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Polycystic ovary sy...
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Valdimarsdottir, RagnheidurUppsala universitet,Reproduktiv hälsa
(author)
Polycystic ovary syndrome and risk of pre‐eclampsia : A national register‐based cohort study
- Article/chapterEnglish2023
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John Wiley & Sons,2023
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electronicrdacarrier
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LIBRIS-ID:oai:DiVA.org:uu-524742
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-524742URI
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https://doi.org/10.1111/1471-0528.17734DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Objective: To explore whether the association between polycystic ovary syndrome (PCOS) and pre-eclampsia depends on treated clinical hyperandrogenism and whether PCOS is associated with different subtypes of pre-eclampsia.Design: Nationwide register-based cohort study.Setting: Sweden.Population: Nulliparous women with PCOS (n = 22 947) and non-PCOS controls (n = 115 272) giving singleton birth at ≥22 gestational weeks during 1997-2015. Treated clinical hyperandrogenism was defined as filled prescriptions of anti-androgenic drugs during 2005-2017 (n = 2301 among PCOS women).Methods: The risk of pre-eclampsia was estimated with conditional logistic regression, expressed as adjusted odds ratio (OR) with 95% confidence interval (CI). Adjustments were performed individually for confounders and predictors.Main outcome measures: Overall pre-eclampsia. Early/late (delivery <34/≥34 weeks) pre-eclampsia. Pre-eclampsia with or without a small-for-gestational-age (SGA) infant.Results: Compared with controls, women with PCOS had a 29% increased risk of pre-eclampsia (predictor adjusted OR 1.29, 95% CI 1.20-1.39), with similar risk estimates for PCOS women with and without treated clinical hyperandrogenism. The association between PCOS and early pre-eclampsia seemed stronger than its association with late pre-eclampsia (predictor adjusted OR 1.64 (95% CI 1.33-2.02) and 1.26 (95% CI 1.17-1.37). Additionally, the association seemed slightly stronger between PCOS and pre-eclampsia in women with an SGA infant than without.Conclusions: Women with PCOS face an increased risk for pre-eclampsia, especially early pre-eclampsia and pre-eclampsia with an SGA infant. We were unable to determine on the basis of available data, whether hyperandrogenism is associated with pre-eclampsia.
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Vanky, EszterDepartment of Clinical and Molecular Medicine Norwegian University of Science and Technology Trondheim Norway;Department of Obstetrics and Gynaecology St. Olavs Hospital, Trondheim University Hospital Trondheim Norway
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Elenis, Evangelia,1983-Uppsala universitet,Reproduktiv hälsa(Swepub:uu)evael941
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Lindström, Linda,1978-Uppsala universitet,Klinisk obstetrik(Swepub:uu)linli329
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Junus, Katja,1982-Uppsala universitet,Klinisk obstetrik(Swepub:uu)katju360
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Jonsson, Maria,1966-Uppsala universitet,Klinisk obstetrik(Swepub:uu)marjo155
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Sundström Poromaa, Inger,1964-Uppsala universitet,Reproduktiv hälsa(Swepub:uu)inspo702
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Wikström, Anna-Karin,1965-Uppsala universitet,Klinisk obstetrik(Swepub:uu)annwi179
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Uppsala universitetReproduktiv hälsa
(creator_code:org_t)
Related titles
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In:British Journal of Obstetrics and Gynecology: John Wiley & Sons1470-03281471-0528
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