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Research Article

Regional differences in clinical characteristics and fetal and maternal outcomes of hypertensive disorders in pregnancy in China: a retrospective study

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Article: 2234490 | Received 11 Jan 2023, Accepted 04 Jul 2023, Published online: 11 Jul 2023
 

ABSTRACT

Background

Hypertensive disorders in pregnancy (HDPs) are the leading causes of maternal and perinatal death worldwide, and appropriate prenatal care is beneficial toward improve pregnancy outcomes in populations at high risk of preeclampsia.

Objective

To describe variations in regional manifestations and outcomes of HDPs among the Chinese population to aid in the development of region-specific perinatal management guidelines.

Methods

This is a retrospective study. The clinical data of patients with HDP in 3 different regions were collected to explore the characteristics of HDP patients in different regions of China.

Results

In Peking University First Hospital, a regional rescue center for prenatal care and delivery, the proportion of patients with high-risk factors for PE was considerably high; 37.8% were of advanced maternal age, and 14.7% were obese. Among the patients, at this hospital, the proportion of comorbidities (e.g., chronic hypertension) in HDP patients was higher than that in the other 2 specialized maternal and child health care hospitals.

Conclusion

Targeted prenatal care procedures should be established based on regional characteristics to improve the quality of perinatal health care and reduce the incidence of HDP.

Acknowledgments

This work was supported by National Natural Science Foundation of China (No. 82071668)

Disclosure statement

No potential conflict of interest was reported by the author(s).

Data availability statement

The data that support the findings of this study are available from the corresponding author Yingdong He, upon reasonable request.

Author’s contributions

Study design: He Yingdong; Data collection: Ma Rui, Huang Liping, Wang Yanmin, Zhao Tingting, Chen Shi; Data analysis: Ma Rui, Huang Liping; Manuscript preparation: Ma Rui, Huang Liping, He Yingdong. Manuscript editing and review: He Yingdong.

Additional information

Funding

This work was supported by National Natural Science Foundation of China [No. 82071668].