Studies on Toxaemia of Pregnancy with Special Reference to Blood Pressure

Åberg, H; Karlsson, Lars; Melander, Stig

doi:10.3109/03009737809179108

Upsala Journal of Medical Sciences

1978

DOI: 10.3109/03009737809179108

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Studies on Toxaemia of Pregnancy with Special Reference to Blood Pressure

H Åberg¹,

Lars Karlsson²,

Stig Melander³

Abstract: An investigation was made of 150 women who were diagnosed at the Department of Obstetrics and Gynaecology, University Hospital, Uppsala in 1964-68 as having toxaemia of pregnancy. Eleven had eclampsia and the remainder pre-eclampsia. Toxaemia occurred in 0.88 % (average) of all parturients during the study period. Some characteristics of the mothers and their infants are reported. Thus, there were more instrumental deliveries in the toxaemia group than in the non-toxaemic patients delivered in the clinic. The … Show more

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Cited by 8 publications

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“…Incidence figures vary widely depending on the definition used, the nature of the study (e.g., hospital or population-based), the ethnic and racial group investigated, the geographic location, the inclusion of multiparas or women with preexisting disease, and other factors. Reported values for primiparas have ranged from 0.9% in a hospital-based Swedish population (8) to 33% in a population-based survey of primiparas in China (3). PIH with a clinically significant rise in blood pressure is generally estimated to complicate 5-7% of all pregnancies in the U.S. (7,9,10).…”

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Pregnancy‐induced hypertension and insulin resistance, evidence for a connection

Innes¹,

Wimsatt²

1999

Acta Obstet Gynecol Scand

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PIH, the most common complication of pregnancy, remains a major source of maternal-child morbidity and mortality. Yet the etiology of this disorder is still little understood. There is now a growing body of evidence linking PIH and insulin resistance. Both proteinuric and non-proteinuric PIH predict future essential hypertension, and to a lesser extent, diabetes, disorders strongly related to glucose intolerance and insulin resistance. PIH is associated with diabetes, occurring in up to 50% of diabetic pregnancies. PIH is characterized by the same features that define IRS, including hypertension, dyslipidemia, disruption of endothelial and platelet function and related disturbances of prostanoid synthesis, coagulation and fibrinolytic abnormalities, hyperuricemia, atherosclerotic changes, and obesity. During the last decade, controlled studies by at least 11 different research groups in nine countries have established significant positive associations between both proteinuric and nonproteinuric PIH and various measures of insulin resistance. In particular, prospective investigations by at least five groups of investigators have indicated that relative hyperinsulinemia, glucose intolerance, and insulin insensitivity predict the subsequent development of PIH. These and other studies suggest that insulin resistance may play a causal role in the pathogenesis of PIH, and that some aspects of PIH may represent an early manifestation of IRS, precipitated by the profound metabolic and hemostatic challenges of gestation.

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mentioning

confidence: 99%

Pregnancy‐induced hypertension and insulin resistance, evidence for a connection

Innes¹,

Wimsatt²

1999

Acta Obstet Gynecol Scand

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Long term follow‐up of women with hypertension in pregnancy

Selvaggi

Loverro

et al. 1988

Intl J Gynecology & Obste

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The reproductive history and the present health status of 66 patients who had had a pregnancy complicated by hypertension during the period 1972-1982 were retrospectively studied. Hypertension in pregnancy is a poor prognostic factor not only for the future development of hypertension but, also, as it is associated to a very poor reproductive history. Such complications are more frequent in pregnant women with very high blood pressure (greater than 160/100). In fact, in the case of a previous pregnancy, this group of patients had experienced a high rate of abortions (31.7%), premature deliveries (17.8%) and perinatal mortality (21.4%). Moreover, these women are subject to a higher risk (56.5%) of developing hypertension in successive pregnancies. Risk factors for determining the future development of hypertension are: familiar hypertension, the severity of hypertension during pregnancy and pluriparity.

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Hypertension in Pregnancy

Svensson¹,

Andersch²,

Hansson³

1985

Journal of Internal Medicine

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ABSTRACT. In the years 1969 — 1973, 0.3% of 17000 unselected non‐diabetic pregnancies were complicated by severe pre‐eclampsia, 0.6% by mild pre‐eclampsia and 0.6% by hypertension in pregnancy. Records from affiliated maternity centers and the hospital were studied for these 261 women and for 260 women with matched normotensive pregnancies. The women with pre‐eclampsia/hypertension in pregnancy had higher blood pressure than the control group very early in pregnancy. The hypertensive women were more often primiparous and they had a slightly higher body weight. The patients with severe pre‐eclampsia were older than the other women (30.4 vs 25.4 years for controls, p < 0.001). Immigrants were not more commonly found in the hypertensive groups, but unmarried mothers were more often seen in the mild preeclampsia and pregnancy hypertension groups, 19.1% and 20.6% respectively compared to 7.7% in the control group (p <0.01). A family history of hypertension was frequently reported in all groups. The most striking characteristic of women with pre‐eclampsia/hypertension in pregnancy was their elevated blood pressure before or very early in pregnancy.

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Studies on Toxaemia of Pregnancy with Special Reference to Blood Pressure

Cited by 8 publications

References 12 publications

Pregnancy‐induced hypertension and insulin resistance, evidence for a connection

Pregnancy‐induced hypertension and insulin resistance, evidence for a connection

Long term follow‐up of women with hypertension in pregnancy

Hypertension in Pregnancy

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