Prevalence of hypertensive disorders of pregnancy at or beyond 39 weeks gestational age and associated maternal complications

Elizabeth Fronek, Summer L Martins, Stephen Contag

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Estimate the prevalence of hypertensive disorder of pregnancy (HDP) at term, define population characteristics, and calculate adverse maternal outcomes. Methods: Retrospective study. Results: We included 4,702,468 pregnancies. HDP increased linearly from 4.5% (2014) to 6.0% (2018). HDP was more frequent among black (PR 1.19), obese (PR 2.31 to 3.70), with gestational (PR 1.87) or pregestational diabetes (PR 2.16). Increased transfusion (PR 2.52), intensive care unit admission (PR 3.38), and unplanned hysterectomy (PR 1.78) with HDP.  Conclusion: Our study quantifies the increased risks for maternal and neonatal complications related to the development of HDP at or beyond 39 weeks among nulliparous women.

Original languageEnglish (US)
Article number2217452
JournalHypertension in Pregnancy
Volume42
Issue number1
DOIs
StatePublished - 2023

Bibliographical note

Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Keywords

  • gestational hypertension
  • maternal morbidity
  • preeclampsia
  • prevalence ratio
  • term pregnancy

PubMed: MeSH publication types

  • Journal Article

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