Delivery Blood Pressure and Other First Pregnancy Risk Factors in Relation to Hypertensive Disorders in Second Pregnancies

BACKGROUND First pregnancy characteristics and blood pressure (BP) measures may be associated with second pregnancy hypertensive disorder risk. We examined the association between first pregnancy risk factors and second pregnancy hypertensive disorders. METHODS Electronic medical records of nullipar...

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Bibliographic Details
Published in:American journal of hypertension 2015-09, Vol.28 (9), p.1172-1179
Main Authors: Boghossian, Nansi S., Albert, Paul S., Mendola, Pauline, Grantz, Katherine L., Yeung, Edwina
Format: Article
Language:English
Subjects:
Blood Pressure
Delivery, Obstetric
Electronic Health Records
Female
Gestational Age
Humans
Hypertension, Pregnancy-Induced - diagnosis
Hypertension, Pregnancy-Induced - epidemiology
Hypertension, Pregnancy-Induced - physiopathology
Incidence
Logistic Models
Longitudinal Studies
Odds Ratio
Original
Parity
Pregnancy
Premature Birth
Recurrence
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Utah - epidemiology
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Summary:BACKGROUND First pregnancy characteristics and blood pressure (BP) measures may be associated with second pregnancy hypertensive disorder risk. We examined the association between first pregnancy risk factors and second pregnancy hypertensive disorders. METHODS Electronic medical records of nulliparas (n = 26,787) delivering at least twice in Utah (2002–2010) were used. Polychotomous logistic regression models estimated the association of first pregnancy risk factors with second pregnancy hypertensive disorders (gestational hypertension, preeclampsia, or chronic hypertension) stratified by first pregnancy hypertensive status and adjusted for second characteristics. RESULTS Among normotensive women in their first pregnancy, preterm birth (
ISSN:0895-7061
1941-7225
DOI:10.1093/ajh/hpv001