Document Detail


Hypertension in diabetic pregnancy: impact and long-term outlook.
MedLine Citation:
PMID:  20832742     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hypertensive disorders in pregnancy can be chronic, pregestational or just diagnosed before the 20th week, or newly diagnosed in the second half of pregnancy. Any type of hypertension is more frequent in diabetic pregnancies with a different distribution among different types of diabetes. Most of the evidence is for pre-eclampsia associated with a marked increase in primary caesarean section, preterm birth and more need for neonatal intensive care. Different risk factors and pregnancy outcomes would support the hypothesis that pre-eclampsia and gestational hypertension might be largely separate entities, but this position is not unanimously accepted. Chronic hypertension increases with age and duration of diabetes, predicting increased rates of prematurity and neonatal morbidity, especially when associated with superimposed pre-eclampsia. Long-term consequences are observed in women whose pregnancy was complicated by hypertension such as chronic hypertension and cardiovascular diseases.
Authors:
Antonietta Colatrella; Valentina Loguercio; Luca Mattei; Massimo Trappolini; Camilla Festa; Michela Stoppo; Angela Napoli
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Best practice & research. Clinical endocrinology & metabolism     Volume:  24     ISSN:  1878-1594     ISO Abbreviation:  Best Pract. Res. Clin. Endocrinol. Metab.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2011-01-07     Revised Date:  2012-11-07    
Medline Journal Info:
Nlm Unique ID:  101120682     Medline TA:  Best Pract Res Clin Endocrinol Metab     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  635-51     Citation Subset:  IM    
Copyright Information:
2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Diabetes Mellitus, Type 1 / complications
Diabetes Mellitus, Type 2 / complications
Diabetes, Gestational / physiopathology
Female
Humans
Hypertension / complications*
Hypertension, Pregnancy-Induced / etiology
Infant, Newborn
Infant, Premature
Pre-Eclampsia / etiology
Pregnancy
Pregnancy Complications, Cardiovascular / physiopathology*
Pregnancy Outcome
Pregnancy in Diabetics / physiopathology*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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