Cognitive impairment in preeclampsia complicated by eclampsia and pulmonary edema after delivery

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Bergman, Lina,1982Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology,Klinisk obstetrik,Stellenbosch Univ, Dept Obstet & Gynecol, Cape Town, South Africa.;Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Dept Obstet & Gynecol, Gothenburg, Sweden. (author)

Cognitive impairment in preeclampsia complicated by eclampsia and pulmonary edema after delivery

Article/chapterEnglish2021

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2021-02-16
Wiley,2021

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LIBRIS-ID:oai:gup.ub.gu.se/302301
https://gup.ub.gu.se/publication/302301URI
https://doi.org/10.1111/aogs.14100DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-454343URI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Introduction We aimed to assess cognitive function in women with preeclampsia stratified by severity, before and after onset of disease. Material and methods Prospective study performed at a referral hospital in Cape Town, South Africa. Pregnant women between 20 and 42 weeks of gestation with eclampsia, pulmonary edema and preeclampsia without severe features, and a normotensive pregnancy were approached. Women were included at diagnosis of preeclampsia or at admission for delivery (women with normotensive pregnancies). Two cognitive assessments, the Cognitive Failure Questionnaire to assess the cognitive function subjectively before inclusion in the study, and Montreal Cognitive Assessment to assess the current cognitive function objectively before discharge from the hospital after delivery, were performed. Results We included 61 women with eclampsia, 28 with preeclampsia complicated by pulmonary edema, 38 with preeclampsia without severe features, and 26 with normotensive pregnancies. There was no difference in cognitive function from early pregnancy between groups. Women with eclampsia and preeclampsia complicated by pulmonary edema scored lower on the Montreal Cognitive Assessment at time of discharge compared with women with normotensive pregnancies. The results were attenuated in pulmonary edema after adjustment for confounders. Conclusions Women with preeclampsia complicated by pulmonary edema and in particular eclampsia had impaired cognitive function after onset of disease compared with women with normotensive pregnancies. The impairment did not seem to be present before onset of disease. Women with preeclampsia without severe features did not have impaired cognitive function.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
cognitive function
eclampsia
preeclampsia
pulmonary edema
Obstetrics & Gynecology
cognitive function

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Thorgeirsdottir, LiljaGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology,Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Dept Reprod & Perinatal Hlth, Gothenburg, Sweden.(Swepub:gu)xthlil (author)
Elden, Helen,1959Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology,Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Dept Obstet & Gynecol, Gothenburg, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Dept Reprod & Perinatal Hlth, Gothenburg, Sweden.(Swepub:gu)xeldhe (author)
Hesselman, Susanne,1973-Uppsala universitet,Klinisk obstetrik,Uppsala kliniska forskningscentrum (UCR)(Swepub:uu)sushe649 (author)
Schell, S.Stellenbosch Univ, Dept Obstet & Gynecol, Cape Town, South Africa. (author)
Ahlm, E.Lund Univ, Fac Med, Dept Obstet & Gynecol, Lund, Sweden. (author)
Aukes, A.Univ Med Ctr Groningen, Dept Obstet & Gynecol, Groningen, Netherlands. (author)
Cluver, C.Stellenbosch Univ, Dept Obstet & Gynecol, Cape Town, South Africa.;Univ Melbourne, Mercy Perinatal, Melbourne, Vic, Australia. (author)
Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi (creator_code:org_t)

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In:Acta Obstetricia Et Gynecologica Scandinavica: Wiley100:7, s. 1280-12870001-63491600-0412

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