The Relationship Between Markers Derived From Ambulatory Blood Pressure Monitoring and Preterm Birth and Neonatal Weight in Patients With Preeclampsia

Background: In order to discern the relationship between ambulatory blood pressure monitoring-related indices and preterm birth and newborn weight in patients with preeclampsia. Methods: Sixty-seven patients with preeclampsia were included in the present study. We used logistic regression analysis to determine the relationship between blood pressure index and preterm birth risk, and to find the best threshold to predict preterm birth using an ROC curve. The relationship between the blood pressure index and neonatal weight was best described by linear regression analysis. Results: The main result are as follows. Nocturnal diastolic blood pressure load (OR =1.045, 95% Cl 1.016–1.076, P=0.002) has significant statistical association with preterm birth, but there was no statistical association between other indicators and preterm birth. Nocturnal systolic blood pressure, nocturnal systolic blood pressure load, and nocturnal diastolic blood pressure load each showed a significant negative correlation with neonatal weight. Other indicators were also negatively correlated, but these were not statistically significant. The predictive thresholds for nDBP load, as follows: for nDBP load at 73.8% a sensitivity of 0.78 and specificity of 0.70. Conclusions: In conclusion, in women with preeclampsia, elevated nDBP load has significant positive correlation with the risk of preterm birth, and nSBP, nSBP load and nDBP load has negative correlation with birth weight in newborns.