Key result
Pregnant women with risk factors for preeclampsia had a 2.54 times higher chance of delivering by cesarean section compared to women without risk factors.
Why the study?
Preeclampsia involves new-onset hypertension after 20 weeks of gestation, but the frequency of cesarean delivery in pregnant women with preeclampsia risk factors compared to normal pregnancy required examination.
Does the presence of preeclampsia risk factors increase the frequency of cesarean section in pregnant women?
Cohort (n=240)
No
Does the presence of preeclampsia risk factors increase the frequency of cesarean section in pregnant women?
Pregnant women with risk factors for preeclampsia have a significantly higher likelihood of delivering by cesarean section compared to those with normal pregnancies.
Should not yet inform delivery planning; leaves open whether risk-factor modification affects cesarean rates.
Background: Preeclampsia is a disorder of pregnancy associated with new-onset hypertension after the 20th week of gestation. The aim of this study is to examine frequency of cesarean delivery in pregnant women with risk for developing preeclampsia compared with pregnant women with normal pregnancy. Methods: The prospective study included 240 pregnant women. The experimental group had 120 pregnant women with preeclampsia risk factors. The control group had 120 pregnant women with no pregnancy risk factors. The method of delivery completion was analyzed. Results: In the experimental group, 88 (73.3%) pregnant women completed delivery vaginally, by cesarean section in 32 (26.7%). In the control group of vaginally deliveries were 105 (87.5%), by cesarean section 15 (12.5%). The difference in the frequency of method of delivery between the experimental and control groups is not random (p = 0.009). The chance of completing a delivery by cesarean section 2.54 times is higher in the experimental than in the control group. In the control group, it was found that the RI of uterine arteries in women who delivered by cesarean section was statistically significantly higher than in vaginal delivery (p = 0.038). Conclusion: Cesarean section is the most commonly used surgical procedure to complete delivery in pregnant womens with risk factors for preeclampsia, which confirmed our study.
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Kamerić et al. (2021) conducted a cohort in Pregnancy with risk factors for preeclampsia (n=240). Risk factors for preeclampsia vs. No pregnancy risk factors was evaluated on Frequency of cesarean section (OR 2.54, 95% CI 1.30-5.00, p=0.009). Pregnant women with risk factors for preeclampsia had a 2.54 times higher chance of delivering by cesarean section compared to women without risk factors.
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