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https://hdl.handle.net/2440/7963
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Type: | Journal article |
Title: | Risk factors for hypertension during pregnancy in South Australia |
Author: | Jacobs, D. Vreeburg, S. Dekker, G. Heard, A. Priest, K. Chan, A. |
Citation: | Australian and New Zealand Journal of Obstetrics and Gynaecology, 2003; 43(6):421-428 |
Publisher: | Australian NZ J Obstet Gynaec |
Issue Date: | 2003 |
ISSN: | 0004-8666 1479-828X |
Abstract: | Objective: To identify risk factors for hypertension in pregnancy among South Australian women. Design: A population-based retrospective analysis using the South Australian perinatal data collection for 1998–2001. Methods: Three groups of women with hypertension (pre-existing hypertension, pregnancy hypertension, and superimposed pre-eclampsia) were compared with normotensive women using unconditional logistic regression analysis on 70 386 singleton births to identify sociodemographic and clinical risk factors for hypertension in pregnancy. Results: Nulliparity, Aboriginal race and Caucasian race (compared with Asian) and pre-existing and gestational diabetes were demonstrated to be risk factors for all hypertensive disorders, as was increasing maternal age for pre-existing hypertension and superimposed pre-eclampsia. Risk was increased for pregnancy hypertension and superimposed pre-eclampsia among women who gave their occupation as ‘home duties’ and also for superimposed pre-eclampsia among unemployed women. Women with hypertension were more likely to give birth in teaching hospitals. Urinary tract infections were not found to be a risk factor for any type of hypertension. Smoking during pregnancy was protective for all types of hypertension. Conclusions: The present study used a statewide population perinatal database and has confirmed that Aboriginal race, Caucasians, nulliparity, and pre-existing and gestational diabetes are independent risk factors for all types of hypertension in pregnancy. Increasing maternal age increased the risk for pre-existing hypertension and superimposed pre-eclampsia. There appeared to be appropriate referral of women with hypertensive disorders to teaching hospitals. A new finding is the increased risk among unemployed women and women engaged in home duties. |
Keywords: | Humans Diabetes, Gestational Pre-Eclampsia Pregnancy Complications, Cardiovascular Hypertension Logistic Models Risk Factors Retrospective Studies Cohort Studies Maternal Age Parity Pregnancy Socioeconomic Factors Adult Population Groups South Australia Female Databases as Topic |
Description: | The definitive version is available at www.blackwell-synergy.com |
DOI: | 10.1046/j.0004-8666.2003.00120.x |
Description (link): | http://www.blackwell-synergy.com/doi/abs/10.1046/j.0004-8666.2003.00120.x |
Published version: | http://dx.doi.org/10.1046/j.0004-8666.2003.00120.x |
Appears in Collections: | Aurora harvest Obstetrics and Gynaecology publications |
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