Literature DB >> 19646568

Discontinuation of antihypertensive drug use during the first trimester of pregnancy and the risk of preeclampsia and eclampsia among women with chronic hypertension.

Hamid Reza Nakhai-Pour1, Evelyne Rey, Anick Bérard.   

Abstract

OBJECTIVE: The goal of this study was to investigate the association between the discontinuation of antihypertensive medication use during the first trimester of pregnancy and the risk of preeclampsia and eclampsia. STUDY
DESIGN: We conducted a nested case-control approach within a cohort that was reconstructed from the linkage of 3 databases. To be included in the study, women had to match the following criteria: (1) between 15-45 years old on the first day of gestation, (2) covered by Québec's Drug Insurance Plan for at least 12 months before and during pregnancy, (3) exposed to an antihypertensive drug on the first day of gestation, and (4) have had a delivery. Multivariate conditional logistic regression models were used to estimate the risk.
RESULTS: Adjusting for confounders, the odds ratio was 0.66; 95% confidence interval, 0.27-1.56.
CONCLUSION: Our finding does not support the presence of a statistically significant association between antihypertensive discontinuation during the first trimester of pregnancy and the risk of preeclampsia and eclampsia.

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Year:  2009        PMID: 19646568     DOI: 10.1016/j.ajog.2009.05.019

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  5 in total

1.  Use of antidepressants during pregnancy and the risk of spontaneous abortion.

Authors:  Hamid Reza Nakhai-Pour; Perrine Broy; Anick Bérard
Journal:  CMAJ       Date:  2010-05-31       Impact factor: 8.262

2.  Prescription of antihypertensive medications during pregnancy in the UK.

Authors:  Lucia Cea Soriano; Brian T Bateman; Luis A García Rodríguez; Sonia Hernández-Díaz
Journal:  Pharmacoepidemiol Drug Saf       Date:  2014-05-02       Impact factor: 2.890

3.  Association between First Trimester Antidepressant Use and Risk of Spontaneous Abortion.

Authors:  Pingsheng Wu; Digna R Velez Edwards; Phillip Gorrindo; Alexandra C Sundermann; Eric S Torstenson; Sarah H Jones; Ronna L Chan; Katherine E Hartmann
Journal:  Pharmacotherapy       Date:  2019-07-25       Impact factor: 4.705

4.  Maternal Blood Pressure in Relation to Prenatal Lipid-Based Nutrient Supplementation and Adverse Birth Outcomes in a Ghanaian Cohort: A Randomized Controlled Trial and Cohort Analysis.

Authors:  Alyssa M Abreu; Rebecca R Young; Ashley Buchanan; Ingrid E Lofgren; Harriet E T Okronipa; Anna Lartey; Per Ashorn; Seth Adu-Afarwuah; Kathryn G Dewey; Brietta M Oaks
Journal:  J Nutr       Date:  2021-06-01       Impact factor: 4.798

Review 5.  Hypertensive Disorders of Pregnancy.

Authors:  Apurva M Khedagi; Natalie A Bello
Journal:  Cardiol Clin       Date:  2020-11-02       Impact factor: 2.213

  5 in total

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