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Frequency and factors leading to recurrent pre-eclampsia.
1Department of Obstetrics and Gynaecology, Unit-II, Ward-9, Jinnah Postgraduate Medical Centre, Karachi.
JPMA. the Journal of the Pakistan Medical Association
|November 14, 2015
Summary
Recurrent preeclampsia affects over 25% of women with a history of the condition. Key risk factors include being overweight, gestational diabetes, and chronic hypertension.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Preeclampsia is a serious pregnancy complication.
- Recurrent preeclampsia poses significant risks to maternal and fetal health.
- Understanding risk factors for recurrence is crucial for improved management.
Purpose of the Study:
- To determine the incidence of recurrent preeclampsia.
- To identify factors associated with recurrent preeclampsia in parous women.
Main Methods:
- Cross-sectional study at Jinnah Post Graduate Medical Centre, Karachi.
- Included parous women <40 years with prior preeclampsia and singleton pregnancies >20 weeks gestation.
- Data collected via questionnaire and analyzed using SPSS 16.
Main Results:
- The frequency of recurrent preeclampsia was 25.26% (121/479 patients).
- Mean age was 29.7±4.9 years; 69.42% were multiparous.
- Significant risk factors included high BMI, gestational diabetes (23.14%), and chronic hypertension (19.83%).
Conclusions:
- Overweight status, gestational diabetes, and chronic hypertension are primary risk factors for recurrent preeclampsia.
- Early identification and management of these factors may mitigate recurrence risk.
- Further research into preventative strategies is warranted.
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