Maternal and neonatal outcomes in gestational hypertension for delivery at 37 weeks versus 38-40 weeks.

IF 1.5 4区医学 Q3 OBSTETRICS & GYNECOLOGY

American journal of perinatology Pub Date : 2025-03-31 DOI:10.1055/a-2568-9104

Lauren Thompson, Joseph Werthammer, Grace Montgomery, Matthew Nudelman, Jesse Cottrell, David Gozal, Rebekah Fabela, Kennedy Snavely

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引用次数: 0

Abstract

Objective: To compare neonatal and maternal outcomes for mothers with gestational hypertension delivered at 37 weeks' gestation compared with 38-40 weeks.

Study design: Single center, retrospective chart review of women with gestational hypertension delivered between 37+0-40+6 weeks' gestation over a 29-month period.

Results: 337 mother-infant dyads with gestational hypertension were included: 194 delivered at 37 weeks' gestation (cohort 1) and 143 delivered at 38-40 weeks' gestation (cohort 2). Preeclampsia developed in 12% of cohort 1 and 8% of cohort 2 (p=0.242). No significant differences in severe hypertensive-related complications were found between the cohorts. Neonatal outcomes including NICU admission, respiratory support, phototherapy, and length of stay were all more frequent in cohort 1.

Conclusion: For women with gestational hypertension, delivery at 38-40 weeks was not associated with increased maternal complications but was associated with fewer neonatal complications when compared to delivery at 37 weeks.

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来源期刊

American journal of perinatology 医学-妇产科学

CiteScore

5.90

自引率

0.00%

发文量

302

审稿时长

4-8 weeks

期刊介绍： The American Journal of Perinatology is an international, peer-reviewed, and indexed journal publishing 14 issues a year dealing with original research and topical reviews. It is the definitive forum for specialists in obstetrics, neonatology, perinatology, and maternal/fetal medicine, with emphasis on bridging the different fields. The focus is primarily on clinical and translational research, clinical and technical advances in diagnosis, monitoring, and treatment as well as evidence-based reviews. Topics of interest include epidemiology, diagnosis, prevention, and management of maternal, fetal, and neonatal diseases. Manuscripts on new technology, NICU set-ups, and nursing topics are published to provide a broad survey of important issues in this field. All articles undergo rigorous peer review, with web-based submission, expedited turn-around, and availability of electronic publication. The American Journal of Perinatology is accompanied by AJP Reports - an Open Access journal for case reports in neonatology and maternal/fetal medicine.