Epidemiology and risk factors of preeclampsia; an overview of observational studies

Objective: To identify and compile a list of important epidemiological risk factors of preeclampsia among pregnant women from observational studies. Methods: Review of published case control and cohort studies on risk factors of Preeclampsia (PE) by literature search from 1976 -2010 was conducted. 1...

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Bibliographic Details
Main Authors: Uzma Shamsi (Author), Sarah Saleem (Author), Noureen Nishter (Author)
Format: Book
Published: Al Ameen Medical College, 2013-10-01T00:00:00Z.
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Summary:Objective: To identify and compile a list of important epidemiological risk factors of preeclampsia among pregnant women from observational studies. Methods: Review of published case control and cohort studies on risk factors of Preeclampsia (PE) by literature search from 1976 -2010 was conducted. 108 studies were selected using search engines of PubMed and Google Scholar. Findings: Most of the studies were case control studies. The factors identified most often were women with a previous history of preeclampsia, pre-existing diabetes, multiple (twin) pregnancy, nulliparity, family history , raised blood pressure (diastolic ≥ 80 mm Hg) at booking, raised body mass index before pregnancy, or increasing maternal age ≥ 40. In some individual studies the risk is also increased with an interval of 10 years or more since a previous pregnancy, autoimmune disease, renal disease and chronic hypertension. Conclusions: These factors and the underlying evidence base can be used to assess risk at booking so that a suitable surveillance routine to detect preeclampsia can be planned for the rest of the pregnancy.
Item Description:0974-1143