Diagnosis and treatment of hypertension 21 years after a hypertensive disorder of pregnancy

Callaway, Leonie K., McIntyre, H. David, Williams, Gail M., Najman, Jake M., Lawlor, Debbie A. and Mamun, Abdullah (2011) Diagnosis and treatment of hypertension 21 years after a hypertensive disorder of pregnancy. Australian and New Zealand Journal of Obstetrics and Gynaecology, 51 5: 437-440. doi:10.1111/j.1479-828X.2011.01345.x


Author Callaway, Leonie K.
McIntyre, H. David
Williams, Gail M.
Najman, Jake M.
Lawlor, Debbie A.
Mamun, Abdullah
Title Diagnosis and treatment of hypertension 21 years after a hypertensive disorder of pregnancy
Journal name Australian and New Zealand Journal of Obstetrics and Gynaecology   Check publisher's open access policy
ISSN 0004-8666
1479-828X
Publication date 2011-10-01
Year available 2011
Sub-type Article (original research)
DOI 10.1111/j.1479-828X.2011.01345.x
Volume 51
Issue 5
Start page 437
End page 440
Total pages 4
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Background: Women with a history of hypertensive disorders of pregnancy (HDP) are known to be at increased risk of subsequent hypertension and cardiovascular disease. 

Aims: In this study, we aimed to assess whether the long-term follow-up, diagnosis and treatment of hypertension in these women is adequate. 

Methods: Prospective study of 2112 women who were part of a Birth Cohort Study – The Mater University of Queensland Study of Pregnancy, who received antenatal care at a major public hospital in Brisbane between 1981 and 1983 and were followed up at 21 years. 

Results: Of the 191 women who had HDP, 62 (32.46%) were hypertensive (29 adequately treated, 33 inadequately identified or managed). Of the 1921 women without HDP, 280 (14.58%) were hypertensive (113 adequately treated, 167 inadequately identified or managed). Women with HDP were at higher risk of hypertension (OR 4.09, 95% CI 2.76, 6.07). Women with a history of HDP were more likely to have hypertension that was inadequately identified or managed (OR 3.56, 95% CI 2.06, 5.97). 

Conclusion: Women with HDP are at increased risk of undiagnosed or undertreated hypertension. Attention needs to be given to appropriate follow-up of women who have a pregnancy complicated by hypertensive disorders. 
Keyword Body mass index
Gestational hypertension
Hypertension
Pregnancy
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID G0600705
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
School of Medicine Publications
 
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