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Risk of gestational hypertension-preeclampsia in women with preceding endometriosis: A nationwide population-based study

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  • Mei-Lien Pan
  • Li-Ru Chen
  • Hsiao-Mei Tsao
  • Kuo-Hu Chen

Abstract

Objective: To investigate the association between preceding endometriosis and gestational hypertension-preeclampsia (GH-PE). Methods: In this nationwide population-based longitudinal study, data from 1998–2012 Taiwan National Health Insurance Research Database were used. We used ICD9-CM codes 617.X and 642.X respectively for the diagnoses of endometriosis and GH-PE, which were further confirmed by examining medical records of surgeries, blood pressure and urine protein to ensure the accuracy of the diagnoses. The study excluded women diagnosed with endometriosis at 45 years of age, chronic hypertension, and GH-PE prior to endometriosis. Each pregnant woman with a prior diagnosis of endometriosis was matched to 4 pregnant women without endometriosis by age. Logistic regression analysis was used to calculate odds ratios (ORs) for the risk of GH-PE with adjustment for age, occupation, urbanization, economic status and comorbidities. Results: Among 6,300 women with a prior endometriosis diagnosis who were retrieved from a population of 1,000,000 residents, 2,578 (40.92%) had subsequent pregnancies that were eligible for further analysis and were compared with 10,312 pregnant women without previous endometriosis. GH-PE occurred more in women with prior endometriosis as compared to those without endometriosis (3.88% vs. 1.63%, p

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  • Mei-Lien Pan & Li-Ru Chen & Hsiao-Mei Tsao & Kuo-Hu Chen, 2017. "Risk of gestational hypertension-preeclampsia in women with preceding endometriosis: A nationwide population-based study," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-13, July.
  • Handle: RePEc:plo:pone00:0181261
    DOI: 10.1371/journal.pone.0181261
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    1. Mei-Lien Pan & Li-Ru Chen & Hsiao-Mei Tsao & Kuo-Hu Chen, 2015. "Relationship between Polycystic Ovarian Syndrome and Subsequent Gestational Diabetes Mellitus: A Nationwide Population-Based Study," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-9, October.
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    1. Maria Grazia Porpora & Federica Tomao & Adele Ticino & Ilaria Piacenti & Sara Scaramuzzino & Stefania Simonetti & Ludovica Imperiale & Chiara Sangiuliano & Luisa Masciullo & Lucia Manganaro & Pierluig, 2020. "Endometriosis and Pregnancy: A Single Institution Experience," IJERPH, MDPI, vol. 17(2), pages 1-10, January.

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