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- Title
Estimating risk factors for development of preeclampsia in teen mothers.
- Authors
Baker, Arthur; Haeri, Sina
- Abstract
Purpose: Our objective was to identify potentially modifiable risk factors for preeclampsia in a contemporary American teen population. Methods: We conducted a retrospective cohort analysis of all teenage deliveries (≤18 years old) at one institution over a 4-year-period. All cases of preeclampsia were identified using the National Working Group for Hypertension in Pregnancy diagnostic criteria and compared to normotensive teenage mothers. Results: Of the 730 included teen deliveries, 65 (8.9 %) women developed preeclampsia and demonstrated a higher prepregnancy body mass index when compared with controls (32.9 ± 8.4 vs. 30.3 ± 6.1 kg/m, p = 0.002). Maternal obesity (body mass index ≥30 kg/m, RR 1.6, 95 % CI 1.0-2.8) and gestational weight gain above the Institute of Medicine recommended levels (RR 2.6, 95 % CI 1.5-4.4) were associated with higher risk for development of preeclampsia. When evaluating by severity or onset of disease, excessive weight gain in pregnancy was the strongest risk factor for mild ( n = 58) or late onset ( n = 54) preeclampsia (RR 2.5, 95 % CI 1.4-3.4). Conclusions: Maternal obesity and excessive gestational weight gain place the gravid teen at increased risk for preeclampsia. The modifiable nature of these risk factors permits the possibility of intervention and prevention.
- Subjects
RISK factors of preeclampsia; MOTHERS; HYPERTENSION in pregnancy; DELIVERY (Obstetrics); BODY mass index; GESTATIONAL age; RETROSPECTIVE studies; DISEASES
- Publication
Archives of Gynecology & Obstetrics, 2012, Vol 286, Issue 5, p1093
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-012-2418-z