| Hypertension in diabetic pregnancy: impact and long-term outlook. | |
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MedLine Citation:
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PMID: 20832742 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Antonietta Colatrella; Valentina Loguercio; Luca Mattei; Massimo Trappolini; Camilla Festa; Michela Stoppo; Angela Napoli |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Best practice & research. Clinical endocrinology & metabolism Volume: 24 ISSN: 1532-1908 ISO Abbreviation: Best Pract. Res. Clin. Endocrinol. Metab. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-09-13 Completed Date: 2011-01-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101120682 Medline TA: Best Pract Res Clin Endocrinol Metab Country: Netherlands |
Other Details:
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Languages: eng Pagination: 635-51 Citation Subset: IM |
Copyright Information:
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2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diabetes Mellitus, Type 1
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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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