Hypertensive disorders of pregnancy and future health and mortality: A record linkage study

Pregnancy Hypertension
S BhattacharyaPhilip Hannaford

Abstract

The objective of this register-based cohort study was to examine the relationship between hypertensive disorders of pregnancy and future hospital discharges from specified causes including cardiovascular disease, incident cancer registrations and mortality. From the Aberdeen Maternity and Neonatal Databank we identified 34,854 women who were born on or before 31st December 1967 and who had (i) preeclampsia/eclampsia, (ii) gestational hypertension or (iii) normal blood pressure in their first pregnancy. Hospital discharges from selected causes including cardiovascular disease, cancer registrations and deaths in these women were identified from the Scottish Morbidity Records. There were 2026 women who had preeclampsia, 8891 who had gestational hypertension and 23,937 who were normotensive during their first pregnancy. Compared to normotensive women, women with preeclampsia had a higher mortality from ischaemic heart disease (adj. IRR 1.38, 95% CI 1.03, 1.84) and circulatory disease (adj. IRR 1.30, 95% CI 1.06, 1.60). Similar trends were seen with gestational hypertension. There was no difference in all cause mortality in the three groups. The odds of a hypertensive episode were higher in women with preeclampsia (adj. OR 1.79, 95%...Continue Reading

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Citations

Nov 26, 2013·Heart, Lung & Circulation·Francesca CharltonAnnemarie Hennessy
Jan 8, 2016·American Journal of Obstetrics and Gynecology·Jane TooherAnnemarie Hennessy
Oct 1, 2012·Pregnancy Hypertension·Andrea L TranquilliBaha M Sibai
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