RT Journal Article
T1 Blood Pressure Monitoring and Perinatal Outcomes in Normotensive Women with Gestational Diabetes Mellitus.
A1 Lara-Barea, Almudena
A1 Sanchez-Lechuga, Begoña
A1 Vidal-Suárez, Alvaro
A1 Arroba, Ana I
A1 Bugatto, Fernando
A1 Lopez-Tinoco, Cristina
K1 Ambulatory blood pressure monitoring
K1 Gestational diabetes mellitus
K1 Hypertensive disorders of pregnancy
K1 Perinatal outcomes
AB Alterations in ambulatory blood pressure detected by monitoring (ABPM) have been associated with perinatal complications in hypertensive pregnant women. To establish the relationships between the blood pressure (BP) profiles detected by ABPM and adverse perinatal outcomes in normotensive women with gestational diabetes mellitus (GDM). A prospective study of normotensive women in whom 24 h ABPM was performed at 28-32 weeks of pregnancy. The obstetric and perinatal outcomes were evaluated. Two hundred patients were included. Thirty-seven women with GDM and obesity had significantly higher mean systolic BP (SBP) and nocturnal SBP and diastolic BP (DBP) compared to women with only GDM (n = 86). Nocturnal SBP (OR = 1.077; p = 0.015) and obesity (OR = 1.131; p = 0.035) were risk factors for the development of hypertensive disorders of pregnancy (HDPs). Mothers of newborns with neonatal complications (n = 27) had higher nocturnal SBP (103.8 vs. 100 mmHg; p = 0.047) and DBP (62.7 vs. 59.4; p = 0.016). Women who delivered preterm (n = 10) had higher BP and a non-dipper pattern (p = 0.005). Nocturnal SBP was a predictor of HDPs in normotensive women with obesity or GDM. Alterations in ABPM in these patients were associated with poor obstetric and perinatal outcomes.
PB MDPI
SN 2077-0383
YR 2022
FD 2022-03-04
LK http://hdl.handle.net/10668/21253
UL http://hdl.handle.net/10668/21253
LA en
NO Lara-Barea A, Sánchez-Lechuga B, Vidal-Suárez Á, Arroba AI, Bugatto F, López-Tinoco C. Blood Pressure Monitoring and Perinatal Outcomes in Normotensive Women with Gestational Diabetes Mellitus. J Clin Med. 2022 Mar 5;11(5):1435
DS RISalud
RD Apr 20, 2025