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Gestational weight gain and blood pressure control in physiological pregnancy and pregnancy complicated by hypertension

Tomasz Mikołaj Maciejewski
Tomasz Mikołaj Maciejewski
, 
Ewa Szczerba
Ewa Szczerba
, 
Agnieszka Zajkowska
Agnieszka Zajkowska
, 
Katarzyna Pankiewicz
Katarzyna Pankiewicz
, 
Anna Bochowicz
Anna Bochowicz
, 
Grzegorz Szewczyk
Grzegorz Szewczyk
, 
Grzegorz Opolski
Grzegorz Opolski
, 
Maciej Małecki
Maciej Małecki
 y 
Anna Fijałkowska
Anna Fijałkowska
   | 14 dic 2022
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Article Category: Original articles
Publicado en línea: 14 dic 2022
Páginas: 66 - 72
Recibido: 12 may 2022
Aceptado: 20 jul 2022
DOI: https://doi.org/10.34763/jmotherandchild.20222601.d-22-00020
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© 2022 Maciejewski et al. published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Graph 1

Correlation between systolic blood pressure and weight change in normal pregnancy group.
Correlation between systolic blood pressure and weight change in normal pregnancy group.

Graph 2

Correlation between systolic blood pressure and body mass index change in normal pregnancy group.
Correlation between systolic blood pressure and body mass index change in normal pregnancy group.

Graph 3

Correlation between maximal systolic blood pressure and weight change in gestational hypertension group.
Correlation between maximal systolic blood pressure and weight change in gestational hypertension group.

Graph 4

Correlation between maximal systolic blood pressure and weight change in chronic hypertension group.
Correlation between maximal systolic blood pressure and weight change in chronic hypertension group.

Comparison of anthropometric and blood pressure measurement data with division between three studied groups. DBP – diastolic blood pressure; HR – heart rate; SBP – systolic blood pressure.

normal pregnancy hypertensive disorders in pregnancy p gestational hypertension chronic hypertension p
prepregnancy weight [kg] 63.7 72.1 <0.001 74 70 0.288
prepregnancy body mass index [kg/m2] 22.8 26.2 <0.001 26.1 25.8 0.532
weight change [kg] 11.9 12.2 0.512 13 10.8 0.163
body mass index change [kg/m2] 4.2 4.4 0.352 4.8 3.7 0.280
age [years] 30.5 32 0.14 31.5 33 0.212
pregnancy duration 32 34 0.16 35 33 0.04
office left arm SBP [mmHg] 115 134 <0.001 138 129 0.018
office left arm SBP [mmHg] 70 85 <0.001 87.5 80 0.034
office right arm SBP [mmHg] 117 132 <0.001 136 128.8 0.015
office right arm SBP [mmHg] 70 85.5 <0.001 87 78.5 0.008
maximal SPB [mmHg] 130 160 <0.001 160 155 0.247
maximal DBP [mmHg] 80 100 <0.001 99.5 100 0.579
HR [beats/minute] 86 90.5 0.3 88 92.5 0.794

Correlations between gestational weight gain and blood pressure control in the studied subgroups. DBP – diastolic blood pressure; HR – heart rate; SBP – systolic blood pressure.

normal hypertensive disorders gestational chronic
pregnancy in pregnancy hypertension hypertension
r = 0.286 r = 0.233 r = 0.264 r = 0.022
office left arm SBP [mmHg] and gestational weight gain p = 0.014 p = 0.115 p = 0.131 p = 0.943
office left arm DBP [mmHg] and gestational weight gain r = 0.221 r = 0.25 r = 0.147 r = 0.329
p = 0.06 p = 0.09 p = 0.407 p = 0.272
r = 0.479 r = 0.379 r = 0.338 r = 0.408
office right arm SBP [mmHg] and gestational weight gain p < 0.001 p = 0.008 p = 0.05 p = 0.147
r = 0.333 r = 0.174 r = 0.085 r = 0.308
office right arm DBP [mmHg] and gestational weight gain p = 0.005 p = 0.237 p = 0.632 p = 0.285
maximal SPB [mmHg] and gestational weight gain r = 0.34 r = 0.165 r = -0.097 r = 0.572
p = 0.004 p = 0.253 p = 0.584 p = 0.021
r = 0.37 r = 0.063 r = -0.252 r = 0.739
maximal DBP [mmHg] and gestational weight gain p = 0.002 p = 0.665 p = 0.15 p = 0.001
r = 0.24 r = 0.148 r = 0.182 r = 0.079
HR [beats/minute] and gestational weight gain p = 0.038 p = 0.315 p = 0.302 p = 0.788
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Temas de la revista:
Medicine, Clinical Medicine, Pediatrics and Juvenile Medicine, Paediatric Haematology and Oncology, Public Health
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