Risk factors for late postpartum preeclampsia.
OBJECTIVE
To determine the risk factors for late postpartum preeclampsia.


METHODS
This was a retrospective case control study of women readmitted in the postpartum period (>48 hours and <4 weeks) with preeclampsia. Inclusion criteria were readmission with confirmed preeclampsia. Variables examined were age, race, parity, gestational hypertension, preeclampsia in labor, mode of delivery and history of preeclampsia in previous pregnancies.


RESULTS
Data included 51 women who met the criteria for late postpartum preeclampsia. Initial analysis revealed that antenatal preeclampsia, gestational hypertension, preeclampsia in a prior pregnancy, body mass index (BMI) > 30, African American race and cesarean delivery were all predictive of late postpartum preeclampsia. Asian ethnicity was protective. Final analysis using logistic regression concluded that African American race, cesarean delivery, BMI and hypertensive disease during the incident pregnancy were all significant predicators of late postpartum disease.


CONCLUSIONS
BMI >30, antenatal hypertensive disease, cesarean delivery and African American race were all predictive of readmission for late postpartum preeclampsia. Asian ethnicity appeared to be protective against developing late postpartum preeclampsia.
Department of Obstetrics and Gynecology, Scott and White Memorial Hospital, Temple, TX, USA. wlarsen@swmail.sw.org
Wilma I
WI
Larsen
Jennifer E
JE
Strong
John H
JH
Farley
D000328:Adult; D000367:Age Factors; D001213:Asian / Q000706:statistics & numerical data; D044383:Black People / Q000706:statistics & numerical data; D002585:Cesarean Section / Q000706:statistics & numerical data; D015897:Comorbidity; D005260:Female; D006801:Humans; D006973:Hypertension / Q000208:ethnology; D016015:Logistic Models; D010359:Patient Readmission / Q000706:statistics & numerical data*; D049590:Postpartum Period / Q000208:ethnology*; D011225:Pre-Eclampsia / Q000208:ethnology* / Q000517:prevention & control*; D011247:Pregnancy; D012189:Retrospective Studies; D012307:Risk Factors; D044465:White People / Q000706:statistics & numerical data; D016387:Women's Health / Q000208:ethnology*; D055815:Young Adult; D001741:Black or African American