Maternal hypertension, preeclampsia, and risk of neonatal respiratory disorders in a large-prospective cohort study

医学 子痫前期 阿普加评分 相对风险 妊娠高血压 呼吸窘迫 产科 前瞻性队列研究 人口 胎龄 队列研究 怀孕 置信区间 儿科 内科学 外科 遗传学 生物 环境卫生
作者
Tian Tian,Linlin Wang,Rongwei Ye,Jianmeng Liu,Aiguo Ren
出处
期刊:Pregnancy Hypertension [Elsevier BV]
卷期号:19: 131-137 被引量:30
标识
DOI:10.1016/j.preghy.2020.01.006
摘要

Possible impact of maternal hypertension and preeclampsia on neonatal respiratory disorders was unknown. We investigated the association of maternal hypertension and preeclampsia with neonatal respiratory disorders in preterm and full-term newborns. In this study, we used a large Chinese population-based study which includes 185,687 singleton livebirths with gestational weeks between 28 and 42 weeks. The “exposure” was maternal hypertension and preeclampsia. The outcome was neonatal respiratory disorders including neonatal respiratory distress syndrome (NRDS), pneumonia and low Apgar scores. Logistic regression was used to examine the association between the maternal hypertensive disorders and the risk for neonatal respiratory disorders. We further evaluated the association in preterm and full-term infants. As a result, the incidence of neonatal RDS, pneumonia, and low Apgar score in hypertensive group was higher than that in normotensive group. Preeclampsia was associated with RDS [(adjusted relative risk (aRR): 1.85, 95% confidence interval (CI): 1.22–3.05)]. Both maternal hypertension and preeclampsia increased risks for neonatal pneumonia (aRR: 1.79, 95%CI: 1.48–2.17; aRR: 1.81, 95%CI: 1.36–2.40, respectively), for low Apgar score at 1 min (aRR: 1.20, 95%CI: 1.13–1.27; aRR: 1.53, 95%CI: 1.41–1.67, respectively), and for low Apgar score at 5 min (aRR: 1.30, 95%CI: 1.17–1.45; aRR: 1.70, 95%CI: 1.46–1.99, respectively). The risk for neonatal respiratory disorders increased with severity of maternal hypertension. The observed associations were present in both full-term and preterm birth. Maternal hypertension and preeclampsia are risk factors for neonatal respiratory disorders in full-term and preterm newborns.
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