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Risk factors and fetal outcomes for preeclampsia in a Colombian cohort

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dc.contributor.authorAyala-Ramírez, Paola
dc.contributor.authorSerrrano, Natalia
dc.contributor.authorBarrera, Viviana
dc.contributor.authorBejarano, Juan Pablo
dc.contributor.authorSilva, Jaime Luis
dc.contributor.authorMartínez, Rodolfo
dc.contributor.authorGil, Fabian
dc.contributor.authorOlaya-C, Mercedes
dc.contributor.authorGarcía-Robles, Reggie
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Patología
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Ginecología y Obstetricia
dc.contributor.javerianateacherGil, Fabian
dc.coverage.spatialColombiaspa
dc.date.accessioned2021-02-24T01:06:12Z
dc.date.available2021-02-24T01:06:12Z
dc.date.created2020-09
dc.description.abstractenglishIn Latin America and the Caribbean, hypertensive pregnancy disorders are responsible for almost 26% of allmaternal deaths [1] and, in Colombia, they account for 59% of all severe maternal morbidity (SMM) cases, and59.7% of all SMM cases in adolescents [2]. One of the most important hypertensive pregnancy disorders ispreeclampsia (PE). Lives can be saved, if PE is prevented, or detected early and properly managed. Prevention anddetection depend on identifying the risk factors associated with PE, and, as these have been shown vary bypopulation, they should be determined on a population-by-population basis. The following study utilized thenested case-control model to evaluate 45 potential PE risk factors of a cohort in Bogot a, Colombia, making itperhaps the most comprehensive study of its kind in Colombia. It found PE to have a statistically significantassociation with 7 of the 45 factors evaluated: 1) pre-gestational BMI>30 kg/m2, 2) pregnancy weight gain>12kg, 3) previous history preeclampsia/eclampsia, 4) previous history of IUGR-SGA (Intrauterine GrowthRestriction-Small for Gestational Age), 5) maternal age<20 or 35 years (20–34 was not associated), and 6)family history of diabetes. Finally, prenatal consumption of folic acid was found to lower the risk of PE. Werecommend that, in Colombia, factors 1–6 be used to identify at risk mothers during pregnancy check-ups; thatmothers be encouraged to take folic acid during pregnancy; and, that Colombia's health system and public policyaddress the problem of pregestational obesity.spa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.quartilescopusQ1spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://www.sciencedirect.com/science/article/pii/S2405844020319228?via%3Dihubspa
dc.identifier.doihttps://doi.org/10.1016/j.heliyon.2020.e05079spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn2405-8440spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/53075
dc.language.isoengspa
dc.relation.citationendpage12spa
dc.relation.citationissue9spa
dc.relation.citationstartpage1spa
dc.relation.citationvolume6spa
dc.relation.ispartofjournalHeliyonspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordPublic healthspa
dc.subject.keywordObstetricsspa
dc.subject.keywordPregnancyspa
dc.subject.keywordReproductive systemspa
dc.subject.keywordPediatricsspa
dc.subject.keywordPregnancy complicationsspa
dc.subject.keywordReproductive healthspa
dc.subject.keywordHypertensionspa
dc.subject.keywordPregnancy outcomesspa
dc.titleRisk factors and fetal outcomes for preeclampsia in a Colombian cohortspa
dc.title.englishRisk factors and fetal outcomes for preeclampsia in a Colombian cohortspa
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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