Literature DB >> 26120477

Effect of the timing of delivery on perinatal outcomes at gestational hypertension.

Tuncay Yuce1, Müge Keskin1, Mehmet Murat Seval1, Feride Söylemez1.   

Abstract

OBJECTIVE: We aimed to evaluate the perinatal outcomes of women diagnosed with gestational hypertension and no proteinuria according to the gestational weeks.
METHODS: We included women diagnosed with gestational hypertension between 2010 and 2014 at our institution and excluded the patients with preeclampsia and chronic hypertension. Women with gestational hypertension were grouped according to the gestational weeks. One group consisted of the pregnancies between 37 and 38*6, whereas the other group included pregnancies between 39 and 41 weeks. Then the outcomes of these pregnancies were compared with healthy women who had delivery between the same weeks (37-38*6 weeks and 39-41 weeks). We analyzed the mode of delivery, birth weight, and neonatal outcomes of these pregnancies.
RESULTS: First and fifth minute Apgar scores were significantly decreased in women with gestational hypertension who had delivery between 39 and 41 weeks compared to healthy subjects (respectively, p = 0.005 and p = 0.033). Perinatal outcomes were adversely affected if the time of delivery was beyond 39 weeks in pregnancies complicated with gestational hypertension.
CONCLUSION: We concluded that perinatal outcomes were adversely affected if the time of delivery was beyond 39 weeks in pregnancies complicated with gestational hypertension, and outcomes of such pregnancies can be improved if time for delivery is <39 weeks.

Entities:  

Keywords:  birth week; perinatal outcome; pregnancy induced hypertension

Year:  2015        PMID: 26120477      PMCID: PMC4464766          DOI: 10.1556/1646.7.2015.2.3

Source DB:  PubMed          Journal:  Interv Med Appl Sci        ISSN: 2061-1617


  9 in total

1.  Obstetrical intervention rates and maternal and neonatal outcomes of women with gestational hypertension.

Authors:  E N Gofton; V Capewell; R Natale; R J Gratton
Journal:  Am J Obstet Gynecol       Date:  2001-10       Impact factor: 8.661

2.  What is the optimal time for delivery in women with gestational hypertension?

Authors:  Meredith O Cruz; Weihua Gao; Judith U Hibbard
Journal:  Am J Obstet Gynecol       Date:  2012-06-11       Impact factor: 8.661

Review 3.  Management of late preterm and early-term pregnancies complicated by mild gestational hypertension/pre-eclampsia.

Authors:  Baha M Sibai
Journal:  Semin Perinatol       Date:  2011-10       Impact factor: 3.300

4.  Elective delivery at 34⁰(/)⁷ to 36⁶(/)⁷ weeks' gestation and its impact on neonatal outcomes in women with stable mild gestational hypertension.

Authors:  John R Barton; Lucy A Barton; Niki B Istwan; Cheryl N Desch; Debbie J Rhea; Gary J Stanziano; Baha M Sibai
Journal:  Am J Obstet Gynecol       Date:  2011-01       Impact factor: 8.661

5.  Hypertensive disorders in twin versus singleton gestations. National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units.

Authors:  B M Sibai; J Hauth; S Caritis; M D Lindheimer; C MacPherson; M Klebanoff; J P VanDorsten; M Landon; M Miodovnik; R Paul; P Meis; G Thurnau; M Dombrowski; J Roberts; D McNellis
Journal:  Am J Obstet Gynecol       Date:  2000-04       Impact factor: 8.661

Review 6.  Prediction and prevention of recurrent preeclampsia.

Authors:  John R Barton; Baha M Sibai
Journal:  Obstet Gynecol       Date:  2008-08       Impact factor: 7.661

7.  Does gestational hypertension become pre-eclampsia?

Authors:  P Saudan; M A Brown; M L Buddle; M Jones
Journal:  Br J Obstet Gynaecol       Date:  1998-11

8.  Induction of labour versus expectant monitoring for gestational hypertension or mild pre-eclampsia after 36 weeks' gestation (HYPITAT): a multicentre, open-label randomised controlled trial.

Authors:  Corine M Koopmans; Denise Bijlenga; Henk Groen; Sylvia Mc Vijgen; Jan G Aarnoudse; Dick J Bekedam; Paul P van den Berg; Karin de Boer; Jan M Burggraaff; Kitty Wm Bloemenkamp; Addy P Drogtrop; Arie Franx; Christianne Jm de Groot; Anjoke Jm Huisjes; Anneke Kwee; Aren J van Loon; Annemiek Lub; Dimitri Nm Papatsonis; Joris Am van der Post; Frans Jme Roumen; Hubertina Cj Scheepers; Christine Willekes; Ben Wj Mol; Maria G van Pampus
Journal:  Lancet       Date:  2009-08-03       Impact factor: 79.321

9.  Expectant management of severe preeclampsia remote from term: patient selection, treatment, and delivery indications.

Authors:  Baha M Sibai; John R Barton
Journal:  Am J Obstet Gynecol       Date:  2007-06       Impact factor: 8.661

  9 in total
  1 in total

1.  Hypertensive Disorders in Pregnant Women Receiving Fertility Treatments.

Authors:  Maryam Barekat; Shahnaz Ahmadi
Journal:  Int J Fertil Steril       Date:  2018-01-07
  1 in total

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