Differential trend of mild and severe preeclampsia among nulliparous women: a population-based study of South Korea

被引:0
作者
Kim, Seyoung [1 ]
Lee, Ji Yeon [2 ]
Kim, Taemi [3 ]
Gwak, Eunseon [4 ]
Choe, Seung-Ah [4 ]
机构
[1] Seoul Natl Univ, Grad Sch Publ Hlth, Dept Publ Hlth Sci, Seoul, South Korea
[2] CHA Univ, Dept Obstet & Gynecol, CHA Bundang Med Ctr, Sch Med, Seoul, South Korea
[3] Korea Univ, Dept Publ Hlth, Seoul, South Korea
[4] Korea Univ, Dept Prevent Med, Coll Med, 73 Goryeodae Ro, Seoul 02841, South Korea
基金
新加坡国家研究基金会;
关键词
Preeclampsia; Nulliparity; Korea; HYPERTENSIVE DISORDERS; PREGNANCY; RISK; PREVALENCE;
D O I
10.5468/ogs.23033
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We explored the annual risks of mild and severe preeclampsia (PE) among nulliparous women. Using the National Health Information Database of South Korea, 1,317,944 nulliparous women who gave live births were identified. Mild PE increased from 0.9% in 2010 to 1.4% in 2019 (P for trend=0.006), while severe PE decreased from 0.4% in 2010 to 0.3% in 2019 (P=0.049). The incidence of all types of PE (mild and severe) showed no linear change (P=0.514). Adjusted odds ratio (OR) of severe PE decreased in 2013 (0.68; 95% confidence interval [CI]: 0.60, 0.77) and beyond compared to that in 2010, while the OR of mild PE increased in 2017 (1.14; 95% CI: 1.06, 1.22) and beyond. Mild PE was found to be less likely to progress to the severe form since 2010; however, the overall risk of PE among women did not change.
引用
收藏
页码:449 / 454
页数:6
相关论文
共 20 条
[1]   Aspirin for Prevention of Preeclampsia [J].
Atallah, A. ;
Lecarpentier, E. ;
Goffinet, F. ;
Doret-Dion, M. ;
Gaucherand, P. ;
Tsatsaris, V. .
DRUGS, 2017, 77 (17) :1819-1831
[2]   Clinical risk factors for pre-eclampsia determined in early pregnancy: systematic review and meta-analysis of large cohort studies [J].
Bartsch, Emily ;
Medcalf, Karyn E. ;
Park, Alison L. ;
Ray, Joel G. .
BMJ-BRITISH MEDICAL JOURNAL, 2016, 353
[3]   Hypertensive Disorders of Pregnancy ISSHP Classification, Diagnosis, and Management Recommendations for International Practice [J].
Brown, Mark A. ;
Magee, Laura A. ;
Kenny, Louise C. ;
Karumanchi, S. Ananth ;
McCarthy, Fergus P. ;
Saito, Shigeru ;
Hall, David R. ;
Warren, Charlotte E. ;
Adoyi, Gloria ;
Ishaku, Salisu .
HYPERTENSION, 2018, 72 (01) :24-43
[4]   Decreased Risk of Preeclampsia After the Introduction of Universal Voucher Scheme for Antenatal Care and Birth Services in the Republic of Korea [J].
Choe, Seung-Ah ;
Min, Hye Sook ;
Cho, Sung-il .
MATERNAL AND CHILD HEALTH JOURNAL, 2017, 21 (01) :222-227
[5]   The income-based disparities in preeclampsia and postpartum hemorrhage: a study of the Korean National Health Insurance cohort data from 2002 to 2013 [J].
Choe, Seung-Ah ;
Min, Hye-Sook ;
Cho, Sung-Il .
SPRINGERPLUS, 2016, 5
[6]   The complement system in preeclampsia: a review of its activation and endothelial injury in the triad of COVID-19 infection and HIV-associated preeclampsia [J].
David, Mikyle ;
Naicker, Thajasvarie .
OBSTETRICS & GYNECOLOGY SCIENCE, 2023, 66 (04) :253-269
[7]   Comments on American College of Obstetricians and Gynecologists Practice Bulletin No. 106 [J].
Freeman, Roger K. ;
Nageotte, Michael P. .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2010, 202 (05) :411-412
[8]  
Health Insurance Review & Assessment Service, 2023, Healthcare service provision statistics (tests and surgeries)
[9]   The etiology of preeclampsia [J].
Jung, Eunjung ;
Romero, Roberto ;
Yeo, Lami ;
Gomez-Lopez, Nardhy ;
Chaemsaithong, Piya ;
Jaovisidha, Adithep ;
Gotsch, Francesca ;
Erez, Offer .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2022, 226 (02) :S844-S866
[10]  
Lee SY, 2016, Policy support for medical expenses on pregnancy and delivery: the kookmin haengbok card program