IMR Press / CEOG / Volume 45 / Issue 5 / DOI: 10.12891/ceog4094.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Persistent hypertension post-preeclampsia: a tertiary care centre-based study in China
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1 Department of Obstetrics, Wuxi City People's Hospital Affiliated to Nanjing Medical University, Wuxi, China
2 Department of Obstetrics and Gynecology, The Second People's Hospital of Nantong, Nantong, China
Clin. Exp. Obstet. Gynecol. 2018, 45(5), 741–744; https://doi.org/10.12891/ceog4094.2018
Published: 10 October 2018
Abstract

Purpose: To determine the predictors of persistent hypertension post-preeclampsia in a single center in Chinese patients. Materials and Methods: Clinical/demographic, obstetric, and biochemical data were collected during presentation and at six weeks' follow up period post-delivery from women with preeclampsia between October 2014 to September 2015. Results: Out of 198 patients enlisted, follow up (six weeks) data was accessible for 173 patients, out of which 143 (82.7%) and 30 (17.3%) patients had mild and severe preeclampsia, respectively. At the time of followup (six weeks), persistent hypertension was recorded in 61 (35.3%) patients. There was no significant association/difference noted for age, BMI, parity, and pregnancy duration in persistent hypertension group vs. normotensive group. Significantly low platelets count (p = 0.001) and low birth weights (p < 0.001) were noted in the persistent hypertension group. Patients encountering persistent hypertension at followup (six weeks) were observed to be mostly having severe preeclampsia earlier in contrast to normotensive group (p < 0.001). There was no association of variables with persistent hypertension; although, patients having severe preeclampsia were previously found to encounter persistent hypertension 7.1 times more compared to patients having mild/moderate preeclampsia (95% CI [confidence interval] 1.4–31.4; p = 0.007). Conclusion: Persistent hypertension was noted to be extremely frequent post six weeks of delivery in preeclampsia patients (particularly severe preeclampsia) in China, irrespective of parity as well as age.
Keywords
Persistent hypertension
Preeclampsia
Pregnancy
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