Hypertension during pregnancy in South Australia, part 1: pregnancy outcomes

The Australian & New Zealand Journal of Obstetrics & Gynaecology
Adrian R HeardKevin R Priest

Abstract

There have been conflicting reports about pregnancy outcome in the hypertensive disorders of pregnancy. The present study was undertaken to examine outcomes using a population database. To examine for differences in a range of pregnancy outcomes between three different groups of hypertensive women and normotensive women in South Australia. Nine pregnancy outcomes were compared for 70,386 singleton pregnancies in the South Australian perinatal data collection in 1998-2001, consisting of 639 women with pre-existing hypertension, 5356 women with pregnancy hypertension, 448 women with superimposed pre-eclampsia and 63 943 normotensive women. Means for the four groups were calculated for birthweight, gestational age, the baby's and mother's length of stay. The groups were also compared for perinatal deaths with an earlier period, 1991-1997. While all three hypertensive groups had high incidences of induction of labour and emergency Caesarean, only pre-existing hypertension and superimposed pre-eclampsia were significantly associated with elective Caesarean section. All hypertensive groups had increased risks for low birthweight and preterm birth and special and neonatal intensive care. Uncomplicated pre-existing hypertension was not...Continue Reading

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Nov 14, 2006·Journal of Paediatrics and Child Health·Wanzhen GaoTeuila Percival
Jun 12, 2012·Journal of Pregnancy·Reem MustafaRocco C Venuto
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