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Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido Study

Author

Listed:
  • Kritika Poudel

    (Faculty of Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

  • Sumitaka Kobayashi

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

  • Chihiro Miyashita

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

  • Atsuko Ikeda-Araki

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

  • Naomi Tamura

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

  • Yu Ait Bamai

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

  • Sachiko Itoh

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

  • Keiko Yamazaki

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

  • Hideyuki Masuda

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

  • Mariko Itoh

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

  • Kumiko Ito

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan
    Faculty of Health Sciences, Hokkaido University of Science, Sapporo 060-0812, Japan)

  • Reiko Kishi

    (Center for Environmental and Health Sciences, Hokkaido University, Sapporo 060-0812, Japan)

Abstract

Hypertension during pregnancy causes a greater risk of adverse birth outcomes worldwide; however, formal evidence of hypertensive disorders during pregnancy (HDP) in Japan is limited. We aimed to understand the association between maternal characteristics, HDP, and birth outcomes. In total, 18,833 mother-infant pairs were enrolled in the Hokkaido study on environment and children’s health, Japan, from 2002 to 2013. Medical records were used to identify hypertensive disorders and birth outcomes, namely, small for gestational age (SGA), SGA at full term (term-SGA), preterm birth (PTB), and low birth weight (LBW). The prevalence of HDP was 1.9%. Similarly, the prevalence of SGA, term-SGA, PTB, and LBW were 7.1%, 6.3%, 7.4%, and 10.3%, respectively. The mothers with HDP had increased odds of giving birth to babies with SGA (2.13; 95% Confidence Interval (CI): 1.57, 2.88), PTB (3.48; 95%CI: 2.68, 4.50), LBW (3.57; 95%CI: 2.83, 4.51) than normotensive pregnancy. Elderly pregnancy, low and high body mass index, active and passive smoking exposure, and alcohol consumption were risk factors for different birth outcomes. Therefore, it is crucial for women of reproductive age and their families to be made aware of these risk factors through physician visits, health education, and various community-based health interventions.

Suggested Citation

  • Kritika Poudel & Sumitaka Kobayashi & Chihiro Miyashita & Atsuko Ikeda-Araki & Naomi Tamura & Yu Ait Bamai & Sachiko Itoh & Keiko Yamazaki & Hideyuki Masuda & Mariko Itoh & Kumiko Ito & Reiko Kishi, 2021. "Hypertensive Disorders during Pregnancy (HDP), Maternal Characteristics, and Birth Outcomes among Japanese Women: A Hokkaido Study," IJERPH, MDPI, vol. 18(7), pages 1-16, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3342-:d:523049
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    References listed on IDEAS

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    1. Naomi Tamura & Tomoyuki Hanaoka & Kumiko Ito & Atsuko Araki & Chihiro Miyashita & Sachiko Ito & Hisanori Minakami & Kazutoshi Cho & Toshiaki Endo & Kazuo Sengoku & Katsuhiko Ogasawara & Reiko Kishi, 2018. "Different Risk Factors for Very Low Birth Weight, Term-Small-for-Gestational-Age, or Preterm Birth in Japan," IJERPH, MDPI, vol. 15(2), pages 1-18, February.
    2. Rachel A Blake & Sangshin Park & Palmera Baltazar & Edna B Ayaso & Donna Bella S Monterde & Luz P Acosta & Remigio M Olveda & Veronica Tallo & Jennifer F Friedman, 2016. "LBW and SGA Impact Longitudinal Growth and Nutritional Status of Filipino Infants," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-13, July.
    3. Zainab Taha & Ahmed Ali Hassan & Ludmilla Wikkeling-Scott & Dimitrios Papandreou, 2020. "Factors Associated with Preterm Birth and Low Birth Weight in Abu Dhabi, the United Arab Emirates," IJERPH, MDPI, vol. 17(4), pages 1-10, February.
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    Cited by:

    1. Kritika Poudel & Sumitaka Kobayashi & Chihiro Miyashita & Takeshi Yamaguchi & Naomi Tamura & Atsuko Ikeda-Araki & Yu Ait Bamai & Sachiko Itoh & Keiko Yamazaki & Hideyuki Masuda & Mariko Itoh & Reiko K, 2021. "Hypertensive Disorders during Pregnancy and Anthropometric Measurement of Children up to 7 Years of Age: The Hokkaido Birth Cohort Study in Japan," IJERPH, MDPI, vol. 18(20), pages 1-17, October.

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