Uterine vascular resistance and other maternal factors associated with the risk of developing hypertension during pregnancy
Braz. j. med. biol. res
;
54(1): e10118, 2021. tab
Artigo
em Inglês
| LILACS, ColecionaSUS
| ID: biblio-1132562
ABSTRACT
Gestational hypertension and pre-eclampsia are important causes of perinatal morbidity. The objective of the present study was to determine the increase in relative risk for developing hypertensive disorders of pregnancy based on the evaluation of pregnant women between 20 and 25 weeks of gestation, and to correlate the findings at this period with the outcome of pregnancy. We conducted a prospective cohort study, with a convenience sample of 1417 patients evaluated at this gestational age, of which 1306 were contacted at childbirth. We detected an increased relative risk of 2.69 (95%CI 1.86 to 3.89) associated with pulsatility index of the uterine arteries, a 2.8 increase (95%CI 1.58 to 5.03) in relative risk attributed to maternal age above 35 years, a 1.68 increase (95%CI 1.17 to 2.40) attributed to parity greater than or equal to 3, and a 5.35 increase (95%CI 4.18 to 6.85) attributed to chronic hypertension and obesity, with a progressive increase in relative risk according to the degree of overweight, i.e., grades 1, 2, 3, and morbid obesity (2.58, 3.06, 5.84, and 7.28, respectively).
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Pré-Eclâmpsia
/
Útero
/
Resistência Vascular
/
Hipertensão Induzida pela Gravidez
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Fatores de risco
Limite:
Adolescente
/
Adulto
/
Criança
/
Feminino
/
Humanos
/
Gravidez
Idioma:
Inglês
Revista:
Braz. j. med. biol. res
Ano de publicação:
2021
Tipo de documento:
Artigo
Instituição/País de afiliação:
Faculdade de Ciências da Saúde de Barretos Dr. Paulo Prata/BR
/
Universidade Federal do Maranhão/BR
/
Universidade de São Paulo/BR
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