Clinical factors associated with readmission for postpartum hypertension in women with pregnancy-related hypertension: a nested case control study

Journal of Perinatology : Official Journal of the California Perinatal Association
A HirshbergSindhu K Srinivas

Abstract

To evaluate the association between mode of delivery and length of labor on readmission for postpartum hypertension in women with pregnancy-related hypertension. Nested case control study within a cohort of 99 women with pregnancy-related hypertension who delivered at our institution between 2005 and 2009. Data were abstracted for clinical and labor information. Mode of delivery and length of labor were compared between women with previously diagnosed pregnancy-related hypertension readmitted within 4 weeks post partum (25 cases) and those not readmitted (74 controls). Categorical and continuous variables were compared using χ(2) and T-tests, respectively. Multivariable logistic regression controlled for confounders. Hypertension readmission was not associated with mode of delivery (cases: 10(40%) spontaneous vaginal delivery, 15(60%) cesarean delivery; controls: 38(51%) spontaneous vaginal delivery, 36(49%) cesarean delivery, P=0.33). Length of labor appeared longer in cases, with a trend toward significance (median: 15.5 [7,28] h vs 10.75 [5.8,15.9] h, P=0.12) and was significantly associated with readmission after controlling for delivery mode, induction and parity (adjusted odds ratio=1.06 [1 to 1.12], P=0.048). Readmitted ...Continue Reading

References

Aug 8, 1987·Lancet·B N Walters, T Walters
Apr 29, 1998·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·J L AtterburyJ A Yarnell
Jun 18, 2002·American Journal of Obstetrics and Gynecology·Mark C ChamesBaha M Sibai
May 29, 2004·American Journal of Obstetrics and Gynecology·Laura A MatthysBaha M Sibai
Dec 31, 2004·Obstetrics and Gynecology·Marian H AscarelliJames N Martin
Sep 24, 2005·Obstetrics and Gynecology·UNKNOWN ACOG Committee on Practice Bulletins--Obstetrics
Oct 2, 2007·American Journal of Obstetrics and Gynecology·Rebecca M MazarMichal A Elovitz
Sep 26, 2008·The Journal of Emergency Medicine·Lynne M YanceyJean Abbott
Nov 26, 2009·Obstetrics and Gynecology·Durk BerksWilly Visser
Mar 13, 2010·American Journal of Obstetrics and Gynecology·Sindhu K SrinivasMichal A Elovitz
Oct 4, 2011·American Journal of Obstetrics and Gynecology·Baha M Sibai
Dec 6, 2012·American Journal of Obstetrics and Gynecology·Mary E D'AltonCatherine Y Spong

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Citations

Sep 19, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·I MalhaméN Mehta
Apr 28, 2021·Clinical Obstetrics and Gynecology·Adina Kern-Goldberger, Adi Hirshberg
May 20, 2021·Clinical Obstetrics and Gynecology·Adina Kern-Goldberger, Adi Hirshberg
May 16, 2021·American Journal of Obstetrics & Gynecology MFM·Kelly H BruceJoanna D Stark
Jun 3, 2020·American Journal of Perinatology·Rebecca ChornockTetsuya Kawakita
Nov 13, 2021·American Journal of Perinatology·Ukachi N EmeruwaAlexander M Friedman

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