Jacobs Daniëlle J, Vreeburg Sophie A, Dekker Gus A, Heard Adrian R, Priest Kevin R, Chan Annabelle
Department of Obstetrics and Gynaecology, University of Adelaide, Lyell McEwin Health Service, Adelaide, South Australia, Australia.
Aust N Z J Obstet Gynaecol. 2003 Dec;43(6):421-8. doi: 10.1046/j.0004-8666.2003.00120.x.
To identify risk factors for hypertension in pregnancy among South Australian women.
A population-based retrospective analysis using the South Australian perinatal data collection for 1998-2001.
Three groups of women with hypertension (pre-existing hypertension, pregnancy hypertension, and superimposed pre-eclampsia) were compared with normotensive women using unconditional logistic regression analysis on 70,386 singleton births to identify sociodemographic and clinical risk factors for hypertension in pregnancy.
Nulliparity, Aboriginal race and Caucasian race (compared with Asian) and pre-existing and gestational diabetes were demonstrated to be risk factors for all hypertensive disorders, as was increasing maternal age for pre-existing hypertension and superimposed pre-eclampsia. Risk was increased for pregnancy hypertension and superimposed pre-eclampsia among women who gave their occupation as 'home duties' and also for superimposed pre-eclampsia among unemployed women. Women with hypertension were more likely to give birth in teaching hospitals. Urinary tract infections were not found to be a risk factor for any type of hypertension. Smoking during pregnancy was protective for all types of hypertension.
The present study used a statewide population perinatal database and has confirmed that Aboriginal race, Caucasians, nulliparity, and pre-existing and gestational diabetes are independent risk factors for all types of hypertension in pregnancy. Increasing maternal age increased the risk for pre-existing hypertension and superimposed pre-eclampsia. There appeared to be appropriate referral of women with hypertensive disorders to teaching hospitals. A new finding is the increased risk among unemployed women and women engaged in home duties.
确定南澳大利亚女性孕期高血压的风险因素。
基于人群的回顾性分析，使用1998 - 2001年南澳大利亚围产期数据收集。
将三组高血压女性（孕前高血压、妊娠高血压和子痫前期并发高血压）与血压正常的女性进行比较，对70386例单胎分娩进行无条件逻辑回归分析，以确定孕期高血压的社会人口统计学和临床风险因素。
未生育、原住民种族、白种人种族（与亚洲人相比）、孕前和孕期糖尿病被证明是所有高血压疾病的风险因素，对于孕前高血压和子痫前期并发高血压，产妇年龄增加也是风险因素。职业为“家庭主妇”的女性患妊娠高血压和子痫前期并发高血压的风险增加，失业女性患子痫前期并发高血压的风险也增加。高血压女性更有可能在教学医院分娩。未发现尿路感染是任何类型高血压的风险因素。孕期吸烟对所有类型的高血压有保护作用。
本研究使用了全州范围的围产期人口数据库，并证实原住民种族、白种人、未生育以及孕前和孕期糖尿病是孕期所有类型高血压的独立风险因素。产妇年龄增加会增加孕前高血压和子痫前期并发高血压的风险。高血压疾病女性似乎被适当转诊到了教学医院。一个新发现是失业女性和家庭主妇的风险增加。
