Hypertensive disorders in pregnancy - Trends over eight years: A population-based cohort study.

Autor: Wertaschnigg D; Department of Obstetrics and Gynaecology, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia; Department of Obstetrics and Gynecology, Paracelsus Medical University, Salzburg, Austria. Electronic address: dagmarwert@gmx.at., Selvaratnam RJ; Department of Obstetrics and Gynaecology, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia; Safer Care Victoria, Department of Health, Victorian Government, Melbourne, Victoria, Australia., Rolnik DL; Department of Obstetrics and Gynaecology, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia., Davey MA; Department of Obstetrics and Gynaecology, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia; Safer Care Victoria, Department of Health, Victorian Government, Melbourne, Victoria, Australia., Anil S; Safer Care Victoria, Department of Health, Victorian Government, Melbourne, Victoria, Australia., Mol BWJ; Department of Obstetrics and Gynaecology, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia., Reddy M; Department of Obstetrics and Gynaecology, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia., da Silva Costa F; Department of Obstetrics and Gynaecology, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia; Maternal Fetal Medicine Unit, Gold Coast University Hospital and School of Medicine, Griffith University, Gold Coast, Queensland, Australia.
Jazyk: angličtina
Zdroj: Pregnancy hypertension [Pregnancy Hypertens] 2022 Jun; Vol. 28, pp. 60-65. Date of Electronic Publication: 2022 Feb 23.
DOI: 10.1016/j.preghy.2022.02.006
Abstrakt: Objective: To describe the incidence and trends of hypertensive disorders of pregnancy and adverse pregnancy outcomes in recent years in Victoria, Australia.
Design: Retrospective population-based cohort study, 2010 to 2017.
Setting: State of Victoria, Australia.
Participants: Population-based cohort study.
Main Outcome Measures: Incidence of hypertensive disorders and its subtypes over time. Composite of major adverse maternal and perinatal outcome.
Results: The incidence of hypertensive disorders (n = 36,406/614,524 pregnancies with 624,193 births) and all its subtypes has been stable, (n = 4,192/73,235 = 5.7% in 2010 to 4,601/78,576 = 5.9% in 2017). Compared to no hypertension, hypertensive disorders were associated with medically-initiated birth (aOR 4.70 [4.56, 4.84]), caesarean section (aOR 1.46 [1.43, 1.50]), placental abruption (aOR 1.94 [1.69, 2.22]), maternal intensive care or high-dependency unit admission (aOR 6.80 [6.45, 7.17]), composite of major adverse maternal outcome (aOR 3.87 [3.70, 4.04]), and composite of major adverse perinatal outcome (aOR 1.63 [1.56, 1.70]). The worst maternal and perinatal outcomes were among women with superimposed and early preterm preeclampsia.
Conclusion: The incidence of all hypertensive disorders in pregnancy has remained stable over time. Early-onset preeclampsia and superimposed preeclampsia were most strongly associated with adverse pregnancy outcomes.
(Copyright © 2022 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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