Early prehypertension increases the risk of adverse obstetrical outcomes. Other than an increased risk of PRH, patients with late prehypertension have outcomes similar to normotensive women.

Hypertensive disorders play a significant role in maternal morbidity and mortality. There is limited data on prehypertension (pre-HTN) during the first half of pregnancy. We sought to examine the risk of adverse pregnancy outcomes in patients with prehypertension in early pregnancy (<20 weeks' gestational age). A retrospective cohort study of 377 patients between 2013 and 2014. Patients were divided based on the highest blood pressure in early pregnancy, as defined per the JNC-7 criteria. There were 261 control patients (69.2%), 95 (25.2%) pre-HTN patients, and 21 (5.6%) chronic hypertension (CHTN) patients. The groups were compared using X, Fisher's Exact, Student -test, and Mann-Whitney U test with < 0.05 used as significance. Patients with pre-HTN delivered earlier (38.8 ± 1.9 weeks vs 39.3 ± 1.7 weeks), had more pregnancy related hypertension (odds ratio [OR], 4.62; confidence interval [CI], 2.30-9.25; < 0.01) and composite maternal adverse outcomes (OR, 2. 10; 95% CI, 1.30-3.41; < 0.01), NICU admission (OR, 2.21; 95% CI, 1.14-4.26; = 0.02), neonatal sepsis (OR, 6.12; 95% CI, 2.23-16.82; < 0.01), and composite neonatal adverse outcomes (OR, 2.05; 95% CI, 1.20-3.49; < 0.01). Although women with pre-HTN are currently classified as normal in obstetrics, they are more similar to women with CHTN. Pre-HTN in the first half of pregnancy increases the likelihood of adverse outcomes.

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Determinar los factores asociados a caries y a enfermedad periodontal en la mujer gestante, Materiales y Métodos:Se realizó un estudio de corte transversal en 149 mujeres entre febrero y mayo de 2001, en la ciudad de Bucaromanga. Se estudiaron variables sociodemogróficas, relacionadas con la gestación, dieta, creencias y prácticas saludables e higiene oral. Como variables dependientes se definieron: el índice de dientes cariados, obturados y perdidos (COP) y el Índice Periodontal Comunitario y de necesidades de tratamiento (CPITN). Paro el análisis se aplicaron modelos de regresión logística simple y múltiple con el fin de estimar las rozones relativas, Odds Ratio, (OR) y determinar los factores asociados a COP y CPITN utilizando el software Stata 6.0 con un a = O.OS.