Pregnancy outcomes associated with a single elevated blood p
Women with a single elevated blood pressure before 20 weeks of gestation are at higher risk for hypertensive disorders of pregnancy finds a study recently published in Obstetrics & Gynecology.

The objective was to evaluate maternal and fetal outcomes among women with a single elevated blood pressure before 20 weeks of gestation.

Researchers conducted a retrospective cohort study of women. Participants were divided into two groups: normotensive (all systolic blood pressures lower than 130 mm Hg and diastolic pressures lower than 80 mm Hg) compared with single elevated blood pressure (single systolic pressure 130 mm Hg or higher, diastolic pressure 80 mm Hg or higher, or both). Maternal comorbidities and maternal and neonatal outcomes were extracted from electronic health records using International Classification of Diseases codes.

- Of 303,689 women who delivered during the study period, 23% had a single elevated blood pressure.

- Rates of hypertensive disorders of pregnancy differed between the two groups, as did iatrogenic preterm delivery.

In particular, women with a single elevated blood pressure before 20 weeks of gestation are at increased risk for hypertensive disorders of pregnancy and iatrogenic preterm delivery.

Source: https://journals.lww.com/greenjournal/Abstract/9900/Pregnancy_Outcomes_Associated_With_a_Single.224.aspx
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