The risk factors of gestational hypertension in patients wit
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The hypertensive disorders complicating pregnancy (HDCP) is common in patients with polycystic ovary syndrome (PCOS)

Investigators aimed to assess the independent risk factors of HDCP in patients with PCOS, to provide clinical evidence for the management of PCOS.

Pregnant PCOS patients treated in their hospital were approached. The personal and clinical characteristics of patients with and without gestational hypertension were evaluated. Logistic regressions were conducted to identify the independent risk factors of HDCP, Receiver operating characteristics (ROC)curve analysis was conducted to evaluate the predicting value. A total of 188 PCOS patients were included, the incidence of HDCP in patients with PCOS was 27.66%.

The findings are;
-- There were significant differences in the age, BMI, family history of hypertension, the history of adverse pregnancy, history of contraceptive pills use, and family history of HDCP between HDCP group and no-HDCP group, and there were no significant differences in the family history of diabetes, multiple pregnancies and long-term smoking history between HDCP group and no-HDCP group.

--Age ≥27y, BMI ≥24 kg/m2, family history of hypertension, the history of adverse pregnancy, history of contraceptive pill use, family history of HDCP were the independent risk factors of HDCP in patients with PCOS.

--ROC curve analyses indicated that those factors had good predictive value on HDCP in PCOS patients.

The incidence of HDCP in PCOS patients is relatively high. In clinical practice, medical workers should carry out early prevention and intervention measures for these risk factors to reduce the incidence of HDCP.

BMC Pregnancy and Childbirth
Source: https://doi.org/10.1186/s12884-021-03808-3
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