ArticleHypertension research : official journal of the Japanese Society of Hypertension2016
The risk factors for labor onset hypertension.
Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 21 citations in OpenAlex.
- Individual, Independent, and Joint Associations of Toxic Metals and Manganese on Hypertensive Disorders of Pregnancy: Results from the MIREC Canadian Pregnancy Cohort.Environmental health perspectives · 2023Article
- Clinical characteristics and sequelae of intrapartum hypertension - a retrospective cohort study.BMC pregnancy and childbirth · 2023Article
- Preeclampsia: Maternal Systemic Vascular Disorder Caused by Generalized Endothelial Dysfunction Due to Placental Antiangiogenic Factors.International journal of molecular sciences · 2019Review
- Effect of blood pressure on reversible posterior leukoencephalopathy syndrome in pre-eclampsia or eclampsia.Hypertension research : official journal of the Japanese Society of Hypertension · 2018Article
- Hypertensive disorders of pregnancy: a strong risk factor for subsequent hypertension 5 years after delivery.Hypertension research : official journal of the Japanese Society of Hypertension · 2018Article
- Roles and mechanisms of TRPC3 and the PLCγ/PKC/CPI-17 signaling pathway in regulating parturition.Molecular medicine reports · 2018Article
- Pathophysiology of preeclampsia: an angiogenic imbalance and long-lasting systemic vascular dysfunction.Hypertension research : official journal of the Japanese Society of Hypertension · 2017Review
- Monitoring and evaluation of out-of-office blood pressure during pregnancy.Hypertension research : official journal of the Japanese Society of Hypertension · 2017Review
- Is labor-onset hypertension a novel category among hypertensive disorders of pregnancy associated with adverse events in high-risk subjects? Lights and shadows.Hypertension research : official journal of the Japanese Society of Hypertension · 2016Article
- A Study to Assess the Prevalence and Risk Factors of Labor-Onset Hypertension among Women in Intranatal Period Admitted in Selected Hospital, Assam.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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5 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Our aim was to clarify the perinatal outcomes of and risk factors for hypertension that is first detected after labor onset (labor onset hypertension, LOH), which may be a risk factor for eclampsia and stroke during labor. A total of 1349 parturient women who did not exhibit preeclampsia or gestational hypertension prior to labor were examined. The patients were classified into four groups: the normotensive (n=1023) (whose systolic blood pressure (SBP) remained below 140 mm Hg throughout labor), mild LOH (n=241) (whose maximum SBP during labor ranged from 140 to 159 mm Hg), severe LOH (n=66) (whose maximum SBP during labor ranged from 160 to 179 mm Hg) and emergent LOH groups (n=19) (whose maximum SBP during labor was greater than 180 mm Hg). The perinatal outcomes and patient characteristics of the four groups were compared. Twenty-four percent of the pregnant women who remained normotensive throughout pregnancy developed hypertension during labor. One of the patients in the emergent LOH group developed eclampsia. The blood pressure at delivery and frequencies of hypotensor use, interventional delivery and low Apgar scores differed significantly among the four groups. The following risk factors for severe/emergent LOH were extracted: being over 35 years old, a body mass index at delivery of >30, an SBP at 36 weeks' gestation of 130-134 mm Hg, an SBP at admission of 130-139 mm Hg, proteinuria (a score of 2+ on the dipstick test) and severe edema. The risk factors for severe/emergent LOH were identified in this study. In high risk cases, repeatedly measuring maternal blood pressure during delivery might help detect critical hypertension early.
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