Postpartum Sequelae of the Hypertensive Diseases of Pregnancy: A Pilot Study

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dc.contributor.authorBabah, O.A.
dc.contributor.authorOlaleye, O.
dc.contributor.authorAfolabi, B.B.
dc.date.accessioned2021-12-30T22:16:46Z
dc.date.available2021-12-30T22:16:46Z
dc.date.issued2018-01
dc.descriptionScholarly articlesen_US
dc.description.abstractBackground: Hypertensive disorders are one of the most common medical conditions that may complicate pregnancy. Postpartum blood pressure (BP) pattern is, however, less clear in affected women and decision to discharge them is usually decided arbitrarily. Materials and methods: A cohort study conducted at Lagos University Teaching Hospital, Lagos, Nigeria, aimed at determining the proportion of pregnant women with pregnancy-induced hypertension (PIH) and preeclampsia (PE) whose BP remains elevated 6 weeks postdelivery and factors associated with the persistent rise. Fifteen women each with PIH and PE were studied in different phases of pregnancy and followed up until 6 weeks postdelivery. Fifteen normotensive pregnant women served as controls. BP patterns were monitored and fasting lipid levels, serum creatinine, fasting glucose profile (FGP), and FGP/insulin ratio were assayed. Data were analyzed with IBM SPSS version 20. Results: Proportion of women with PIH or PE who had persistent hypertension at 6 weeks postpartum was 3/29 (10.3%), risk ratio of 1.1. No statistically significant association was found between mean arterial BP at 6 weeks postpartum and age, parity, gestational age at delivery, body mass index, and family history of hypertension. Serum creatinine level showed moderate correlation with persistent hypertension at 6 weeks postpartum (r = 0.441,P = 0.006), with sensitivity of 100% and specificity of 81.8% at cutoff value of 1.2 mg/dL in detecting pregnant women with hypertensive disorders who will likely remain hypertensive at 6 weeks postpartum. Conclusion: There is a need for long-term follow-up of women with PIH/PE beyond puerperium.en_US
dc.identifier.citationBabah OA, Olaleye O, Afolabi BB. Postpartum Sequelae of the Hypertensive Diseases of Pregnancy: A Pilot Study. Niger Med J. 2018 Jan-Feb;59(1):1-6. doi: 10.4103/nmj.NMJ_101_18. PubMed PMID: 31198271; PubMed Central PMCID: PMC6561077.en_US
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/9816
dc.language.isoenen_US
dc.publisherNiger Med Jen_US
dc.subjectBlood pressureen_US
dc.subjectCreatineen_US
dc.subjectfasting plasma glucoseen_US
dc.subjectfasting plasma glucose/insulin ratioen_US
dc.subjectlipid levelsen_US
dc.subjectpreeclampsiaen_US
dc.subjectPregnancy-induced hypertensionen_US
dc.subjectResearch Subject Categories::MEDICINE::Surgery::Obstetrics and women's diseases::Obstetrics and gynaecologyen_US
dc.titlePostpartum Sequelae of the Hypertensive Diseases of Pregnancy: A Pilot Studyen_US
dc.typeArticleen_US
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