Document Detail


Obstetric and neonatal outcome following chronic hypertension in pregnancy among different ethnic groups.
MedLine Citation:
PMID:  10024949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We retrospectively studied pre-eclampsia rate and obstetric outcome in a cohort of 436 pregnancies amongst 318 women of different ethnic backgrounds attending an antenatal hypertension clinic from 1980-1997, identifying 152 women (213 pregnancies) with chronic essential hypertension. The ethnic breakdown was: White, 64 (30.0%) pregnancies in 48 (31.5%) women; Black/Afro-Caribbean, 79 (37.1%) pregnancies in 56 (36.8%) women; and Indo-Asians, 70 (32.3%) pregnancies in 48 (31.6%) women. The prevalences of pre-eclampsia in White, Black and Indo-Asian women were 17.2%, 12.7% and 18.6%, respectively (p = 0.58). Pregnancies of Indo-Asian women were of shorter gestation, and babies in this group also had lower birth weight and ponderal index compared to those of White and Black women (all p < 0.05). The proportions of overall perinatal mortality were 1.6% for Whites (1/64), 3.8% for Blacks (3/79) and 10.0% for Indo-Asians (7/70), suggesting increased risk in the Indo-Asian group. Indo-Asian women with chronic essential hypertension need careful antenatal care and observation during pregnancy.
Authors:
C Lydakis; D G Beevers; M Beevers; G Y Lip
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  QJM : monthly journal of the Association of Physicians     Volume:  91     ISSN:  1460-2725     ISO Abbreviation:  QJM     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-03-08     Completed Date:  1999-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9438285     Medline TA:  QJM     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  837-44     Citation Subset:  IM    
Affiliation:
University Department of Medicine, City Hospital, Birmingham, UK.
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MeSH Terms
Descriptor/Qualifier:
Africa / ethnology
Asia / ethnology
Birth Weight
Cesarean Section / statistics & numerical data
Cohort Studies
Emergencies
England / epidemiology
European Continental Ancestry Group
Female
Humans
Hypertension / ethnology*
Infant, Newborn
Infant, Small for Gestational Age
Pre-Eclampsia / ethnology*
Pregnancy
Pregnancy Complications, Cardiovascular / ethnology*
Pregnancy Outcome
Prevalence
Retrospective Studies
Urban Health / statistics & numerical data
West Indies / ethnology

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


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