Facteurs de risque de la prééclampsie en cas de grossesse unique

Merviel, Philippe; Touzart, Laurent; Deslandes, Vincent; Delmas, Marie-Christine; Coicaud, M.; Gondry, J.

doi:10.1016/j.jgyn.2008.04.001

Cited by 22 publications

(11 citation statements)

References 26 publications

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“…Our results suggest that family history of hypertension reflects genetic and behavioral factors whereby women may be predisposed to an increased preeclampsia risk. Family history of chronic hypertension is a proxy measure for hereditary factors as well as common environmental or behavioral exposures that may underlie preeclampsia risk [26,27]. To the best of our knowledge, this is the first analysis in Pakistan to assess the effects of family history of chronic hypertension on preeclampsia risk.…”

Section: Discussionmentioning

confidence: 99%

A multicentre matched case control study of risk factors for Preeclampsia in healthy women in Pakistan

et al. 2010

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BackgroundPreeclampsia is one of the leading causes of maternal and perinatal morbidity and mortality world-wide. The risk for developing preeclampsia varies depending on the underlying mechanism. Because the disorder is heterogeneous, the pathogenesis can differ in women with various risk factors. Understanding these mechanisms of disease responsible for preeclampsia as well as risk assessment is still a major challenge. The aim of this study was to determine the risk factors associated with preeclampsia, in healthy women in maternity hospitals of Karachi and Rawalpindi.MethodsWe conducted a hospital based matched case-control study to assess the factors associated with preeclampsia in Karachi and Rawalpindi, from January 2006 to December 2007. 131 hospital-reported cases of PE and 262 controls without history of preeclampsia were enrolled within 3 days of delivery. Cases and controls were matched on the hospital, day of delivery and parity. Potential risk factors for preeclampsia were ascertained during in-person postpartum interviews using a structured questionnaire and by medical record abstraction. Conditional logistic regression was used to estimate matched odds ratios (ORs) and 95% confidence intervals (95% CIs).ResultsIn multivariate analysis, women having a family history of hypertension (adjusted OR 2.06, 95% CI; 1.27-3.35), gestational diabetes (adjusted OR 6.57, 95% CI; 1.94 -22.25), pre-gestational diabetes (adjusted OR 7.36, 95% CI; 1.37-33.66) and mental stress during pregnancy (adjusted OR 1.32; 95% CI; 1.19-1.46, for each 5 unit increase in Perceived stress scale score) were at increased risk of preeclampsia. However, high body mass index, maternal age, urinary tract infection, use of condoms prior to index pregnancy and sociodemographic factors were not associated with higher risk of having preeclampsia.ConclusionsDevelopment of preeclampsia was associated with gestational diabetes, pregestational diabetes, family history of hypertension and mental stress during pregnancy. These factors can be used as a screening tool for preeclampsia prediction. Identification of the above mentioned predictors would enhance the ability to diagnose and monitor women likely to develop preeclampsia before the onset of disease for timely interventions and better maternal and fetal outcomes.

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Section: Discussionmentioning

confidence: 99%

A multicentre matched case control study of risk factors for Preeclampsia in healthy women in Pakistan

et al. 2010

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“…In contrast to our findings, Merviel et al reported an insignificant difference in average age: 28.6 years in the preeclampsia group and 28.5 years in the control group. However, their sample considered only 188 cases [11].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Extreme Maternal Ages on Hypertensive Disorders of Pregnancy: A Retrospective Cohort Study in Dakar, Senegal

Ndiaye¹,

Gueye²,

Diallo³

et al. 2020

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Background: Hypertensive disorders of pregnancy are a frequent situation and involve about 8%-10% of pregnancies. Extremes maternal ages have been associated to hypertensive disorders of pregnancy. In Africa, even if motherhood in teens is common, pregnancy at advanced age is getting more and more frequent. Objectives: To investigate the relation between maternal age and hypertensive disorders of pregnancy. Methods: A retrospective cohort study over 8 years was conducted in a suburb setting in Dakar, Senegal. The participants were divided into two groups based on the occurrence of hypertensive disorders of pregnancy (HDP). Data were extracted from E-Perinatal, our electronic medical recording system and analyzed using SPSS 20.0 and R Studio software version 1.1.383.51. Maternal and perinatal outcomes were assessed over 3 age groups: <19 years, >34 years and 19-34 years old. Results: The study included 2226 cases of HDP out of 36,499 deliveries leading to an incidence of 6.1%. The proportions of nulliparous, multiple pregnancies and maternal diabetes were higher in women with HDP. The risk of high blood pressure among mothers aged 35 years and over was 1.6 times as high as the risk among those aged 19-34 years at a significant level before and after adjusting for third factors i.e. parity, multiple pregnancy and diabetes. However, adolescents were found to have the same risk compared to their counterparts aged 19-34 years. Risk of eclampsia was 4 times greater among adolescent girls. Conclusion: Advanced maternal age greater than or equal to 35 years is a risk factor for high blood pressure. There is no extra risk in adolescent girls with regard to high blood pressure; however, risk of eclampsia was higher in this group.

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“…Previous studies have shown positive history of preeclampsia as a valuable clinical indicator to determine the risk of preeclampsia during pregnancy [12,16,17].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Preeclampsia Risk Factors Regarding to Severity with Control Group

Sharami

Zendehdel

Mirblouk

et al. 2017

Zahedan J Res Med Sci

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Background: Preeclampsia is a relatively common pregnancy disorder that originates in the placenta and causes variable maternal and fetal complications. Objectives: The aim of the study was to investigate risk factors of preeclampsia based on severity. Methods: This is a cross-sectional study which was conducted on 448 participants (330 normal pregnant, 77mild and 91severe preeclamptic women). Inclusion Criteria were age 15 -44 years and 20 -24 weeks of gestation. The data collection form consisted of the kind of pregnancy (normal, mild or sever preeclampsia), BP, U/A, other library tests, demo graphic information, history of obstetrics and diseases. The data were analyzed by ANOVA, POST HOC test (tukey HSD), Chi-square and logistic regression using SPSS version 16. Results: Finding showed the mean age in the severe preeclampsia group and the mean BMI in mild and severe preeclamptic women were significantly higher than normal group. Also there was significant relationship between preeclampsia and age, BMI, RH, history of abortion, preeclampsia and chronic hypertension. Logistic regression analysis showed that respectively the negative RH and history of preeclampsia increased the risk of severe preeclampsia. Conclusions: Based on results, chronic hypertension, history of abortion and BMI had been indicated as risk factors of mild preeclampsia and history of preeclampsia had been obtained as the risk factors of severe type. Also, negative RH was the common risk factor for mild and severe types. Therefore, our result support different risk factors for subtypes of preeclampsia.

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Facteurs de risque de la prééclampsie en cas de grossesse unique

Cited by 22 publications

References 26 publications

A multicentre matched case control study of risk factors for Preeclampsia in healthy women in Pakistan

A multicentre matched case control study of risk factors for Preeclampsia in healthy women in Pakistan

The Impact of Extreme Maternal Ages on Hypertensive Disorders of Pregnancy: A Retrospective Cohort Study in Dakar, Senegal

Comparison of Preeclampsia Risk Factors Regarding to Severity with Control Group

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