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Table 3 Fetal and maternal post partum outcomes in the IH and no IH groups

From: Clinical characteristics and sequelae of intrapartum hypertension – a retrospective cohort study

 

Total (n = 229)

2 elevated BP readings (n = 32)

<  2 elevated BP readings (n = 197)

p-value

Unadjusted odds ratio (95%CI)

Fetal outcomes

 Male infant, n (%)

118

18 (15.3%)

100 (84.7%)

NS

 

 1 minute APGAR score < 9, n (%)

21

5 (23.8%)

16 (76.2%)

NS

 

 5 minute APGAR score < 9, n (%)

9

3 (33.3%)

6 (66.7%)

NS

 

 Fetal weight (median ± IQR)

3468 (± 746)

3420 (± 904)

3473 (± 695)

NS

 

 Small-for-gestational age at delivery (<10th centile)

13

3 (23.1%)

10 (76.9%)

NS

 

 Intrauterine growth restriction at delivery (<5th centile)

5

1 (20%)

4 (80%)

NS

 

 Preterm delivery (< 37 weeks), n (%)

10

1 (10%)

9 (90%)

NS

 

 Admission to special care nursery/neonatal intensive care unit, n (%)

35

8 (22.9%)

27 (77.1%)

NS

 

 Fetal composite outcomea

40

9 (22.5%)

31 (77.5%)

NS

 

Maternal outcomes

 Maternal ICU admission, n (%)

0

0 (0%)

0 (0%)

 

 Length of stay following delivery (median ± IQR)

2 (± 2)

3 (± 1)

2 (± 1)

< 0.01

 

 Length of stay > 3 days, n (%)

17

4 (23.5%)

13 (76.5%)

NS

 

Postpartum hypertension, n (%)

19

6 (31.6%)

13 (68.4%)

0.02

3.27 (1.14–9.34)

 Required IV antihypertensive agents

0

0 (0%)

0 (0%)

 

 Discharged with antihypertensive medications

4

4 (100%)

0 (0%)

< 0.01

1.14 (1.00–1.30)

Readmission due to hypertension, n (%)

3

0 (0%)

3 (100%)

NS

 

Maternal composite outcomeb

5

2 (40%)

3 (60%)

NS

 
  1. IH intrapartum hypertension, SD standard deviation, IQR interquartile range, BMI body mass index, SBP systolic blood pressure, DBP diastolic blood pressure, PET preeclampsia, HTN hypertension, NS non-significant, SROM spontaneous rupture of membranes, IOL induction of labour, LSCS lower segment caesarean section, GDM gestational diabetes mellitus, PROM preterm rupture of membranes, AFI amniotic fluid index, APGAR Appearance, Pulse, Grimace, Activity, and Respiration, ICU intensive care unit, IV intravenous
  2. aFetal composite outcome was defined as the composite of admission to the special care nursery or neonatal intensive care unit, stillbirth, preterm at delivery, neonatal mortality, neonatal seizures or intrauterine growth restriction (<5th centile)
  3. bMaternal composite outcome was defined as the composite of maternal mortality, stroke, acute coronary event, eclampsia, acute kidney injury, raised liver enzymes, pulmonary oedema, placental abruption, ICU admission or readmission within 6 weeks of delivery