Maternal factors of pre-eclampsia development

Authors

DOI:

https://doi.org/10.18370/2309-4117.2021.58.102-106

Keywords:

preeclampsia, obesity, height, first pregnancy, chronic kidney disease

Abstract

Study objective: to determine the most important maternal factors for the pre-eclampsia (PE) prediction, which are used in screening of women when registered for pregnancy.
Materials and methods. A prospective cohort study included 91 pregnant women in their first trimester; study period 2018–2020. The main group included 56 (61.54%) women with a number of maternal factors for PE development, and 35 (38.46%) were healthy females in the control group. Subgroups of women formed for females with and without PE – 28.57% and 71.43%, respectively.
Results. Statistically significant values in the study of maternal factors were observed between subgroups of patients with and without PE for body mass index (BMI) prior to pregnancy (26.83 ± 1.29 and 26.03 ± 1.05) and height of pregnant women (163.35 ± 1.26 cm and 167.23 ± 1.02 cm), p <0.05. Among the risk factors that led to PE, statistically significant results were observed when combining the first pregnancy with a history of kidney disease (p = 0.033). Recurrent PE was observed when combined with PE history in mother (p = 0.011). Impact of chronic hypertension on the PE development was noted when the disease history was over 5 years. The combination of interval between pregnancies of 10 years and more and age >35 years was associated with PE (p = 0.008).
During IVF PE developed in combination with such factors as BMI 30 kg/m2 and the interval between pregnancies over 10 years, 1.1% females had no other factors. History of renal disease and the age >35 years had an impact on the PE development in patients with anti-phospholipid syndrome. Analysis of the odds ratio of the isolated maternal factor showed the following indicators: PE during previous pregnancy – 6, multiple pregnancy – 2.56, anti-phospholipid syndrome – 2.56, first pregnancy – 1.83, in vitro fertilization – 1.72, obesity >30 kg/m2 – 1.65, PE in the mother – 1.57, age >35 years – 1.08, history of renal disease – 1, interval between pregnancies >10 years – 0.77 and chronic hypertension – 0.18.
Conclusion. Thorough monitoring of maternal risk factors for PE should focus on PE during previous pregnancy. The second position is occupied by multiple pregnancy and anti-phospholipid syndrome. PE risk is increased for a combination of factors, especially with chronic renal disease and/or elevated BMI.

Author Biographies

L.I. Berlinska, Odesa National Medical University

Assistant, Department of Obstetrics and Gynecology

V.G. Marichereda, Odesa National Medical University

MD, professor, Department of Obstetrics and Gynecology

M.Y. Holubenko, Odesa National Medical University; Maternity Hospital No. 2

MD, professor, Department of Obstetrics and Gynecology;

Chief physician

O.M. Pavlovska, Odesa National Medical University

PhD, assistant, associate professor, Department of Obstetrics and Gynecology

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Published

2021-05-27

How to Cite

Berlinska, L., Marichereda, V., Holubenko, M., & Pavlovska, O. (2021). Maternal factors of pre-eclampsia development. REPRODUCTIVE ENDOCRINOLOGY, (58), 102–106. https://doi.org/10.18370/2309-4117.2021.58.102-106

Issue

No. 58 (2021)

Section

Pregnancy and childbirth

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Copyright (c) 2021 Л.I. Берлінська, В.Г. Марічереда, М.Ю. Голубенко, О.М. Павловська

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