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Neonatal outcomes in pregnancies with preeclampsia or gestational hypertension and in normotensive pregnancies that delivered at 35, 36, or 37 weeks of gestation.

Abstract：

OBJECTIVE:The purpose of this study was to compare neonatal outcomes of pregnancies with preeclampsia or gestational hypertension with those of normotensive pregnancies that delivered at 35, 36, or 37 weeks of gestation separately. STUDY DESIGN:Secondary analysis of neonatal outcomes by week of delivery between 35 and 37 weeks 6 days of gestation to 4293 nulliparous women who were enrolled in a multicenter National Institute for Child Health and Human Development study. Outcomes included the percentage of neonatal intensive care unit admission, duration of neonatal hospitalization, and neonatal complications. RESULTS:As compared with normotensive pregnancies, hypertensive pregnancies that delivered at 35 and 36 weeks of gestation had higher rates of small for gestational age births (17.9% vs 1.7% [P < .05] and 33.3% vs 12.2% [P < .01], respectively) and neonatal intensive care unit admission (57.1% vs 34.5% [P < .05] and 33.3% vs 10.7% [P < .001]). The rate of neonatal intensive care unit admission (25.6% vs 8.7%; P < .001) and duration of neonatal stay (3.9 vs 2.0 days; P < .001) were greater in hypertensive pregnancies that delivered at 37 weeks of gestation. These differences were observed largely in women whose condition required labor induction, regardless of the severity of the hypertensive disease. CONCLUSION:Pregnancies with preeclampsia or gestational hypertension that delivered between 35 and 37 weeks of gestation had higher rates of neonatal intensive care unit admission, small for gestational age, and longer neonatal stay than normotensive pregnancies, regardless of the severity of the hypertensive disease.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Habli M,Levine RJ,Qian C,Sibai B

doi

10.1016/j.ajog.2007.06.059

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

406.e1-7

issue

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(07)00835-6

journal_volume

197

pub_type

杂志文章,多中心研究,随机对照试验

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Neonatal outcomes in pregnancies with preeclampsia or gestational hypertension and in normotensive pregnancies that delivered at 35, 36, or 37 weeks of gestation.