Prevalence of hypertensive disorders during ...
Document type :
Article dans une revue scientifique: Article original
DOI :
PMID :
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Title :
Prevalence of hypertensive disorders during pregnancy in France (2010-2018): The nationwide CONCEPTION study
Author(s) :
Olie, V. [Auteur]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Moutengou, E. [Auteur]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Grave, C. [Auteur]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Deneux-Tharaux, C. [Auteur]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Regnault, N. [Auteur]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Kretz, S. [Auteur]
Gabet, A. [Auteur]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Mounier-Vehier, Claire [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Tsatsaris, V. [Auteur]
Unité de Gynécologie Médicale, AP-HP, Hôpital Port-Royal, Université de Paris
Plu-Bureau, G. [Auteur]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Blacher, J. [Auteur]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Moutengou, E. [Auteur]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Grave, C. [Auteur]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Deneux-Tharaux, C. [Auteur]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Regnault, N. [Auteur]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Kretz, S. [Auteur]
Gabet, A. [Auteur]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Mounier-Vehier, Claire [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Tsatsaris, V. [Auteur]
Unité de Gynécologie Médicale, AP-HP, Hôpital Port-Royal, Université de Paris
Plu-Bureau, G. [Auteur]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Blacher, J. [Auteur]
Journal title :
The Journal of Clinical Hypertension
Abbreviated title :
J. Clin. Hypertens.
Volume number :
23
Pages :
P. 1273-1456
Publication date :
2021-07
ISSN :
1524-6175
English keyword(s) :
France
gestational hypertension
HELLP syndrome
preeclampsia
prevalence
gestational hypertension
HELLP syndrome
preeclampsia
prevalence
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Hypertensive disorders of pregnancy (HDP) are one of the leading causes of mater-nal and fetal morbidity and mortality. We aimed to estimate the prevalence of each HDP in France and to study their associations. All pregnant ...
Show more >Hypertensive disorders of pregnancy (HDP) are one of the leading causes of mater-nal and fetal morbidity and mortality. We aimed to estimate the prevalence of each HDP in France and to study their associations. All pregnant women who delivered in France between 2010 and 2018 were included in a cohort and followed during their pregnancy and 6 weeks of postpartum. Each HDP occurring during the follow-up was identified. Prevalence of each HDP and cumulative incidence by gestational age were estimated. Incidence rate ratio (IRR) and 95% confidence interval (CI) for preeclamp-sia among women with preexisting or gestational hypertension (GH) were estimated using Poisson regression and adjusted for age were estimated. Between 2010 and 2018, 6 302 810 deliveries were included. HDP complicated 7.4% of pregnancies. Preeclampsia and GH complicated 2.0% and 4.2% of pregnancies, respectively. Most of preeclampsia cases occurred without a prior HDP. HELLP syndrome represented 10.4% of preeclampsia cases. Compared to nulliparous pregnancies without HDP prior preeclampsia, the age-adjusted IRR of preeclampsia was 6.2 [95% CI: 6.1-6.4] in nulliparous pregnancies with preexisting hypertension and 2.9 [95% CI: 2.8-3.0] in nulliparous pregnancies with GH. In France, HDP occurred in 7.4% of all pregnan-cies. Women with preexisting chronic hypertension are at high risk to present preec-lampsia during pregnancy. Preeclampsia complicated 2.0% of pregnancies in France. Tailoring management of women according to the HDP is a major challenge to avoid complications related to these disorders.Show less >
Show more >Hypertensive disorders of pregnancy (HDP) are one of the leading causes of mater-nal and fetal morbidity and mortality. We aimed to estimate the prevalence of each HDP in France and to study their associations. All pregnant women who delivered in France between 2010 and 2018 were included in a cohort and followed during their pregnancy and 6 weeks of postpartum. Each HDP occurring during the follow-up was identified. Prevalence of each HDP and cumulative incidence by gestational age were estimated. Incidence rate ratio (IRR) and 95% confidence interval (CI) for preeclamp-sia among women with preexisting or gestational hypertension (GH) were estimated using Poisson regression and adjusted for age were estimated. Between 2010 and 2018, 6 302 810 deliveries were included. HDP complicated 7.4% of pregnancies. Preeclampsia and GH complicated 2.0% and 4.2% of pregnancies, respectively. Most of preeclampsia cases occurred without a prior HDP. HELLP syndrome represented 10.4% of preeclampsia cases. Compared to nulliparous pregnancies without HDP prior preeclampsia, the age-adjusted IRR of preeclampsia was 6.2 [95% CI: 6.1-6.4] in nulliparous pregnancies with preexisting hypertension and 2.9 [95% CI: 2.8-3.0] in nulliparous pregnancies with GH. In France, HDP occurred in 7.4% of all pregnan-cies. Women with preexisting chronic hypertension are at high risk to present preec-lampsia during pregnancy. Preeclampsia complicated 2.0% of pregnancies in France. Tailoring management of women according to the HDP is a major challenge to avoid complications related to these disorders.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-11-15T06:34:04Z
2024-03-13T12:17:56Z
2024-03-13T12:17:56Z
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