Hypertensive disorders of pregnancy are associated with dysmenorrhea in early adulthood: A cohort study

Autor: Takeshi Obata, Tomoko Fujiwara, Midori Nakayama, Rena Yamazaki, Takiko Daikoku, Yoshiko Maida, Naomi Sekizuka-Kagami, Hiroshi Fujiwara, Kyosuke Kagami, Takashi Iizuka, Masanori Ono
Rok vydání: 2020
Předmět:
Zdroj: The journal of obstetrics and gynaecology researchReferences. 46(11)
ISSN: 1447-0756
Popis: Aim Hypertensive disorders of pregnancy (HDP) are serious conditions that occur in 5-10% of pregnancies. Maternal factors, such as maternal age, obesity, and renal disease, have been described as risk factors. In order to extract the background lifestyle and gynecological characteristics for HDP, we conducted a prospective cohort study. Methods Pregnant participants were administered a questionnaire on characteristics, menstrual abnormalities and lifestyle factors. The women were followed individually until 1-month postpartum. We used medical records to examine the relationship between menstrual abnormalities and the onset of HDP. Results We collected data from 193 pregnant women, and excluding 3 who had miscarriage, examined the records of 190. A total of 26 patients developed HDP, of which 10 had early-onset HDP and 16 had late-onset HDP. Although there was no significant association between HDP and dysmenorrhea just prior to pregnancy, there was a significant increase in the incidence of HDP in patients who experienced dysmenorrhea around the age of 20 years (odds ratio 4.362 [95% CI 1.61-11.81]). Conclusion We found that patients with a history of dysmenorrhea around the age of 20 years have a significantly higher risk of developing HDP. Although dysmenorrhea in young adulthood is ameliorated, it may become apparent as a perinatal disease when a physical load such as pregnancy is applied.
Databáze: OpenAIRE
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