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Status,outcome,and related factors of postpartum hypertension in the Shanghai community

World Journal of Clinical Cases 2024年第21期12卷 4632-4641页

作者： Ling-Xia Wu Man Jin Jian Yang Department of Women's Health Xuhui District Maternal and Child Health HospitalShanghai 200235China

BACKGROUND Postpartum hypertension poses a considerable health *** research on gestational hypertension,comprehensive studies focusing on postpartum hypertension in communities are *** its prevalence and associated risk factors is crucial for effective prevention and *** To provide insights for postpartum hypertension’s prevention and *** In total,3297 women who gave birth between June 2021 and December 2022 in Xuhui District,Shanghai were *** pressure was measured thrice within one month post-delivery during home ***-six women with hypertension were followed up for four months to analyze hypertension persistence and its related risk factors.A predictive model for persistent postpartum hypertension was established and verified using the nomo diagram *** Hypertension prevalence 1 month post-delivery was 2.61%(86/3297).Among the 86 pregnant women,32(37.21%)had persistent hypertension at four months *** logistic regression analysis revealed that older age[odds ratio(OR)=1.212;95%confidence interval(CI):1.065–1.380]and higher pre-pregnancy body mass index(BMI)(OR=1.188;95%CI:1.006–1.404)were associated with hypertension(OR=10.781;95%CI:1.006–1.404)during pregnancy.A 95%CI of 1.243–93.480 is a risk factor for persistent postpartum *** nomograph model accurately predicted the risk of persistent postpartum hypertension,demonstrating high *** In Xuhui,older age,higher pre-pregnancy BMI,and gestational hypertension are risk factors for persistent postpartum *** prediction model can identify high-risk individuals,thereby improving patient quality of life.

关键词： Postpartum High blood pressure Shanghai community Hypertensive diseases during pregnancy Risk factors nomo diagram model

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