Risk for hypertensive disorder of pregnancy increased in women with increase or little or no decline in blood pressure early in pregnancy<\/p>\n<\/h3>\n
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TUESDAY, Feb. 22, 2022 (HealthDay News) — Women with blood pressure that increases or shows little or no decline during the first half of pregnancy are at substantially higher risk for developing a hypertensive disorder in the second half of pregnancy, according to a study published in the March issue of Hypertension<\/em>.<\/p>\n Erica P. Gunderson, from Kaiser Permanente Northern California in Oakland, and colleagues assessed distinct blood pressure trajectories from 0 to 20 weeks of gestation and their relationship with subsequent pregnancy-related hypertension in a retrospective cohort of 174,925 women with no prior hypertension or history of preeclampsia, prenatal care entry \u00e2\u0089\u00a414 weeks, and a stillborn or live singleton birth between 2009 and 2019.<\/p>\n The researchers found that for low-increasing, moderate-stable, and elevated-stable blood pressure groups, there was elevated risk for preeclampsia\/eclampsia (adjusted odds ratios, 3.25, 5.3, and 9.2, respectively) and gestational hypertension (adjusted odds ratios, 6.4, 13.6, and 30.2, respectively), compared with an ultra-low-declining blood pressure group (referent). The associations for preeclampsia\/eclampsia were modified by race\/ethnicity and prepregnancy obesity, with the highest risks seen for Black women, followed by Hispanic and Asian women for all blood pressure trajectories and with increasing obesity class.<\/p>\n “Early pregnancy blood pressure patterns revealed racial and ethnic differences in associations with preeclampsia\/eclampsia risk within equivalent levels and patterns,” the authors write.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n