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Gestational weight gain and blood pressure control in physiological pregnancy and pregnancy complicated by hypertension

1983/01/01 by James A. Slater, Maciejewski, Tomasz, Tomasz Maciejewski +12
Agricultural and Biological Sciences · Medicine · #Biological Control of Invasive Species #Cardiovascular Issues in Pregnancy #Gestational Diabetes Research and Management #Hemiptera Insect Studies #Plant and animal studies #Pregnancy and preeclampsia studies

paper · doi:10.34763/jmotherandchild.20222601.d-22-00020

openalex created_date 2022/12/25 · openalex publication_date 2024/06/03 · openalex updated_date 2026/07/28

Abstract

BACKGROUND: Obesity is a widely recognised risk factor for chronic and gestational hypertension. Influence of gestational weight gain on blood pressure control throughout the pregnancy is not well characterised. MATERIAL AND METHODS: Women in the third trimester of a singleton pregnancy were recruited to the study. Medical records were analysed and a special survey was conducted to obtain history on hypertensive disorders in pregnancy and weight changes during pregnancy. Blood pressure measurements were taken during the office visit in line with international guidelines. Relationships between gestational weight gain and maximal and office values of systolic and diastolic blood pressure values were analysed. RESULTS: Data of 90 women in normal pregnancy, 40 with gestational hypertension and 21 with chronic hypertension were analysed. Gestational weight gain was 11.9 ± 4.6 kg in the normal pregnancy group, 13.0 ± 5 kg in the gestational hypertension group and 10.6 ± 3.4 kg in the chronic hypertension group. Gestational weight gain positively correlated with both office (r = 0.48; p < 0.001) and maximal blood pressure values (r = 0.34; p = 0.004) in normal pregnancy and with maximal blood pressure values (r = 0.57; p = 0.02) in women with chronic hypertension. No correlation was observed between gestational weight gain and blood pressure values among women with gestational hypertension. CONCLUSION: In normal pregnancy and in women with chronic hypertension greater gestational weight gain is related to higher blood pressure values in the third trimester.

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