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Previous preeclampsia and risks of adverse outcomes in subsequent nonpreeclamptic pregnancies
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Obstetrisk forskning/Axelsson)
Clinical Epidemiology Unit, Department of Medicine, Karolinska Institute, Sweden.
Clinical Epidemiology Unit, Department of Medicine, Karolinska Institute, Sweden.
2011 (English)In: American Journal of Obstetrics and Gynecology, ISSN 0002-9378, E-ISSN 1097-6868, Vol. 204, no 2, 148.e1-6 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE:: We hypothesized that preeclampsia partly shares pathophysiology with stillbirth, placental abruption, spontaneous preterm birth, and giving birth to a small-for-gestational-age infant, and that women who develop preeclampsia in the first pregnancy may have increased risks of the other outcomes in the second pregnancy, even in the absence of preeclampsia. STUDY DESIGN:: In a nationwide Swedish cohort (n = 354,676) we estimated risks of adverse outcomes in the second pregnancy related to preterm (<37 weeks) and term (≥37 weeks) preeclampsia in the first pregnancy, using women without preeclampsia in the first pregnancy as reference. RESULTS:: Women with prior preterm preeclampsia had, in second pregnancy, more than doubled risks of stillbirth, placental abruption, and preterm births, and an even greater risk of giving birth to a small-for-gestational-age infant. CONCLUSION:: Women with previous preterm preeclampsia have increased risks of adverse pregnancy outcomes in a second pregnancy despite the absence of preeclampsia.

Place, publisher, year, edition, pages
2011. Vol. 204, no 2, 148.e1-6 p.
Keyword [en]
intrauterine growth restriction, placental disorders, preeclampsia, preterm birth, stillbirth
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-140308DOI: 10.1016/j.ajog.2010.09.003ISI: 000286874900023PubMedID: 21055722OAI: oai:DiVA.org:uu-140308DiVA: diva2:383397
Available from: 2011-01-04 Created: 2011-01-04 Last updated: 2017-12-11Bibliographically approved

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Wikström, Anna-Karin

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