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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Prevalence and risk factors of labor-onset hypertension: A multicenter study in Japan

http://hdl.handle.net/2237/0002002198
http://hdl.handle.net/2237/0002002198
1b56a4cf-7ebb-4f82-9e04-f6706c145c2d
名前 / ファイル ライセンス アクション
Labor_onset_hypertension_2021_8_17.pdf Labor_onset_hypertension_2021_8_17.pdf (409 KB)
Item type itemtype_ver1(1)
公開日 2022-03-11
タイトル
タイトル Prevalence and risk factors of labor-onset hypertension: A multicenter study in Japan
言語 en
著者 Ushida, Takafumi

× Ushida, Takafumi

en Ushida, Takafumi

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Kotani, Tomomi

× Kotani, Tomomi

en Kotani, Tomomi

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Imai, Kenji

× Imai, Kenji

en Imai, Kenji

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Nakano-Kobayashi, Tomoko

× Nakano-Kobayashi, Tomoko

en Nakano-Kobayashi, Tomoko

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Iitani, Yukako

× Iitani, Yukako

en Iitani, Yukako

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Nakamura, Noriyuki

× Nakamura, Noriyuki

en Nakamura, Noriyuki

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Moriyama, Yoshinori

× Moriyama, Yoshinori

en Moriyama, Yoshinori

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Yoshida, Shigeru

× Yoshida, Shigeru

en Yoshida, Shigeru

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Yamashita, Mamoru

× Yamashita, Mamoru

en Yamashita, Mamoru

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Kajiyama, Hiroaki

× Kajiyama, Hiroaki

en Kajiyama, Hiroaki

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報 © 2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
内容記述
内容記述 Objectives: To investigate the prevalence and risk factors of labor-onset hypertension (LOH), defined as hypertension first detected during labor among women without hypertension prior to admission for labor. Study design: In this multicenter retrospective study, clinical data of women who delivered vaginally at term between 2012 and 2018 were collected from 12 primary maternity care units. Blood pressure was measured at five time points from admission to 2 h postpartum in a total of 30,129 normotensive women at the last prenatal check-up. LOH was defined as systolic blood pressure (SBP) of ≥ 140 mmHg or diastolic blood pressure (DBP) of ≥ 90 mmHg during the first to fourth stages of labor. Main outcome measures: Multivariate regression analyses were conducted to evaluate the risk factors of LOH and severe LOH (SBP of ≥ 160 mmHg or DBP of ≥ 110 mmHg). Results: Among the 30,129 women, 8,565 (28.4%) presented with LOH and 734 (2.4%) with severe LOH. The prevalence of LOH was the highest at the second stage of labor (21.7%) and decreased rapidly after delivery. The independent risk factors of LOH were maternal age of ≥ 35 years, pre-pregnancy body mass index of ≥ 25 kg/m2, and pregnancy weight gain of ≥ 15 kg. Conclusion: LOH is common, with approximately one in four women experiencing LOH during labor and early postpartum. Meanwhile, severe LOH occurred in 2.4% of the pregnancies. Closer blood pressure monitoring during labor may enable obstetric caregivers to recognize LOH in a timely manner and reduce maternal adverse outcomes, such as eclampsia and stroke.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Elsevier
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
関連情報
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.preghy.2021.08.118
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 2210-7789
書誌情報 en : Pregnancy Hypertension

巻 26, p. 48-53, 発行日 2021-12
ファイル公開日
日付 2022-12-01
日付タイプ Available
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