Location of the placenta or the umbilical cord insertion site in the lowest uterine segment is associated with low maternal blood pressure.
BJOG
; 118(12): 1464-9, 2011 Nov.
Article
in En
| MEDLINE
| ID: mdl-21749631
ABSTRACT
OBJECTIVE:
To evaluate whether placental abnormalities and umbilical cord insertion site affect the occurrence of pre-eclampsia and maternal blood pressure.DESIGN:
Case-control study.SETTING:
Showa University Hospital, Tokyo, Japan. POPULATION A total of 5722 consecutive women who delivered singleton infants were included in the study.METHODS:
The associations of placental abnormalities, the location of the placenta, the location of the cord insertion site, and maternal background with the occurrence of pre-eclampsia and maternal blood pressure at the term of pregnancy were analysed. MAIN OUTCOMEMEASURE:
Pre-eclampsia and maternal blood pressure at the term of pregnancy.RESULTS:
Pre-eclampsia was observed in 236 women (4.1%). Pre-eclampsia was frequently observed in women with placental form abnormalities (odds ratio 3.0) and infarction of the placenta (odds ratio 5.3). Pre-eclampsia was observed in 0 and 4.1% of women with and without placenta praevia, respectively (P = 0.004), and in 0 and 2.5% of women with and without low cord insertion during the first trimester, respectively (P = 0.018). After adjustment for confounding variables, the multivariate regression analyses revealed reductions of 8.4 and 5.0 mmHg in systolic and diastolic blood pressure, respectively, in women with placenta praevia compared with women without placenta praevia, and reductions of 4.3 and 3.1 mmHg in systolic and diastolic blood pressure, respectively, in women with low cord insertion during the first trimester compared with women without low cord insertion.CONCLUSION:
Not only placenta praevia but also low cord insertion are associated with low frequencies of pre-eclampsia and low maternal blood pressure.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Placenta
/
Placenta Previa
/
Pre-Eclampsia
/
Umbilical Cord
/
Blood Pressure
Type of study:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
BJOG
Journal subject:
GINECOLOGIA
/
OBSTETRICIA
Year:
2011
Document type:
Article
Affiliation country:
Japan