associated maternal complications

Objective Estimate the prevalence of hypertensive disorder of pregnancy (HDP) at term, define population characteristics, and calculate adverse maternal outcomes. Methods Retrospective study. Results We included 4,702,468 pregnancies. HDP increased linearly from 4.5% (2014) to 6.0% (2018). HDP was m...

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Main Authors: Elizabeth Fronek, Summer Martins, Stephen Contag
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Hypertension in Pregnancy
Subjects:
Online Access:http://dx.doi.org/10.1080/10641955.2023.2217452
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author Elizabeth Fronek
Summer Martins
Stephen Contag
author_facet Elizabeth Fronek
Summer Martins
Stephen Contag
author_sort Elizabeth Fronek
collection DOAJ
description Objective Estimate the prevalence of hypertensive disorder of pregnancy (HDP) at term, define population characteristics, and calculate adverse maternal outcomes. Methods Retrospective study. Results We included 4,702,468 pregnancies. HDP increased linearly from 4.5% (2014) to 6.0% (2018). HDP was more frequent among black (PR 1.19), obese (PR 2.31 to 3.70), with gestational (PR 1.87) or pregestational diabetes (PR 2.16). Increased transfusion (PR 2.52), intensive care unit admission (PR 3.38), and unplanned hysterectomy (PR 1.78) with HDP.  Conclusion Our study quantifies the increased risks for maternal and neonatal complications related to the development of HDP at or beyond 39 weeks among nulliparous women.
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spelling doaj.art-a6ded2cc29b34d1e93ac044c7e3bee5c2023-09-19T09:24:44ZengTaylor & Francis GroupHypertension in Pregnancy1064-19551525-60652023-12-0142110.1080/10641955.2023.22174522217452Prevalence of hypertensive disorders of pregnancy at or beyond 39 weeks gestational age and associated maternal complicationsElizabeth Fronek0Summer Martins1Stephen Contag2University of MinnesotaUniversity of MinnesotaUniversity of MinnesotaObjective Estimate the prevalence of hypertensive disorder of pregnancy (HDP) at term, define population characteristics, and calculate adverse maternal outcomes. Methods Retrospective study. Results We included 4,702,468 pregnancies. HDP increased linearly from 4.5% (2014) to 6.0% (2018). HDP was more frequent among black (PR 1.19), obese (PR 2.31 to 3.70), with gestational (PR 1.87) or pregestational diabetes (PR 2.16). Increased transfusion (PR 2.52), intensive care unit admission (PR 3.38), and unplanned hysterectomy (PR 1.78) with HDP.  Conclusion Our study quantifies the increased risks for maternal and neonatal complications related to the development of HDP at or beyond 39 weeks among nulliparous women.http://dx.doi.org/10.1080/10641955.2023.2217452maternal morbiditypreeclampsiagestational hypertensionterm pregnancyprevalence ratio
spellingShingle Elizabeth Fronek
Summer Martins
Stephen Contag
Prevalence of hypertensive disorders of pregnancy at or beyond 39 weeks gestational age and associated maternal complications
Hypertension in Pregnancy
maternal morbidity
preeclampsia
gestational hypertension
term pregnancy
prevalence ratio
title Prevalence of hypertensive disorders of pregnancy at or beyond 39 weeks gestational age and associated maternal complications
title_full Prevalence of hypertensive disorders of pregnancy at or beyond 39 weeks gestational age and associated maternal complications
title_fullStr Prevalence of hypertensive disorders of pregnancy at or beyond 39 weeks gestational age and associated maternal complications
title_full_unstemmed Prevalence of hypertensive disorders of pregnancy at or beyond 39 weeks gestational age and associated maternal complications
title_short Prevalence of hypertensive disorders of pregnancy at or beyond 39 weeks gestational age and associated maternal complications
title_sort prevalence of hypertensive disorders of pregnancy at or beyond 39 weeks gestational age and associated maternal complications
topic maternal morbidity
preeclampsia
gestational hypertension
term pregnancy
prevalence ratio
url http://dx.doi.org/10.1080/10641955.2023.2217452
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AT stephencontag prevalenceofhypertensivedisordersofpregnancyatorbeyond39weeksgestationalageandassociatedmaternalcomplications