Monitored outpatient management of mild gestational hypertension remote from term in teenage pregnancies

American Journal of Obstetrics and Gynecology
J R BartonB M Sibai

Abstract

Our purpose was to compare maternal and perinatal outcomes of teenage and adult pregnancies with mild gestational hypertension remote from term managed with an outpatient program. A matched cohort design was used. Maternal and perinatal outcomes of 60 teenage pregnancies with mild gestational hypertension remote from term were compared with 120 adult controls 20 to 42 years old. The groups were matched for race, gestational age, and proteinuria status at enrollment. All were monitored on an outpatient basis with four times daily automated blood pressure measurement and daily assessment of weight, proteinuria, and fetal movement. The mean gestational age at enrollment was 33.5 +/- 2.6 weeks for both groups (range 27 to 36 weeks). Only 60% of teenagers had a high school degree or equivalent compared with 76% of adults (p = 0.024). The teenagers were more likely than the adults to be of single marital status (75% vs 13%, p = 0.015). The mean gestational age at delivery (37.0 +/- 2.0 vs 37.0 +/- 2.2 weeks), mean pregnancy prolongation (23.5 +/- 19.0 vs 24.5 +/- 17.4 days), and mean birth weights (2915 +/- 669 vs 2879 +/- 678 gm) were not statistically different between the teenagers and adults (all p > 0.05). There were no stillbir...Continue Reading

References

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Mar 1, 1994·American Journal of Obstetrics and Gynecology·J R BartonB M Sibai
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Citations

Sep 22, 1998·Clinical Obstetrics and Gynecology·A G Witlin, B M Sibai
Aug 19, 1999·Clinical Obstetrics and Gynecology·J R BartonB M Sibai
Jun 1, 1997·American Journal of Obstetrics and Gynecology·J R BartonB M Sibai
Jun 5, 2002·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·J R BartonB M Sibai
Nov 30, 2002·The Journal of Family Planning and Reproductive Health Care·A J Cunnington
Mar 9, 2018·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G XydopoulosA Khalil
Jul 10, 2019·Expert Review of Medical Devices·Asma KhalilWilfried Gyselaers
Feb 23, 2018·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·H PerryA Khalil

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