Archives of Gynecology and Obstetrics

, Volume 286, Issue 5, pp 1093–1096

Estimating risk factors for development of preeclampsia in teen mothers

Maternal-Fetal Medicine

Abstract

Purpose

Our objective was to identify potentially modifiable risk factors for preeclampsia in a contemporary American teen population.

Methods

We conducted a retrospective cohort analysis of all teenage deliveries (≤18 years old) at one institution over a 4-year-period. All cases of preeclampsia were identified using the National Working Group for Hypertension in Pregnancy diagnostic criteria and compared to normotensive teenage mothers.

Results

Of the 730 included teen deliveries, 65 (8.9 %) women developed preeclampsia and demonstrated a higher prepregnancy body mass index when compared with controls (32.9 ± 8.4 vs. 30.3 ± 6.1 kg/m2, p = 0.002). Maternal obesity (body mass index ≥30 kg/m2, RR 1.6, 95 % CI 1.0–2.8) and gestational weight gain above the Institute of Medicine recommended levels (RR 2.6, 95 % CI 1.5–4.4) were associated with higher risk for development of preeclampsia. When evaluating by severity or onset of disease, excessive weight gain in pregnancy was the strongest risk factor for mild (n = 58) or late onset (n = 54) preeclampsia (RR 2.5, 95 % CI 1.4–3.4).

Conclusions

Maternal obesity and excessive gestational weight gain place the gravid teen at increased risk for preeclampsia. The modifiable nature of these risk factors permits the possibility of intervention and prevention.

Keywords

Obesity Preeclampsia Pregnancy Teenage 

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Memorial Health University Medical CenterMercer School of MedicineSavannahUSA
  2. 2.Division of Maternal Fetal Medicine, Department of Obstetrics and GynecologyBaylor College of Medicine and Texas Children’s HospitalHoustonUSA

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