Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido Study
Hypertension during pregnancy causes a greater risk of adverse birth outcomes worldwide; however, formal evidence of hypertensive disorders during pregnancy (HDP) in Japan is limited. We aimed to understand the association between maternal characteristics, HDP, and birth outcomes. In total, 18,833 m...
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doaj-70e10365e3b54ddb88f7ac4703c80ec12021-03-25T00:01:19ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-03-01183342334210.3390/ijerph18073342Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido StudyKritika Poudel0Sumitaka Kobayashi1Chihiro Miyashita2Atsuko Ikeda-Araki3Naomi Tamura4Yu Ait Bamai5Sachiko Itoh6Keiko Yamazaki7Hideyuki Masuda8Mariko Itoh9Kumiko Ito10Reiko Kishi11Faculty of Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanCenter for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, JapanHypertension during pregnancy causes a greater risk of adverse birth outcomes worldwide; however, formal evidence of hypertensive disorders during pregnancy (HDP) in Japan is limited. We aimed to understand the association between maternal characteristics, HDP, and birth outcomes. In total, 18,833 mother-infant pairs were enrolled in the Hokkaido study on environment and children’s health, Japan, from 2002 to 2013. Medical records were used to identify hypertensive disorders and birth outcomes, namely, small for gestational age (SGA), SGA at full term (term-SGA), preterm birth (PTB), and low birth weight (LBW). The prevalence of HDP was 1.9%. Similarly, the prevalence of SGA, term-SGA, PTB, and LBW were 7.1%, 6.3%, 7.4%, and 10.3%, respectively. The mothers with HDP had increased odds of giving birth to babies with SGA (2.13; 95% Confidence Interval (CI): 1.57, 2.88), PTB (3.48; 95%CI: 2.68, 4.50), LBW (3.57; 95%CI: 2.83, 4.51) than normotensive pregnancy. Elderly pregnancy, low and high body mass index, active and passive smoking exposure, and alcohol consumption were risk factors for different birth outcomes. Therefore, it is crucial for women of reproductive age and their families to be made aware of these risk factors through physician visits, health education, and various community-based health interventions.https://www.mdpi.com/1660-4601/18/7/3342hypertensive disorders during pregnancymothersbirth outcomescohort study |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kritika Poudel Sumitaka Kobayashi Chihiro Miyashita Atsuko Ikeda-Araki Naomi Tamura Yu Ait Bamai Sachiko Itoh Keiko Yamazaki Hideyuki Masuda Mariko Itoh Kumiko Ito Reiko Kishi |
spellingShingle |
Kritika Poudel Sumitaka Kobayashi Chihiro Miyashita Atsuko Ikeda-Araki Naomi Tamura Yu Ait Bamai Sachiko Itoh Keiko Yamazaki Hideyuki Masuda Mariko Itoh Kumiko Ito Reiko Kishi Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido Study International Journal of Environmental Research and Public Health hypertensive disorders during pregnancy mothers birth outcomes cohort study |
author_facet |
Kritika Poudel Sumitaka Kobayashi Chihiro Miyashita Atsuko Ikeda-Araki Naomi Tamura Yu Ait Bamai Sachiko Itoh Keiko Yamazaki Hideyuki Masuda Mariko Itoh Kumiko Ito Reiko Kishi |
author_sort |
Kritika Poudel |
title |
Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido Study |
title_short |
Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido Study |
title_full |
Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido Study |
title_fullStr |
Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido Study |
title_full_unstemmed |
Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido Study |
title_sort |
hypertensive disorders during pregnancy (hdp), maternal characteristics, and birth outcomes among japanese women: a hokkaido study |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-03-01 |
description |
Hypertension during pregnancy causes a greater risk of adverse birth outcomes worldwide; however, formal evidence of hypertensive disorders during pregnancy (HDP) in Japan is limited. We aimed to understand the association between maternal characteristics, HDP, and birth outcomes. In total, 18,833 mother-infant pairs were enrolled in the Hokkaido study on environment and children’s health, Japan, from 2002 to 2013. Medical records were used to identify hypertensive disorders and birth outcomes, namely, small for gestational age (SGA), SGA at full term (term-SGA), preterm birth (PTB), and low birth weight (LBW). The prevalence of HDP was 1.9%. Similarly, the prevalence of SGA, term-SGA, PTB, and LBW were 7.1%, 6.3%, 7.4%, and 10.3%, respectively. The mothers with HDP had increased odds of giving birth to babies with SGA (2.13; 95% Confidence Interval (CI): 1.57, 2.88), PTB (3.48; 95%CI: 2.68, 4.50), LBW (3.57; 95%CI: 2.83, 4.51) than normotensive pregnancy. Elderly pregnancy, low and high body mass index, active and passive smoking exposure, and alcohol consumption were risk factors for different birth outcomes. Therefore, it is crucial for women of reproductive age and their families to be made aware of these risk factors through physician visits, health education, and various community-based health interventions. |
topic |
hypertensive disorders during pregnancy mothers birth outcomes cohort study |
url |
https://www.mdpi.com/1660-4601/18/7/3342 |
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