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Clinical features and antenatal risk factors for postpartum-onset hypertensive disorders
Sachi Takaoka1, Keisuke Ishii1, Takako Taguchi1
1a Department of Maternal Fetal Medicine , Osaka Medical Center and Research Institute for Maternal and Child Health , Murodo Izumi , Osaka , Japan.
Objective:
To identify the clinical features and risk factors for diagnosis of a postpartum-onset hypertensive disorder.
Methods:
A retrospective cohort study of singleton pregnancies. Clinical features of postpartum-onset hypertensive disorders were evaluated, and prenatal risk factors were also identified with a multivariate logistic regression model.
Results:
Of 1,964 women, 57 (2.9%) developed hypertensive disorder after delivery. The independent risk factors were assisted reproductive technology, pre-pregnancy body mass index, chronic nephritis, hypothyroidism, high-normal blood pressure before or at delivery, and cesarean section.
Conclusion:
Careful monitoring of blood pressure should be considered for women with the identified risk factors even after delivery.
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