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Hypertensive disorders of pregnancy and outcomes of preterm infants of 24 to 28 weeks' gestation

Gemmell, L. (author)
Mt Sinai Hosp, Dept Pediat, Maternal Infant Care Res Ctr, Canadian Neonatal Network, Toronto, ON, Canada.
Martin, L. (author)
Mt Sinai Hosp, Dept Pediat, Maternal Infant Care Res Ctr, Canadian Neonatal Network, Toronto, ON, Canada.;Univ Hlth Network, Princess Margaret Hosp, Campbell Family Inst Breast Canc Res, Toronto, ON, Canada.
Murphy, K. E. (author)
Mt Sinai Hosp, Dept Obstet & Gynecol, Toronto, ON, Canada.;Univ Toronto, Toronto, ON, Canada.
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Modi, N. (author)
Imperial Coll London, Sect Neonatal Med, Neonatal Data Anal Unit, UK Neonatal Collaborat,Dept Med, Chelsea & Westminster Hosp Campus, London, England.
Håkansson, Stellan (author)
Umea Univ Hosp, Dept Pediat Neonatal Serv, Swedish Neonatal Qual Register, Umea, Sweden.,Swedish Neonatal Quality Register, Department of Pediatrics/ Neonatal Services, Umeå University Hospital, Umeå, Sweden
Reichman, B. (author)
Sheba Med Ctr, Gertner Inst Epidemiol & Hlth Policy Res, Israel Neonatal Network, Tel Hashomer, Israel.
Lui, K. (author)
Univ New South Wales, Natl Perinatal Epidemiol & Stat Unit, Australian & New Zealand Neonatal Network, Royal Hosp Women, Randwick, NSW, Australia.
Kusuda, S. (author)
Tokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Res Network Japan, Tokyo, Japan.
Sjörs, Gunnar (author)
Uppsala universitet,Pediatrik
Mirea, L. (author)
Mt Sinai Hosp, Dept Pediat, Maternal Infant Care Res Ctr, Canadian Neonatal Network, Toronto, ON, Canada.;Phoenix Childrens Hosp, Phoenix, AZ USA.
Darlow, B. A. (author)
Univ Otago, Dept Paediat, Australia & New Zealand Neonatal Network, Christchurch, New Zealand.
Mori, R. (author)
Natl Ctr Child Hlth & Dev, Dept Hlth Policy, Neonatal Res Network Japan, Tokyo, Japan.
Lee, S. K. (author)
Mt Sinai Hosp, Dept Pediat, Maternal Infant Care Res Ctr, Canadian Neonatal Network, Toronto, ON, Canada.;Mt Sinai Hosp, Dept Pediat, Toronto, ON, Canada.
Shah, P. S. (author)
Mt Sinai Hosp, Dept Pediat, Maternal Infant Care Res Ctr, Canadian Neonatal Network, Toronto, ON, Canada.;Univ Toronto, Toronto, ON, Canada.;Mt Sinai Hosp, Dept Pediat, Toronto, ON, Canada.
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Mt Sinai Hosp, Dept Pediat, Maternal Infant Care Res Ctr, Canadian Neonatal Network, Toronto, ON, Canada Mt Sinai Hosp, Dept Pediat, Maternal Infant Care Res Ctr, Canadian Neonatal Network, Toronto, ON, Canada.;Univ Hlth Network, Princess Margaret Hosp, Campbell Family Inst Breast Canc Res, Toronto, ON, Canada. (creator_code:org_t)
2016-09-01
2016
English.
In: Journal of Perinatology. - : Springer Science and Business Media LLC. - 0743-8346 .- 1476-5543. ; 36:12, s. 1067-1072
Related links:
https://urn.kb.se/re...
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https://doi.org/10.1...
https://urn.kb.se/re...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • OBJECTIVE: To examine the relationship between hypertensive disorders of pregnancy (HDPs) and mortality and major morbidities in preterm neonates born at 24 to 28 weeks of gestation.STUDY DESIGN: Using an international cohort, we retrospectively studied 27 846 preterm neonates born at 24 to 286 weeks of gestation during 2007 to 2010 from 6 national neonatal databases. The incidence of HDP was compared across countries, and multivariable logistic regression analyses were conducted to examine the association of HDP and neonatal outcomes including mortality to discharge, bronchopulmonary dysplasia, severe brain injury, necrotizing enterocolitis and treated retinopathy of prematurity.RESULTS: The incidence of HDP in the entire cohort was 13% (range 11 to 16% across countries). HDP was associated with reduced odds of mortality (adjusted odds ratio (aOR) 0.77; 95% confidence interval (CI) 0.67 to 0.88), severe brain injury (aOR 0.74; 95% CI 0.62 to 0.89) and treated retinopathy (aOR 0.82; 95% CI 0.70 to 0.96), but increased odds of bronchopulmonary dysplasia (aOR 1.16; 95% CI 1.05 to 1.27).CONCLUSIONS: In comparison with neonates born to mothers without HDP, neonates of HDP mothers had lower odds of mortality, severe brain injury and treated retinopathy, but higher odds of bronchopulmonary dysplasia. The impact of maternal HDP on newborn outcomes was inconsistent across outcomes and among countries; therefore, further international collaboration to standardize terminology, case definition and data capture is warranted.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

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