GH & Severe Obstetric Morbidity in the USA

[caryn]

Happy anniversary! We just had our 16th.

I am vaguely remembering some interesting data on Hispanic women, but can't find it. Yet.

[lisainnj]

GH=PIH. Too many glasses of wine during anniversary date.

[lisainnj]

More advanced maternal age pregnancies? Change in populations? Black women have higher rates of GH, do Hispanic women as well?

[caryn]

...The overall prevalence of hypertensive disorders among delivery hospitalizations increased significantly from 67.2 per 1,000 deliveries in 1998 to 81.4 per 1,000 deliveries in 2006. Compared with hospitalizations without any hypertensive disorders, the risk of severe obstetric complications ranged from 3.3 to 34.8 for hospitalizations with eclampsia/severe preeclampsia and from 1.4 to 2.2 for gestational hypertension. The prevalence of hospitalizations with eclampsia/severe preeclampsia increased moderately from 9.4 to 12.4 per 1,000 deliveries (P for linear trend <0.001) during the period of study. However, these hospitalizations were associated with 38% of hospitalizations with acute renal failure and 19% or more of hospitalizations with ventilation, disseminated intravascular coagulation syndrome, pulmonary edema, puerperal cerebrovascular disorders, and respiratory distress syndrome...

http://www.ncbi.nlm.nih.gov/pubmed/19461426

So the rates are substantially on the increase. Some -- most? -- of this increase can doubtless be pegged to environmental changes, particularly an increase the reliability of the food supply, thus in maternal obesity, and an increase in IVF and therefore multiples.


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