Risk factors for preeclampsia in nulliparous women in distinct ethnic groups: a prospective cohort study

Knuist, M; Bonsel, Gouke J.; Zondervan, Hans A.; Treffers, P.E.

doi:10.1016/s0029-7844(98)00143-4

Cited by 101 publications

(83 citation statements)

References 15 publications

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“…[4][5][6] In our study we found Cape Verdean women but not Surinamese-Creole and Antillean women to have a higher risk of preeclampsia. This is in contrast to the study of Knuist et al, 6 who found SurinameseCreole, Antillean, and West-African women to have a higher risk of preeclampsia. Previously, we have shown that DBP is more strongly associated with the risk of gestational hypertensive disorders and might be a better predictor of gestational hypertensive disorders than SBP.…”

Section: Ethnicity Blood Pressure and Gestational Hypertensive Disocontrasting

confidence: 42%

“…In line with our study, another Dutch study among 2413 pregnant women found Dutch women to have the highest SBP levels in pregnancy and the lowest DBP levels for Mediterranean women. 6 This may suggest blood pressure differences to reverse during pregnancy and to be higher among white women compared with other ethnic groups. One possible explanation might be that the maternal cardiovascular system of the various ethnic groups adapts differently during pregnancy because of genetic differences or different environmental factors.…”

Section: Ethnicity Blood Pressure and Gestational Hypertensive Disomentioning

confidence: 99%

“…6,10 Ethnic minority groups of non-European origin now form Ϸ11% of the total population of the Netherlands.…”

mentioning

confidence: 99%

“…3,4 Black descent has been suggested as risk factor for pregnancy-related hypertensive disorders. [4][5][6] Blood pressure levels during pregnancy are important risk factors for gestational hypertensive disorders. 7 Little is known about variation in blood pressure development during pregnancy across different ethnic groups.…”

mentioning

confidence: 99%

“…6,10 Ethnic minority groups of non-European origin now form Ϸ11% of the total population of the Netherlands. 11 Studies from the United States, the United Kingdom, and the Netherlands found nonpregnant women from ethnic minority groups to have elevated blood pressure levels and more cardiovascular risk factors compared with white women.…”

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confidence: 99%

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Ethnic Differences in Blood Pressure and Hypertensive Complications During Pregnancy

et al. 2012

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Abstract-The aim was to investigate ethnic differences in blood pressure levels in each trimester of pregnancy and the risk of gestational hypertensive disorders and the degree to which such differences can be explained by education and lifestyle-related factors. The study included 6215 women participating in a population-based prospective cohort study from early pregnancy onward in Rotterdam. Ethnicity was assessed at enrollment. Blood pressure was measured in each trimester. Information about gestational hypertensive disorders was available from medical charts. Lifestyle factors included smoking, alcohol, caffeine intake, folic acid supplementation, sodium and energy intake, body mass index, and maternal stress. Associations and explanatory pathways were investigated using linear and logistic regression analysis. Dutch pregnant women had higher systolic blood pressure levels as compared with women in other ethnic groups in each trimester of pregnancy. Compared with Dutch women, Turkish and Moroccan women had lower diastolic blood pressure levels in each trimester. These differences remained after adjusting for education and lifestyle factors. Turkish and Moroccan women had a lower risk of gestational hypertension as compared with Dutch women (odds ratio, 0.32 [95% CI, and odds ratio, 0.28 [95% CI, 0.14 -0.58]), and Cape Verdean women had an elevated risk of preeclampsia (odds ratio, 2.22 [95% CI, 1.22-4.07]). Differences could not be explained by education or lifestyle. Substantial ethnic differences were observed in blood pressure levels and risk of gestational hypertensive disorders in each trimester of pregnancy, and a wide range of variables could not explain these differences. Key Words: ethnicity Ⅲ pregnancy Ⅲ blood pressure Ⅲ pregnancy-induced hypertension Ⅲ preeclampsia Ⅲ cohort study H ypertensive disorders during pregnancy complicate Ϸ7% of all pregnancies and are important causes of maternal and perinatal morbidity and mortality worldwide. 1,2 In the Netherlands, eclampsia/preeclampsia is the leading cause of maternal mortality. 3 The risk of gestational hypertension and preeclampsia has been demonstrated to differ by ethnic background. 3,4 Black descent has been suggested as risk factor for pregnancy-related hypertensive disorders. [4][5][6] Blood pressure levels during pregnancy are important risk factors for gestational hypertensive disorders. 7 Little is known about variation in blood pressure development during pregnancy across different ethnic groups. One study found white pregnant women to have the highest blood pressure levels and women with West Indian decent to have the lowest blood pressure levels. 8 Another study showed that Nigerian women had higher diastolic blood pressure (DBP) levels as compared with white women. 9 The underlying pathways explaining the ethnic differences in blood pressure and gestational hypertensive disorders are largely unknown.Some of these ethnic differences may result from differences in socioeconomic position or in prevalence rates of cardiovascular risk facto...

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Section: Ethnicity Blood Pressure and Gestational Hypertensive Disocontrasting

confidence: 42%

Section: Ethnicity Blood Pressure and Gestational Hypertensive Disomentioning

confidence: 99%

“…6,10 Ethnic minority groups of non-European origin now form Ϸ11% of the total population of the Netherlands.…”

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Ethnic Differences in Blood Pressure and Hypertensive Complications During Pregnancy

et al. 2012

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How to perform first trimester combined screening for pre‐eclampsia

Reddy

Springhall

Rolnik

et al. 2018

Australas J Ultrason Med

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Pre-eclampsia is a common condition that affects 2-5% of pregnancies and is associated with significant maternal and perinatal morbidity, and cost to the healthcare system. In those at high risk for pre-eclampsia, interventions such as aspirin intake have been shown to reduce prevalence of disease. However, to implement these interventions, it is essential that high-risk women be identified early in pregnancy. A combined first trimester screening model for pre-eclampsia that includes maternal history, mean arterial pressure, uterine artery Doppler and PlGF has been shown to be the most effective at identifying the population at greatest risk of pre-eclampsia. This article will explore the most appropriate methods of measuring the components of first trimester screening and discuss the use of aspirin for prevention of pre-eclampsia in pregnancy.

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The International Federation of Gynecology and Obstetrics (FIGO) initiative on pre‐eclampsia: A pragmatic guide for first‐trimester screening and prevention

Poon

Shennan

Hyett

et al. 2019

Intl J Gynecology & Obste

805

628

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Risk factors for preeclampsia in nulliparous women in distinct ethnic groups: a prospective cohort study

Abstract: In studies of risk factors for preeclampsia, black women should be analyzed separately from white women.

Cited by 101 publications

References 15 publications

Ethnic Differences in Blood Pressure and Hypertensive Complications During Pregnancy

Ethnic Differences in Blood Pressure and Hypertensive Complications During Pregnancy

How to perform first trimester combined screening for pre‐eclampsia

The International Federation of Gynecology and Obstetrics (FIGO) initiative on pre‐eclampsia: A pragmatic guide for first‐trimester screening and prevention

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