Korzeniewski Steven J, Sutton Elizabeth, Escudero Carlos, Roberts James M
Department of Family Medicine and Population Health Sciences, Wayne State University School of Medicine, Detroit, MI, United States.
Magee-Womens Research Institute, Pittsburgh, PA, United States.
Front Med (Lausanne). 2022 Aug 30;9:984291. doi: 10.3389/fmed.2022.984291. eCollection 2022.
Preeclampsia is a maternal syndrome characterized by the new onset of hypertension after 20 weeks of gestation associated with multisystemic complications leading to high maternal and fetal/neonatal morbidity and mortality. However, sequelae of preeclampsia may extend years after pregnancy in both mothers and their children. In addition to the long-term adverse cardiovascular effects of preeclampsia in the mother, observational studies have reported elevated risk of cardiovascular, metabolic, cerebral and cognitive complications in children born from women with preeclampsia. Less clear is whether the association between maternal preeclampsia and offspring sequelae are causal, or to what degree the associations might be driven by fetal factors including impaired growth and the health of its placenta. Our discussion of these complexities in the 2018 Global Pregnancy Collaboration annual meeting prompted us to write this review. We aimed to summarize the evidence of an association between maternal preeclampsia and neurobehavioral developmental disorders in offspring in hopes of generating greater research interest in this important topic.
子痫前期是一种孕产妇综合征,其特征为妊娠20周后新发高血压,并伴有多系统并发症,导致孕产妇及胎儿/新生儿的高发病率和死亡率。然而,子痫前期的后遗症可能在妊娠结束多年后仍影响母亲及其子女。除了子痫前期对母亲长期的不良心血管影响外,观察性研究报告称,子痫前期女性所生孩子出现心血管、代谢、脑和认知并发症的风险升高。尚不清楚孕产妇子痫前期与后代后遗症之间的关联是否为因果关系,或者这种关联在多大程度上可能由胎儿因素驱动,包括生长受限及其胎盘健康状况。我们在2018年全球妊娠协作年会上对这些复杂性的讨论促使我们撰写了这篇综述。我们旨在总结孕产妇子痫前期与后代神经行为发育障碍之间存在关联的证据,以期激发对这一重要课题的更多研究兴趣。