{"id":1195,"date":"2017-09-15T11:20:11","date_gmt":"2017-09-15T11:20:11","guid":{"rendered":"http:\/\/5.189.150.156\/~hjog\/?p=1195"},"modified":"2022-02-04T10:13:30","modified_gmt":"2022-02-04T10:13:30","slug":"researchmaternal-and-perinatal-outcomes-in-women-with-chronic-hypertension-and-risk-factors-of-superimposed-preeclampsia","status":"publish","type":"post","link":"https:\/\/hjog.org\/?p=1195","title":{"rendered":"Maternal and perinatal outcomes in women with chronic hypertension and risk factors of superimposed preeclampsia"},"content":{"rendered":"<p><span style=\"color: #ff9900;\">Research<\/span><\/p>\n<p>Arife Simsek, Seyfettin Uludag, Abdullah Tuten, Sezin Uludag<\/p>\n<p>Istanbul University, Cerrahpasa School of Medicine, Department of Obstetric and Gynecology, Istanbul, Turkey<\/p>\n<p><em>Correspondence:<\/em> Arife Simsek, Istanbul University, Cerrahpasa School of Medicine, Department of Obstetric and Gynecology, Istanbul, Turkey, Tel: +90 536 4764197, E &#8211; mail: draksimsek@yahoo.com.tr<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/hjog.org\/wp-content\/pdf\/2016\/139-460-1-PB.pdf\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-130\" src=\"https:\/\/hjog.org\/wp-content\/uploads\/2017\/08\/pdf-icons-free-icons-in-file-icons-18.png\" alt=\"\" width=\"48\" height=\"48\" \/><\/a><\/p>\n<hr \/>\n<h5>Abstract<\/h5>\n<p>Objective: The aim of this study is to evaluate obstetric outcomes among women with chronic hypertension, with and without superimposed preeclampsia, and identify risk factors of superimposed preeclampsia. Material and Methods: This retrospective study included 198 Caucasian women with chronic hypertension (out of 14,424 singleton pregnancies) who delivered in a tertiary care center. Clinical findings, maternal and perinatal outcomes were compared between women with and without superimposed preeclampsia. Results: Superimposed preeclampsia developed in 49.4% (98\/198) of women studied. The mean gestational week at delivery and birth weight were significantly lower in women with superimposed preeclampsia (p&lt; 0.05). Incidence of preterm delivery was higher in women with superimposed preeclampsia. Although there weren\u2019t significant differences in frequencies of\u00a0\u00a0 intrauterine growth restriction, stillbirth, early and late neonatal deaths (p &gt; 0.05), maternal near miss cases were significantly higher in women with superimposed preeclampsia (p &lt; 0.05). Only mean arterial blood pressure [OR: 1,070 (1,008-1,135)] was independently associated with the occurrence of superimposed preeclampsia (p: 0.027).<br \/>\nConclusions: Adverse maternal outcome was more likely to occur in women with suprerimposed preeclampsia.<br \/>\nChronic hypertension was associated with adverse perinatal outcome, regardless of superimposed preeclampsia.<\/p>\n<p><em>Keywords:<\/em> chronic hypertension, preeclampsia, maternal mortality, perinatal mortality<\/p>\n<p>p. 102-108<\/p>\n<hr \/>\n","protected":false},"excerpt":{"rendered":"<p>Arife Simsek, Seyfettin Uludag, Abdullah Tuten, Sezin Uludag<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/hjog.org\/wp-content\/pdf\/2016\/139-460-1-PB.pdf\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-130\" src=\"https:\/\/hjog.org\/wp-content\/uploads\/2017\/08\/pdf-icons-free-icons-in-file-icons-18.png\" alt=\"\" width=\"48\" height=\"48\" \/><\/a><\/p>\n<p>Objective: The aim of this study is to evaluate obstetric outcomes among women with chronic hypertension, with and without superimposed preeclampsia, and identify risk factors of superimposed preeclampsia. Material and Methods: This retrospective study included 198 Caucasian women with chronic hypertension &#8230;<\/p>\n<p><a href=\"<?php echo get_permalink(); ?>&#8220;> Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[71],"tags":[677,556,124,248],"class_list":["post-1195","post","type-post","status-publish","format-standard","hentry","category-2016-volume-15-issue-4","tag-chronic-hypertension","tag-maternal-mortality","tag-perinatal-mortality","tag-preeclampsia"],"_links":{"self":[{"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts\/1195","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1195"}],"version-history":[{"count":16,"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts\/1195\/revisions"}],"predecessor-version":[{"id":2574,"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts\/1195\/revisions\/2574"}],"wp:attachment":[{"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1195"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1195"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}