title: Diagnosis and treatment of hypertension 21 years after a hypertensive disorder of pregnancy.
abstract: BACKGROUND
  Women with a history of hypertensive disorders of pregnancy (HDP) are known to be at increased risk of subsequent hypertension and cardiovascular disease.
  
  
  OBJECTIVE
  In this study, we aimed to assess whether the long-term follow-up, diagnosis and treatment of hypertension in these women is adequate.
  
  
  METHODS
  Prospective study of 2112 women who were part of a Birth Cohort Study - The Mater University of Queensland Study of Pregnancy, who received antenatal care at a major public hospital in Brisbane between 1981 and 1983 and were followed up at 21 years.
  
  
  RESULTS
  Of the 191 women who had HDP, 62 (32.46%) were hypertensive (29 adequately treated, 33 inadequately identified or managed). Of the 1921 women without HDP, 280 (14.58%) were hypertensive (113 adequately treated, 167 inadequately identified or managed). Women with HDP were at higher risk of hypertension (OR 4.09, 95% CI 2.76, 6.07). Women with a history of HDP were more likely to have hypertension that was inadequately identified or managed (OR 3.56, 95% CI 2.06, 5.97).
  
  
  CONCLUSIONS
  Women with HDP are at increased risk of undiagnosed or undertreated hypertension. Attention needs to be given to appropriate follow-up of women who have a pregnancy complicated by hypertensive disorders.
authors: Royal Brisbane Clinical School, The University of Queensland, UK. l.callaway@uq.edu.au
authors: Leonie K
authors: LK
authors: Callaway
authors: H
authors: H
authors: David McIntyre
authors: Gail M
authors: GM
authors: Williams
authors: Jake M
authors: JM
authors: Najman
authors: Debbie A
authors: DA
authors: Lawlor
authors: Abdullah
authors: A
authors: Mamun
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology; D046110:Hypertension, Pregnancy-Induced / Q000453:epidemiology; D016015:Logistic Models; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D011446:Prospective Studies; D011793:Queensland / Q000453:epidemiology; D018570:Risk Assessment; D055815:Young Adult
chemical_list: D000959:Antihypertensive Agents