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Diagnosis and treatment of hypertension 21 years after a hypertensive disorder of pregnancy.
- Source :
- Australian & New Zealand Journal of Obstetrics & Gynaecology; Oct2011, Vol. 51 Issue 5, p437-440, 4p, 1 Chart
- Publication Year :
- 2011
-
Abstract
- Background: Women with a history of hypertensive disorders of pregnancy (HDP) are known to be at increased risk of subsequent hypertension and cardiovascular disease. Aims: In this study, we aimed to assess whether the long-term follow-up, diagnosis and treatment of hypertension in these women is adequate. Methods: Prospective study of 2112 women who were part of a Birth Cohort Study - The Mater University of Queensland Study of Pregnancy, who received antenatal care at a major public hospital in Brisbane between 1981 and 1983 and were followed up at 21 years. Results: Of the 191 women who had HDP, 62 (32.46%) were hypertensive (29 adequately treated, 33 inadequately identified or managed). Of the 1921 women without HDP, 280 (14.58%) were hypertensive (113 adequately treated, 167 inadequately identified or managed). Women with HDP were at higher risk of hypertension (OR 4.09, 95% CI 2.76, 6.07). Women with a history of HDP were more likely to have hypertension that was inadequately identified or managed (OR 3.56, 95% CI 2.06, 5.97). Conclusion: Women with HDP are at increased risk of undiagnosed or undertreated hypertension. Attention needs to be given to appropriate follow-up of women who have a pregnancy complicated by hypertensive disorders. [ABSTRACT FROM AUTHOR]
- Subjects :
- HYPERTENSION
CARDIOVASCULAR disease diagnosis
THERAPEUTICS
ANALYSIS of variance
BLOOD pressure measurement
CONFIDENCE intervals
EPIDEMIOLOGY
HYPERTENSION in pregnancy
LONGITUDINAL method
PREGNANCY complications
RESEARCH funding
LOGISTIC regression analysis
DATA analysis
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 00048666
- Volume :
- 51
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Australian & New Zealand Journal of Obstetrics & Gynaecology
- Publication Type :
- Academic Journal
- Accession number :
- 66441594
- Full Text :
- https://doi.org/10.1111/j.1479-828X.2011.01345.x