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  • Title: [Pregnancy induced hypertension risk factors in diabetes mellitus pregnant women].
    Author: Villegas Rodríguez I, Villanueva Egan LA.
    Journal: Ginecol Obstet Mex; 2007 Aug; 75(8):448-53. PubMed ID: 18293673.
    Abstract:
    BACKGROUND: Relation between gestational diabetes mellitus and pregnancy-induced hypertension increases significantly the maternal and perinatal morbidity and mortality risk. OBJECTIVE: The purpose of this study was to investigate the risk factors for pregnancy-induced hypertension in women with gestational diabetes mellitus. MATERIAL AND METHODS: In this case-control study, were compared a total of 90 women with gestational diabetes mellitus according to absence (controls, n = 60) or presence (cases, n = 30) of pregnancy-induced hypertension in terms of demographic data, previous reproductive history, maternal and neonatal characteristics. Odds ratios and 95 percent confidence intervals were calculated to estimate the effects of individual factors on the risk of pregnancy-induced hypertension. RESULTS: In our study, the body mass index in cases was greater than controls (35.70 +/- 8.7 vs. 31.17 +/- 5.2). In addition, pregnancy-induced hypertension in a previous pregnancy was the only factor associated with an increased risk of recurrent hypertension (OR = 4.52, IC95%: 1.02-20.03). CONCLUSIONS: Women with gestational diabetes mellitus and pregnancy-induced hypertension in a previous pregnancy require more surveillance for to prevent or achieve an early diagnosis and treatment of hypertension, and if the woman is overweight, she should be offered advice on life style adjustment for to avoid maternal and perinatal complications.
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