The impact of chronic hypertension and pregestational diabetes on pregnancy outcomes.
Am J Obstet Gynecol
; 207(4): 333.e1-6, 2012 Oct.
Article
en En
| MEDLINE
| ID: mdl-22892187
OBJECTIVE: The objective of the study was to examine the impact of chronic hypertension and pregestational diabetes on pregnancy outcomes. STUDY DESIGN: This was a retrospective cohort study of 532,088 women undergoing singleton births in California in 2006. Women were categorized into chronic hypertension, pregestational diabetes, both, or neither. Pregnancy outcomes were compared using the χ(2) test and multivariable logistic regression to control for potential confounders. RESULTS: We identified differences in perinatal outcomes between the groups. The rate of preterm birth in women with both conditions was 35.5% versus 25.5% in women with chronic hypertension versus 19.4% in women with pregestational diabetes (P < .001). The rate of small for gestational age was 18.2% in women with both versus 18.3% in women with chronic hypertension versus 9.7% in women with pregestational diabetes (P < .001). CONCLUSION: The impact of having both chronic hypertension and pregestational diabetes in pregnancy varies, depending on the outcome examined. Although some had an additive effect (eg, stillbirth), others did not (eg, preeclampsia).
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Embarazo en Diabéticas
/
Resultado del Embarazo
/
Diabetes Mellitus
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Hipertensión
Tipo de estudio:
Observational_studies
Límite:
Adult
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Female
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Humans
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Newborn
/
Pregnancy
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Am J Obstet Gynecol
Año:
2012
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos