Epidemiology of pre-eclampsia in the Republic of Kazakhstan: Maternal and neonatal outcomes

Nurgaliyeva, Gulnara T.; Semenova, Yuliya; Танышева, Г А; Akylzhanova, Z. E.; Bologan, Ion; Manabayeva, Gulshat K.

doi:10.1016/j.preghy.2020.02.003

Cited by 10 publications

(8 citation statements)

References 40 publications

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“…Research (Nurgaliyeva et al, 2020) It is internationally recognized that Kazakhstan has problems with environmental pollution fueled by thriving heavy industry and mining as well as by the past activity of the Semipalatinsk nuclear test site.…”

Section: Disscusion Perinatal Outcomes In Pregnant Women With Preecla...mentioning

confidence: 99%

Perinatal Outcomes in Pregnancy with Preeclampsia and Eclampsia

Apriliana¹,

Sendra²,

Yanuarini³

2022

JNK

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One of the causes of infant mortality is preeclampsia in pregnancy. The impact of pregnancy with preeclampsia and eclampsia on perinatal outcomes is associated with increased perinatal mortality and morbidity in developing and developed countries. To determine the perinatal condition of pregnancies with preeclampsia and eclampsia in developing and developed countries based on literature studies. This literature study was done to determine the perinatal condition. The external keywords used were perinatal, preeclampsia, eclampsia. The method used literature review research methods and data collection strategies using PEOS obtained from previous research journals that had been collected as many as 22 journals, consisting of 17 international journals and 5 national journals. The variable was perinatal outcomes in pregnancy with preeclampsia and eclampsia. Based on 22 reviewed journals, 19 journals from developing countries and 3 journals from developed countries were found, which stated that the majority of perinatal outcomes were asphyxia. The majority of perinatal outcomes found in developing and developed countries are asphyxia, while other perinatal outcomes found include: low birth weight (LBW), fetal distress, intrauterine fetal death (IUFD), intrauterine growth restrictions (IUGR), and perinatal mortality.

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Section: Disscusion Perinatal Outcomes In Pregnant Women With Preecla...mentioning

confidence: 99%

Perinatal Outcomes in Pregnancy with Preeclampsia and Eclampsia

Apriliana¹,

Sendra²,

Yanuarini³

2022

JNK

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“…5 In singleton pregnancies, especially preeclampsia (PE), gestational hypertension disease (GHD) is strongly associated with fetal growth retardation. [6][7][8][9] However, few studies have shown the relationship between GHD and SGA in twins.…”

Section: Introductionmentioning

confidence: 99%

“…When SGA children are in a newborn period, they are at greater risk of life‐threatening conditions like hypercoagulability, hypoglycemia, direct hyperbilirubinemia, necrotic enterocolitis, hypotension 5 . In singleton pregnancies, especially preeclampsia (PE), gestational hypertension disease (GHD) is strongly associated with fetal growth retardation 6–9 . However, few studies have shown the relationship between GHD and SGA in twins.…”

Section: Introductionmentioning

confidence: 99%

Gestational hypertensive disease and small for gestational age infants in twin pregnancy: A systematic review and meta‐analysis

Wang

Chen

et al. 2022

J of Obstet and Gynaecol

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Aim: The review is to explore the connection between gestational hypertension diseases (GHD) and small for gestational age (SGA) in twin pregnancies. Methods: According to the recommendations of PRISMA, relevant studies were systematically searched through PubMed, Web of Science, Cochrane Library, Embase from inception until January 16, 2022. Subgroup analysis was performed according to chorionicity and diagnostic criteria of SGA. Odds ratios (OR) were assessed to judge the link between GHD and SGA in twin pregnant women. A random-effect model was used to estimate the pooled hazard ratio when there was significant heterogeneity (I 2 > 50%); otherwise, a fixed-effect model was conducted. Results: Seven articles containing 470 589 twin pregnant women were included. The increased risk of SGA was connected to the twin pregnancies complicated with GHD (OR = 1.57, 95% confidence interval [CI] = 1.10-2.24, p = 0.01). After subgroup analysis, the connection between SGA and GHD had no statistical significance (OR = 1.17, 95% CI = 0.95-1.44, p = 0.14) when the enrolled studies using the SGA diagnosis referred to singleton birth weight, but significant (OR = 2.14, 95% CI = 1.77-2.60, p<0.001) in the group using the SGA diagnosis referred to twin birth weight. Stratified by chorionicity, SGA was relevant to GHD in the dichorionic (DC) group (OR = 1.68, 95% CI = 1.17-2.42, p = 0.005), while not in the monochorionic (MC) group (OR = 1.68, 95% CI = 0.93-3.03, p = 0.09). More future articles are warranted to confirm these outcomes. Conclusions: Our review demonstrated that GHD in DC twin pregnancies was related to an enlarged risk of SGA. Two SGA diagnosis references led to different results. Twin pregnancies complicated with GHD were at significantly higher risk of SGA when twin birth weight reference was used.

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“…Based on known evidence, the pathophysiology of HDPs involves maternal, placental, and fetal factors 9–11 . Accumulated evidence in singletons has revealed that HDPs, especially preeclampsia (PE), are closely related to fetal growth retardation 12–15 . The evidence in twin pregnancies is limited, however.…”

Section: Introductionmentioning

confidence: 99%

“… 9 , 10 , 11 Accumulated evidence in singletons has revealed that HDPs, especially preeclampsia (PE), are closely related to fetal growth retardation. 12 , 13 , 14 , 15 The evidence in twin pregnancies is limited, however. Intertwin growth discordance is a unique term used to assess the growth of twin fetuses in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

The association of hypertensive disorders of pregnancy with small for gestational age and intertwin birthweight discordance

Lin

Chen

et al. 2021

J of Clinical Hypertension

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Available evidence shows conflicting results regarding the association between hypertensive disorders of pregnancy (HDPs)/preeclampsia (PE) and small for gestational age (SGA) and birthweight discordance (BWD). This retrospective study of 2131 twin pregnancies aimed to evaluate the association of HDPs/PE with the presence of SGA and BWD. The eligible pregnancies were categorized into four study groups: concordant pairs without SGA fetuses, discordant pairs without SGA fetuses, concordant pairs with SGA fetuses, and discordant pairs with SGA fetuses. We applied binary logistic regression models to compare the incidence of HDPs/PE and multinomial logit regression models to evaluate the severity of PE between the study groups. The models were adjusted for potential confounders. Increases in HDPs were observed in concordant (aOR, 2.33; 95% CI: 1.46–3.73) and discordant (aOR, 3.50; 95% CI: 2.26–5.43) pregnancies with SGA fetuses but not in discordant pregnancies without SGA fetuses (aOR, 1.42; 95% CI: 0.81–2.49); increases in PE were also found in concordant (aOR, 1.87; 95% CI: 1.08–3.23) and discordant (aOR, 3.75; 95% CI: 2.36–5.96) pregnancies with SGA fetuses but not in discordant pregnancies without SGA fetuses (aOR, 1.34; 95% CI: 0.71–2.52). Discordant pregnancies with SGA fetuses were associated with severe PE (aRRR, 3.48; 95% CI: 1.79–6.77), whereas concordant pregnancies with SGA fetuses were associated with only mild PE (aRRR, 2.54; 95% CI: 1.33–4.88). Our results suggest that SGA is associated with the development of HDP/PE, while discordant growth is associated with the severity of PE. These associations need to be further investigated using estimated fetal weight (EFW).

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Epidemiology of pre-eclampsia in the Republic of Kazakhstan: Maternal and neonatal outcomes

Cited by 10 publications

References 40 publications

Perinatal Outcomes in Pregnancy with Preeclampsia and Eclampsia

Perinatal Outcomes in Pregnancy with Preeclampsia and Eclampsia

Gestational hypertensive disease and small for gestational age infants in twin pregnancy: A systematic review and meta‐analysis

The association of hypertensive disorders of pregnancy with small for gestational age and intertwin birthweight discordance

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