Blood pressure in adolescent patients with pre-eclampsia and eclampsia.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Wiley Country of Publication: United States NLM ID: 0210174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-3479 (Electronic) Linking ISSN: 00207292 NLM ISO Abbreviation: Int J Gynaecol Obstet Subsets: MEDLINE
    • Publication Information:
      Publication: 2017- : Malden, MA : Wiley
      Original Publication: [New York, NY] Hoeber Medical Division, Harper & Row, [c1969-
    • Subject Terms:
      Blood Pressure* ; Pregnancy in Adolescence* ; Prenatal Diagnosis*; Eclampsia/*diagnosis ; Pre-Eclampsia/*diagnosis; Adolescent ; Adult ; Colombia ; Cross-Sectional Studies ; Eclampsia/physiopathology ; Female ; Humans ; Maternal Health Services ; Pre-Eclampsia/physiopathology ; Pregnancy ; Prospective Studies ; Reference Values ; Young Adult
    • Abstract:
      Objective: To compare variables among adolescent and adult patients diagnosed with severe pre-eclampsia or eclampsia.
      Methods: The present cross-sectional study enrolled patients with severe pre-eclampsia or eclampsia treated at an intensive care unit in Neiva, Colombia, between January 1 and November 30, 2014. Patients were stratified using age (younger than 20 years [adolescents] and aged at least 20 years [adults]) and patient variables were compared between groups. Maternal age, pregnancy duration at delivery, eclampsia, blood pressure, severe hypertension, maternal organ damage, HELLP syndrome, obstetric hemorrhage, laboratory findings, need for blood transfusion and fetal data were analyzed by group.
      Results: There were 171 patients enrolled; 154 (90.1%) with severe pre-eclampsia and 17 (9.9%) with eclampsia. There were 46 (26.9%) adolescent patients and 125 (73.1%) adults, and 13 (28.3%) and 4 (3.2%) patients had eclampsia in the adolescent and adult groups, respectively (P=0.001). The systolic (P=0.081), diastolic (P=0.174), and mean (P=0.102) blood pressure did not differ significantly between the groups but were higher in the adult group. The incidence of severe hypertension was significantly higher among adult patients (P=0.037).
      Conclusion: The blood pressure used in defining pre-eclampsia and eclampsia should differ for adolescent patients in comparison with the rest of the population.
      (© 2017 International Federation of Gynecology and Obstetrics.)
    • Contributed Indexing:
      Keywords: Eclampsia; Pregnancy in adolescence; Severe pre-eclampsia; Systolic blood pressure
    • Publication Date:
      Date Created: 20170612 Date Completed: 20180111 Latest Revision: 20220331
    • Publication Date:
      20221213
    • Accession Number:
      10.1002/ijgo.12237
    • Accession Number:
      28602034