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September 6, 2014Obstetrics and Gynecology

Early-onset preeclampsia was associated with a higher rate of severe maternal morbidity compared to no preeclampsia (12.2 vs 3 per 100 deliveries; aOR 3.7, 95% CI 3.2-4.3).

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Why the study?

Does early-onset and late-onset preeclampsia increase the risk of severe maternal morbidity compared to women without preeclampsia in singleton deliveries?

Population

670,120 singleton deliveries in Washington State between 2000 and 2008

Comparison

Early-onset and late-onset preeclampsia vs Women without preeclampsia

Design

Cohort

Key result

Early-onset preeclampsia was associated with a higher rate of severe maternal morbidity compared to no preeclampsia (12.2 vs 3 per 100 deliveries; aOR 3.7, 95% CI 3.2-4.3).

Authors

SLSarka LisonkovaYSYasser SabrCMChantal Mayer

Discussion

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Member takes

Overview

Supports heightened surveillance for severe maternal morbidity in early-onset preeclampsia; extends prior associations but remains hypothesis-generating in this cohort.

Study Design

Type

Cohort (n=670,120)

Structured PICO

Does early-onset and late-onset preeclampsia increase the risk of severe maternal morbidity compared to women without preeclampsia in singleton deliveries?

P
Population
670,120 women with singleton deliveries in Washington State between 2000 and 2008.
E
Exposure
Early-onset and late-onset preeclampsia
C
Comparator
Women without preeclampsia
O
Outcome
Severe maternal morbidity (defined as any potentially life-threatening condition)hard clinical

Main Result

Odds Ratio: 3.7 (95% CI 3.2–4.3)

Absolute Event Rate: 12.2% vs 3%

Early-onset preeclampsia is associated with a substantially higher risk of severe maternal morbidity and mortality compared to late-onset preeclampsia and women without the condition.

Cite This Study

Lisonkova et al. (2014) conducted a cohort in Preeclampsia (n=670,120). Early-onset preeclampsia vs. Women without preeclampsia was evaluated on Severe maternal morbidity (excluding obstetric trauma) (aOR 3.7, 95% CI 3.2-4.3). Early-onset preeclampsia was associated with a higher rate of severe maternal morbidity compared to no preeclampsia (12.2 vs 3 per 100 deliveries; aOR 3.7, 95% CI 3.2-4.3).

synapsesocial.com/papers/6a819da1b7134f4e3dee2024https://doi.org/10.1097/aog.0000000000000472
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