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Postpartum health risks among women with hypertensive disorders of pregnancy, California 2008–2012

Journal of Hypertension Apr 19, 2021

Murray Horwitz ME, Rodriguez MI, Dissanayake M, et al. - Researchers sought to ascertain the correlations between hypertensive disorders of pregnancy (HDP) and postpartum complications throughout the newly defined 12-week postpartum transition. In this retrospective cohort study they assessed a total of 2.5 million California births, 2008–2012. Among women with and without HDP, hospital encounters were recorded in 12.8% and 7.7%, respectively, within 12 weeks of giving birth. Findings revealed an increased risk for virtually all postpartum complications, including those not related to hypertension, among women with HDP. Differences in risk of any complication was observed by hypertensive subtype: chronic hypertension with super-imposed preeclampsia, adjusted hazard ratio 1.8; chronic hypertension, 1.6 (1.6–1.7); preeclampsia/eclampsia, 1.3 (1.3–1.4); and gestational hypertension, 1.2 (1.2–1.3). Enhanced and comprehensive postpartum care may be beneficial for these women.

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