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Association Between Preeclampsia and Blood Pressure in Offspring: A Systematic Review and Meta-Analysis
Min Xu1,2,3,4,5, Hai-Xia Wang1,2,3,4, Ping Zu1,2,3,4
1Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China.
Insights
Exposure to preeclampsia during pregnancy increases offspring
Area of Science:
- Obstetrics and Gynecology
- Pediatrics
- Cardiovascular Health
Background:
- Preeclampsia is a severe pregnancy complication.
- Preeclampsia is linked to increased hypertension risk in offspring.
- The overall impact of in-utero preeclampsia exposure on offspring blood pressure is not fully understood.
Approach:
- A systematic review and meta-analysis was conducted.
- 23 studies were included from an initial pool of 2550 publications.
- The study systematically assessed the effects of maternal preeclampsia on offspring blood pressure.
Key Points:
- Offspring exposed to preeclampsia in utero had higher systolic blood pressure (SBP) by 2.0 mm Hg and diastolic blood pressure (DBP) by 1.4 mm Hg.
- These findings were consistent across stratified analyses including sex, age, and gestational age.
- Offspring of mothers with preeclampsia face an elevated risk of high blood pressure throughout childhood and young adulthood.
Conclusions:
- Maternal preeclampsia exposure is associated with increased offspring blood pressure.
- Monitoring blood pressure in offspring exposed to preeclampsia is crucial.
- This research highlights a significant long-term cardiovascular health implication of preeclampsia.
Purpose Of Review:
Pregnancy-induced preeclampsia is a severe pregnancy complication and preeclampsia has been associated with an increased risk of chronic hypertension for offspring. However, the magnitude of the overall effect of exposure to preeclampsia in pregnancy on blood pressure (BP) in offspring is unknown. This systematic review and meta-analysis was sought to systematically assess the effects of preeclampsia on the BP of the offspring.
Recent Findings:
Of 2550 publications identified, 23 studies were included. The meta-analysis indicated that preeclampsia increases the potential risk of hypertension in offspring. Systolic blood pressure (SBP) was 2.0 mm Hg (95% CI: 1.2, 2.8) and diastolic blood pressure (DBP) was 1.4 mm Hg (95% CI: 0.9, 1.9) higher in offspring exposed to pre-eclampsia in utero, compared to those born to normotensive mothers. The correlations were similar in stratified analyses of children and adolescents by sex, geographic area, ages, and gestational age. During childhood and young adulthood, the offspring of pregnant women with preeclampsia are at an increased risk of high BP. It is crucial to monitor their BP.
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