Formerly eclamptic women have lower nonpregnant blood pressure compared with formerly pre-eclamptic women: a retrospective cohort study

BJOG : an International Journal of Obstetrics and Gynaecology
M P SchreursM E Spaanderman

Abstract

To compare nonpregnant blood pressure and circulating metabolic factors between formerly pre-eclamptic women who did and did not deteriorate to eclampsia. Retrospective observational cohort study. Tertiary referral centre. Formerly pre-eclamptic women with (n = 88) and without (n = 698) superimposed eclampsia. Women who experienced pre-eclampsia with or without superimposed eclampsia during their pregnancy or puerperium were tested for possible underlying cardiovascular risk factors at least 6 months postpartum. We measured blood pressure and determined cardiovascular and metabolic risk markers in a fasting blood sample. Groups were compared using Mann-Whitney U test, Spearman's Rho test or Fisher's Exact test (odds ratios). Differences in postpartum blood pressures and features of the metabolic syndrome between formerly pre-eclamptic and formerly eclamptic women. Formerly pre-eclamptic women who developed eclampsia differed from their counterparts without eclampsia by a lower blood pressure (P < 0.01) with blood pressure correlating inversely with the likelihood of having experienced eclampsia (P < 0.001). In addition, formerly eclamptic women had higher circulating C-reactive protein levels than formerly pre-eclamptic women (...Continue Reading

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Citations

May 20, 2016·PloS One·Maria do Carmo LealSilvana Granado Nogueira da Gama
Sep 13, 2017·European Journal of Preventive Cardiology·T Katrien J GroenhofA Titia Lely

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