Key result
Regional rescue center care is linked to more comorbidities and advanced maternal age versus specialized hospitals.
Why the study?
Hypertensive disorders in pregnancy are leading causes of maternal and perinatal death worldwide, and regional variations in clinical characteristics and outcomes in China were not well described.
Observational
Yes
Regional variations in the clinical characteristics of hypertensive disorders in pregnancy in China suggest the need for targeted, region-specific prenatal care procedures.
Regional HDP variations in China may guide local prenatal care; leaves open tailored guidelines pending prospective validation.
BACKGROUND: Hypertensive disorders in pregnancy (HDPs) are the leading causes of maternal and perinatal death worldwide, and appropriate prenatal care is beneficial toward improve pregnancy outcomes in populations at high risk of preeclampsia. OBJECTIVE: To describe variations in regional manifestations and outcomes of HDPs among the Chinese population to aid in the development of region-specific perinatal management guidelines. METHODS: This is a retrospective study. The clinical data of patients with HDP in 3 different regions were collected to explore the characteristics of HDP patients in different regions of China. RESULTS: In Peking University First Hospital, a regional rescue center for prenatal care and delivery, the proportion of patients with high-risk factors for PE was considerably high; 37.8% were of advanced maternal age, and 14.7% were obese. Among the patients, at this hospital, the proportion of comorbidities (e.g., chronic hypertension) in HDP patients was higher than that in the other 2 specialized maternal and child health care hospitals. CONCLUSION: Targeted prenatal care procedures should be established based on regional characteristics to improve the quality of perinatal health care and reduce the incidence of HDP. [Figure: see text].
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Rui et al. (2023) conducted an observational in Hypertensive disorders in pregnancy. Care at a regional rescue center (Peking University First Hospital) vs. Care at specialized maternal and child health care hospitals was evaluated on Proportion of high-risk factors and comorbidities. Care at a regional rescue center was associated with higher proportions of advanced maternal age (37.8%), obesity (14.7%), and comorbidities compared to specialized maternal hospitals.
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