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Challenging the definition of hypertension in pregnancy: A retrospective cohort study

American Journal of Obstetrics and Gynecology Jan 24, 2020

Reddy M, Rolnik DL, Harris K, et al. - Researchers conducted a retrospective study of 18,243 singleton pregnancies at Monash Health, Australia in order to investigate the correlation between lower blood pressure thresholds (as per the American College of Cardiology guidelines) and pregnancy outcomes. Further, they determined if blood pressure and pregnancy outcomes show a continuous link and sought for the point of a change at which blood pressure is correlated with an increased risk of such outcomes. Outcomes suggest that those with blood pressures greater than 140/90 mmHg do not exhibit preeclampsia and the associated adverse outcomes exclusively. Stage one hypertension, preterm birth, and adverse perinatal outcomes were also identified to be correlated. As such, closer monitoring may also benefit those with prehypertensive blood pressures.
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