Risk factors for pre-eclampsia at antenatal booking: systematic review of controlled studies - PubMed (original) (raw)
Review
Risk factors for pre-eclampsia at antenatal booking: systematic review of controlled studies
Kirsten Duckitt et al. BMJ. 2005.
Abstract
Objective: To determine the risk of pre-eclampsia associated with factors that may be present at antenatal booking.
Design: Systematic review of controlled studies published 1966-2002.
Data synthesis: Unadjusted relative risks were calculated from published data.
Results: Controlled cohort studies showed that the risk of pre-eclampsia is increased in women with a previous history of pre-eclampsia (relative risk 7.19, 95% confidence interval 5.85 to 8.83) and in those with antiphospholipids antibodies (9.72, 4.34 to 21.75), pre-existing diabetes (3.56, 2.54 to 4.99), multiple (twin) pregnancy (2.93, 2.04 to 4.21), nulliparity (2.91, 1.28 to 6.61), family history (2.90, 1.70 to 4.93), raised blood pressure (diastolic > or = 80 mm Hg) at booking (1.38, 1.01 to 1.87), raised body mass index before pregnancy (2.47, 1.66 to 3.67) or at booking (1.55, 1.28 to 1.88), or maternal age > or = 40 (1.96, 1.34 to 2.87, for multiparous women). Individual studies show that 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 pre-eclampsia can be planned for the rest of the pregnancy.
Comment in
- Pre-eclampsia matters.
Greer IA. Greer IA. BMJ. 2005 Mar 12;330(7491):549-50. doi: 10.1136/bmj.330.7491.549. BMJ. 2005. PMID: 15760971 Free PMC article. No abstract available.
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References
- Confidential Enquiries into Maternal Deaths. Why mothers die 1997-1999. The fifth report of the confidential enquiries into maternal deaths in the United Kingdom. London: Royal College of Obstetricians and Gynaecologists Press, 2001.
- Confidential Enquiry into Stillbirths and Deaths in Infancy. 8th annual report. London: Maternal and Child Health Research Consortium, 2001.
- World Health Organization International Collaborative Study of Hypertensive Disorders of Pregnancy. Geographic variation in the incidence of hypertension in pregnancy. Am J Obst Gynecol 1988;158: 80-3. - PubMed
- Conde-Agudelo A, Althabe F, Belizan JM, Kafury-Goeta AC. Cigarette smoking during pregnancy and risk of pre-eclampsia: a systematic review. Am J Obstet Gynecol 1999;181: 1026-35. - PubMed
- National Institute for Clinical Excellence. NICE Guideline CG6 Antenatal care—routine care for the healthy pregnant woman. London: NICE, 2003.
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