Determining optimal timing of birth for women with chronic or gestationalhypertension at term: The WILL (When to Induce Labour to Limit risk in pregnancy hypertension) randomised trial Chronic or gestationalhypertension complicates approximately 7% of pregnancies, half of which reach 37 weeks' gestation. Early term birth (at 37 to 38 weeks) may reduce maternal complications, cesareans , stillbirths, and costs but may increase neonatal morbidity. In the WILL Trial (When to Induce Labour to Limit risk in pregnancy hypertension), we aimed to establish optimal timing of birth for women with chronic or gestationalhypertension who reach term and remain well. This 50-centre, open-label, randomised trial in the United Kingdom included an economic analysis. WILL randomised women with chronic
GestationalHypertension and Preeclampsia GestationalHypertension and Preeclampsia | ACOG Skip to main content * Clinical Guidance * Practice Bulletin * Clinical Practice Guideline * Committee Statement * Committee Opinion * Clinical Consensus * Practice Advisory * Obstetric Care Consensus * ACOG Endorsed * Technology Assessment * Task Force Complications * Reproductive Physiological Phenomena * Vaccines Search * Clinical Guidance * Practice Bulletin * GestationalHypertension and Preeclampsia GestationalHypertension and Preeclampsia * Practice Bulletin PB * Number 222 * June 2020 * Jump to Jump to Close * Background * Clinical Considerations and Recommendations * Summary of Recommendations * Search
The epidemiology of gestational diabetes, gestationhypertension, and anemia in North Palestine from 2018 to 2020: A retrospective study. In Palestine, women face a challenging environment and a demanding lifestyle, which puts them at a higher risk of experiencing complications during pregnancy. This study aimed to examine the risk factors linked with abnormal hemoglobin (Hb) levels, gestational diabetes (GD), and gestationalhypertension (GH) among pregnant women. The results was compared between women residing in cities or villages areas and those in refugee camps. Medical records (N = 7889) for pregnant women at primary healthcare centers in the North West Bank were reviewed for sociodemographic and medical data along with the reported fasting blood sugar, hemoglobin, and blood pressure
Plasma metabolic profile reveals signatures of maternal health during gestationalhypertension and preeclampsia without and with severe features. Preeclampsia, a pregnancy-specific syndrome, poses substantial risks to maternal and neonatal health, particularly in cases with severe features. Our study focuses on evaluating the impact of low molecular weight metabolites on the intricate mechanisms patients with gestationalhypertension (GH), 43 with preeclampsia without (PE-), and 42 with severe features (PE+). Nuclear magnetic resonance spectroscopy and metabolite identification were conducted to establish the metabolomic profiles. Univariate and chemometric analyses were conducted using MetaboAnalyst, and correlations were performed using GraphPad Prism. Our study unveils distinct metabolomic
Pregnancy Health: Exercise Programs to Prevent GestationalHypertension Pregnancy Health: GestationalHypertension | The Community Guide * Skip to main content * Skip to navigation * Skip to searchWelcome to The Community Guide! Let us know what you think of the website by completing this quick survey.The Community Guide Open Navigation Login or Register * Sign inRegister * Topics * Topics Tommaso M, Roman A, Berghella V. Exercise during pregnancy and risk of gestationalhypertension disorders: a systematic review and meta-analysis. Acta Obstetrica et Gynecologica Scandinavica 2017;96:921-31.The published review included 17 studies (search period through February 2017). The CPSTF finding is based on results from the published review, additional analyses of data from included studies
First trimester circulating miR-208b-3p and miR-26a-1-3p are relevant to the prediction of gestationalhypertension. Gestationalhypertension (GH) is linked to an increased risk of cardiometabolic diseases for both mother and child, but we lack reliable biomarkers to identify high-risk women early in pregnancy. MicroRNAs (miRNAs) are small non-coding RNA that have emerged as promising biomarkers
Blood pressure patterns of gestationalhypertension or non-severe pre-eclampsia beyond 36 weeks' gestation and the adverse maternal outcomes: Secondary analysis of the HYPITAT study. To identify patterns in changes of blood pressure for women with gestationalhypertension (GH) or non-severe pre-eclampsia (PE) beyond 36 gestational weeks, and assess their association with a composite adverse
Severe Maternal Morbidity Associated With Chronic Hypertension, Preeclampsia, and GestationalHypertension. Chronic hypertension and preeclampsia are leading risk enhancers for maternal-neonatal morbidity and mortality. Severe maternal morbidity (SMM) indicators include heart, kidney, and liver disease, but studies have not excluded patients with preexisting diseases that define SMM. Thus, SMM combining chronic hypertension status and the hypertensive disorders developing during pregnancy, defined as follows: (1) chronic hypertension with superimposed preeclampsia, (2) chronic hypertension and no preeclampsia, (3) no chronic hypertension with preeclampsia, (4) gestationalhypertension, and (5) no chronic hypertension and no preeclampsia or gestationalhypertension (reference group). The main
Postpartum home blood pressure monitoring and lifestyle intervention in overweight and obese individuals the first year after gestationalhypertension or pre-eclampsia: A pilot feasibility trial To test the feasibility of a randomized trial of home blood pressure monitoring paired with a remote lifestyle intervention (Heart Health 4 New Moms) vs. home blood pressure monitoring alone vs. control
Pregnancy outcomes in women with gestationalhypertension and preeclampsia at Paropakar Maternity and Women's Hospital, Nepal: A retrospective study. Gestationalhypertension and preeclampsia are the most common types of hypertensive disorder in pregnancy and these conditions are associated with adverse maternal and fetal outcomes. This study aims to determine the differences in pregnancy outcomes in women with gestationalhypertension and preeclampsia. A retrospective study was done at The Paropakar Maternity and Women's Hospital, a tertiary level hospital, in the Kathmandu, Nepal. Pregnant women who had given birth at the hospital between September 17 and December 18 of 2017 were included. Data were obtained from the non-digitalized hospital records. The adjusted odds ratio (AOR) and 95
GestationalhypertensionGestationalhypertension - Symptoms, diagnosis and treatment | BMJ Best PracticeSkip to main contentSkip to search * About us * Help * Subscribe * Access through your institution * Log inBMJ Best Practice * Help * Getting started * FAQs * Contact us * Recent updates * Specialties * Calculators * Patient leaflets * Videos * Evidence * Drugs * Recent updates after 20 weeks’ gestation in a previously normotensive patient, without the presence of proteinuria (<300 mg in 24 hours) or other clinical features suggestive of of pre-eclampsia (thrombocytopenia, impaired renal or kidney function, pulmonary oedema, or new-onset headache).[1]American College of Obstetricians and Gynecologists. Gestationalhypertension and preeclampsia. Obstet Gynecol. 2019 Jan;133(1
Increased Risk of GestationalHypertension by Periconceptional Exposure to Ambient Air Pollution and Effect Modification by Prenatal Depression. Air pollution has been associated with gestationalhypertension (GH) and preeclampsia, but susceptible windows of exposure and potential vulnerability by comorbidities, such as prenatal depression, remain unclear. We ascertained GH and preeclampsia
Genetic Associations of Circulating Cardiovascular Proteins With GestationalHypertension and Preeclampsia. Hypertensive disorders of pregnancy (HDPs), including gestationalhypertension and preeclampsia, are important contributors to maternal morbidity and mortality worldwide. In addition, women with HDPs face an elevated long-term risk of cardiovascular disease. To identify proteins in the circulation associated with HDPs. Two-sample mendelian randomization (MR) tested the associations of genetic instruments for cardiovascular disease-related proteins with gestationalhypertension and preeclampsia. In downstream analyses, a systematic review of observational data was conducted to evaluate the identified proteins' dynamics across gestation in hypertensive vs normotensive pregnancies
Effects of Auriculotherapy on GestationalHypertension: Randomized Controlled Trial Study. This study aims to observe how auriculotherapy acts as a nonpharmacological treatment for pregnant women's gestationalhypertension. This study was a randomized controlled trial. Eighty patients were with gestationalhypertension recruited and divided into control (n = 40) and intervention (n = 40) groups
Maternal gestationalhypertension, smoking and pre-eclampsia are associated with metabolic dysfunction-associated fatty liver disease in overweight offspring. Due to a steep increase in obesity, metabolic dysfunction-associated fatty liver disease (MAFLD) has also become the most common chronic hepatic condition among children and adolescents. Various maternal and pregnancy-related factors have the offspring's present BMI-SDS, sex, and maternal prepregnancy overweight, were child's older age (odds ratio [OR] 1.16, 95% confidence interval [CI]: 1.06-1.28), maternal gestational smoking (OR 2.01, 95% CI: 1.16-3.47), gestationalhypertension (OR 3.44, 95% CI: 1.08-11.0) and pre-eclampsia (OR 2.93, 95% CI: 1.15-7.45). There was no significant association between MAFLD and maternal BMI, birth
Novel Role of 5-Methyl-(6S)-Tetrahydrofolate in Mediating Endothelial Cell Tetrahydrobiopterin in Pregnancy and Implications for GestationalHypertension. Folate intake during pregnancy is essential for fetal development and maternal health. However, the specific effects of folic acid (FA) and 5-methyl-(6S)-tetrahydrofolate (5-MTHF) on the prevention and treatment of hypertensive disorders
Effects of magnesium sulfate combined with labetalol on inflammatory stress and pregnancy outcome of patients with gestationalhypertension. Gestationalhypertension (GH) is a common disorder during pregnancy that can cause adverse pregnancy outcomes. In the present study, magnesium sulfate (MgSO) combined with labetalol was used for clinical treatment. Randomized controlled trial was conducted
High AMH levels are associated with gestationalhypertension in patients with PCOS who underwent IVF/ICSI-ET. Patients with polycystic ovary syndrome (PCOS) have a higher risk of obstetric complications. The association between anti-Müllerian hormone (AMH) and gestationalhypertension in these patients is poorly understood. To determine the association between serum AMH levels and gestationalhypertension in patients with PCOS undergoing fresh embryo transfer. This retrospective study included 649 patients with PCOS who had singleton live births after undergoing fresh embryo transfers. The association of AMH with gestationalhypertension in these patients was estimated before and after propensity score matching (PSM). Patients with gestationalhypertension had higher AMH levels than those without
Finger pulse plethysmography predicts gestationalhypertension, preeclampsia and gestational diabetes. Pregnancy complications related to hypertension can affect both mother and newborn. Pulse wave attenuation (PWA) captured through fingertip photoplethysmography (PPG) provide valuable insights into maternal acute hemodynamic and autonomic vascular function. Here, we quantify the nocturnal dynamics of PWA during early pregnancy and assess their association with the development of gestationalhypertension, preeclampsia and gestational diabetes. PWA dynamics were assessed on overnight polysomnography-derived PPG signals from a cohort of 2714 pregnant women (mean age: 26.8 ± 5.5 years) enrolled in the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be (nuMoM2b). We determined