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Chronic Hypertension with Gestational Diabetes Mellitus: What About Complications?

dc.contributor.authorCampos, A
dc.contributor.authorMassa, AC
dc.contributor.authorRangel, R
dc.contributor.authorCardoso, M
dc.contributor.authorBorges, A
dc.date.accessioned2016-12-14T12:56:16Z
dc.date.available2016-12-14T12:56:16Z
dc.date.issued2016
dc.description.abstractThe aim of this study was to evaluate the impact of chronic hypertension and gestational diabetes on pregnancy outcomes. We conducted a historical cohort study of 334 women undergoing singleton births in a Portuguese tertiary care center in Lisbon during 2012. Women were categorized into gestational diabetes mellitus with or without chronic hypertension. Pregnancy outcomes were compared using nonparametric tests. Multivariable analysis was used to control for potential confounders. The rate of preeclampsia in women with both chronic hypertension and gestational diabetes was 26.8% versus 3.8% in women with only gestational diabetes (p<0.05). Preterm birth was significantly more frequent in women with diabetes and chronic hypertension, 22.9% versus 9.7%, compared with women who only had gestational diabetes (p<0.05). The rate of newborns small for gestational age in women with the two conditions was 19.1% versus 7.6% in women with only gestational diabetes (p<0.05), but the rate of large for gestational age newborns in women of chronic hypertension and gestational diabetes was 9.6% versus 3.8% in gestational diabetes (p<0.05). The impact of having both chronic hypertension and gestational diabetes in pregnancy leads to poor pregnancy and perinatal outcomes, represented by more maternal, obstetrical and neonatal morbidity.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAm J Exp Clin Clin Res 2016; 3 (4): 180-183pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2592
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectMAC MED MAFpt_PT
dc.subjectHCC ENDpt_PT
dc.subjectMAC MEDpt_PT
dc.subjectMAC DIEpt_PT
dc.subjectChronic Hypertension
dc.subjectPerinatal Outcomes
dc.subjectGestational Diabetes
dc.titleChronic Hypertension with Gestational Diabetes Mellitus: What About Complications?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage183pt_PT
oaire.citation.startPage180pt_PT
oaire.citation.titleAmerican Journal of Experimental and Clinical Researchpt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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