Hypertensive disorders (HD) of pregnancy are a
leading cause of maternal and perinatal mortality and morbidity worldwide.
Although several risk factors for hypertensive disorders of pregnancy have been
firmly established, the risk attributable to specific race-ethnicities is less
clear. The risk of preeclampsia-eclampsia may differ by maternal ethnicity 30
as also the course, severity and prognosis. This study aimed to compare severe preeclampsia and eclampsia in
tribal and nontribal women of Jangalmahal area of West Bengal in terms of incidence, clinical, demographic picture,
severity, course of disease, response to
treatment, complications and delivery
outcome including foetal outcome and
maternal outcome.
References
[1]
Vanderjagt, D.J., Patel, R.J., El Nafaty, A.U., Melah, G.S., Crossey, M.J. and Glew, R.H. (2004) High-Density Lipoprotein and Homocysteine Levels Correlate Inversely in Preeclamptic Women in Northern Nigeria. Acta Obstetricia et Gynecologica Scandinavica, 83, 536-542. https://doi.org/10.1111/j.1600-0412.2004.00513.x
[2]
Eiland, E., Nzerue, C. and Faulkner, M. (2012) Preeclampsia 2012. Journal of Pregnancy, 2012, Article ID: 586578. https://doi.org/10.1155/2012/586578
[3]
Roberts, J.M., August, P.A., Bakris, G., et al. (2013) Hypertension in Pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstetrics & Gynecology, 122, 1122-1131.
[4]
Al Jameil, A.K. and Fareed Khan, T. (2014) A Brief Overview of Preeclampsia. Journal of Clinical Medicine Research, 6, 1-7.
[5]
Zenebe, W., Hailemariam, S. and Mirkuzie, W. (2011) Hypertensive Disorders of Pregnancy in Jimma University Specialized Hospital. Ethiopian Journal of Health Sciences, 21, 147-154. https://doi.org/10.4314/ejhs.v21i1.69038
[6]
Wallis, A.B., Saftlas, A.F., Hisa, J. and Atrash, H.K. (2008) Secular Trends in the Rates of Preeclampsia, Eclampsia, and Gestational Hypertension, United States, 1987-2004. American Journal of Hypertension, 21, 521-526.
https://doi.org/10.1038/ajh.2008.20
[7]
Duley, L. (2009) The Global Impact of Pre-Eclampsia and Eclampsia. Seminars in Perinatology, 33, 130-137. https://doi.org/10.1053/j.semperi.2009.02.010
[8]
World Health Organization (WHO) (2005) Make Every Mother and Child Count. World Health Report. Geneva.
[9]
Dolea, C. and AbouZahr, C. (2003) Global Burden of Hypertensive Disorders of Pregnancy in the Year 2000. Global Burden of Diseases 2000 Working Paper. World Health Organization (WHO), Geneva.
[10]
Gupte, S. and Wagh, G. (2014) Preeclampasia-Eclampsia. The Journal of Obstetrics and Gynecology of India, 64, 4-13. https://doi.org/10.1007/s13224-014-0502-y
[11]
Khan, K.S., Wojdyla, D., Say, L., Gulmezoglu, A.M. and Van Look, P.F. (2006) WHO Analysis of Causes of Maternal Death: A Systematic Review. The Lancet, 367, 1066-1074. https://doi.org/10.1016/S0140-6736(06)68397-9
[12]
(2007) Balancing the Scales: Expanding Treatment for Pregnant Women with Life-Threatening Hypertensive Conditions in Developing Countries. A Report on Barriers and Solutions to Treat Preeclampsia and Eclampsia. Engender Health.
[13]
Altman, D., Carroli, G., Duley, L., Farrell, B., Moodley, J., Neilson, J., Smith, D. and Magpie Trial Collaboration Group (2002) Do Women with Preeclampsia, and Their Babies, Benefit from Magnesium Sulphate? The Magpie Trial: A Randomised Placebo-Controlled Trial. The Lancet, 359, 1877-1890.
https://doi.org/10.1016/S0140-6736(02)08778-0
[14]
Walker, J.J. (2000) Pre-Eclampsia. The Lancet, 356, 1260-1265.
https://doi.org/10.1016/S0140-6736(00)02800-2
[15]
Schutte, J.M., Steegers, E.A., Schuitemaker, N.W., et al. (2010) Rise in Maternal Mortality in the Netherlands. Netherlands Maternal Mortality Committee. BJOG, 117, 399-406. https://doi.org/10.1111/j.1471-0528.2009.02382.x
[16]
Lopez Jaramillo, P., Casas, J.P. and Serrano, N. (2001) Preeclampsia: From Epidemiological Observation to Molecular Mechanisms. Brazilian Journal of Medical and Biological Research, 34, 1227-1235.
https://doi.org/10.1590/S0100-879X2001001000001
[17]
Okereke, E., Ahonsi, B., Tukur, J., Ishaku, S.M. and Oginni, A.B. (2012) Benefits of Using Magnesium Sulphate (MgSO4) for Eclampsia Management and Maternal Mortality Reduction: Lessons from Kano State in Northern Nigeria. Population Council. BMC Research Notes, 5, 421. https://doi.org/10.1186/1756-0500-5-421
[18]
Abubakar, A., Abdullahi, R.A., Jibril, H.Z., Dauda, M.H. and Poopola, M.A. (2009) Maternal Ethnicity and Severity of Pre-Eclampsia in Northern Nigeria. Asian Journal of Medical Sciences, 1, 104-107.
[19]
Aaserud, M., Lewin, S. and Innvaer, S. (2005) Translating Research into Policy and Practice in Developing Countries: A Case Study of Magnesium Sulphate for Pre-Eclampsia. BMC Health Services Research, 5, 68.
https://doi.org/10.1186/1472-6963-5-68
[20]
WHO, UNICEF, UNFPA, The World Bank, and United Nations Population Division Maternal Mortality Estimation Inter-Agency Group (2013) Maternal Mortality in 1990-2013.
[21]
Registrar General, India, Centre for Global Health Research, University of Toronto, Canada (2006) Maternal Mortality in India 1997-2003 Trends, Causes and Risk Factors. New Delhi Registrar General, New Delhi.
[22]
Sachan, R., Patel, M.L., Sachan, P., Gaurav, A., Singh, M. and Bansal, B. (2013) Outcomes in Hypertensive Disorders of Pregnancy in the North Indian Population. International Journal of Women’s Health, 5, 101-108.
https://doi.org/10.2147/IJWH.S40473
[23]
Khan, A., Ghosh, A., Banerjee, P.K. and Mondal, T.K. (2014) Profile and Outcome of Eclampsia in a Rural Tertiary Hospital. International Journal of Recent Trends in Science and Technology, 10, 526-529.
[24]
Lain, K.Y. and Roberts, J.M. (2002) Contemporary Concepts of the Pathogenesis and Management of Preeclampsia. JAMA, 287, 3183-3186.
https://doi.org/10.1001/jama.287.24.3183
[25]
Odegard, R.A., Vatten, L.J., Nilsen, S.T., Salvesen, K.A. and Austgulen, R. (2000) Preeclampsia and Fetal Growth. Obstetrics & Gynecology, 96, 950-955.
https://doi.org/10.1097/00006250-200012000-00016
[26]
Barker, D.J. (2004) The Developmental Origins of Well-Being. Philosophical Transactions of the Royal Society B: Biological Sciences, 359, 1359-1366.
https://doi.org/10.1098/rstb.2004.1518
[27]
Odell, C.D., Kotelchuck, M., Chetty, V.K., Fowler, J., Stubblefield, P.G., Orejuela, M. and Jack, B.W. (2006) Maternal Hypertension as a Risk Factor for Low Birth Weight Infants: Comparison of Haitian and African-American Women. Maternal and Child Health Journal, 10, 39-46. https://doi.org/10.1007/s10995-005-0026-2
[28]
Williams, K.P. and Baldwin, V. (1998) The Effect of Ethnicity on the Development of Small for Gestational Age Infants Associated with Hypertension in Pregnancy. The American Journal of Perinatology, 15, 125-128.
https://doi.org/10.1055/s-2007-993911
Chesley, L.C. (1974) A Short History of Eclampsia. Obstetrics & Gynecology, 43, 599-602.
[31]
Chesley, L.C. (1978) Superimposed Preeclampsia or Eclampsia. In: Chesley, L.C., Ed., Hypertensive Disorders in Pregnancy, Appleton, New York, 14, 302, 482.
[32]
Roberts, J.M. and Hubel, C.A. (1999) Is Oxidative Stress the Link in the Two-Stage Model of Preeclampsia? The Lancet, 354, 788-789.
https://doi.org/10.1016/S0140-6736(99)80002-6
[33]
Steegers, E.A.P., von Dadelszen, P., Duvekot, J.J. and Pijnenborg, R. (2010) Pre-Eclampsia. The Lancet, 376, 631-644.
https://doi.org/10.1016/S0140-6736(10)60279-6
Pritchard, J.A. (1978) Management of Severe Preeclampsia and Eclampsia. Seminars in Perinatology, 2, 83.
[36]
Sibai, B., Dekker, G. and Kupferminc, M. (2005) Pre-Eclampsia. The Lancet, 365, 785-799. https://doi.org/10.1016/S0140-6736(05)17987-2
[37]
Roberts, C.L., Algert, C.S., Morris, J.M., Ford, J.B. and Henderson Smart, D.J. (2005) Hypertensive Disorders in Pregnancy: A Population-Based Study. Medical Journal of Australia, 182, 332-335.
https://doi.org/10.5694/j.1326-5377.2005.tb06730.x
[38]
Cnattingius, S., Reilly, M., Pawitan, Y. and Lichtenstein, P. (2004) Maternal and Fetal Genetic Factors Account for Most of Familial Aggregation of Pre-Eclampsia: A Population-Based Swedish Cohort Study. American Journal of Medical Genetics Part A, 130, 365-371. https://doi.org/10.1002/ajmg.a.30257
[39]
Duckitt, K. and Harrington, D. (2005) Risk Factors for Pre-Eclampsia at Antenatal Booking. Systematic Review of Controlled Studies. BMJ, 330, 565.
https://doi.org/10.1136/bmj.38380.674340.E0
[40]
Hernandez Diaz, S., Toh, S. and Cnattingius, S. (2009) Risk of Pre-Eclampsia in First and Subsequent Pregnancies: Prospective Cohort Study. BMJ, 338, b2255.
https://doi.org/10.1136/bmj.b2255
[41]
Saftlas, A.F., Levine, R.J., Klebanoff, M.A., Martz, K.L., Ewell, M.G., Morris, C.D. and Sibai, B.M. (2003) Abortion, Changed Paternity, and Risk of Pre-Eclampsia in Nulliparous Women. American Journal of Epidemiology, 157, 1108-1114.
https://doi.org/10.1093/aje/kwg101
[42]
Skjaerven, R., Wilcox, A.J. and Lie, R.T. (2002) The Interval between Pregnancies and the Risk of Pre-Eclampsia. The New England Journal of Medicine, 346, 33-38.
https://doi.org/10.1056/NEJMoa011379
[43]
Roberts, J.M., Pearson, G., Cutler, J. and Lindheimer, M. (2003) Summary of the NHLBI Working Group on Research on Hypertension during Pregnancy. Hypertension, 41, 437-445. https://doi.org/10.1161/01.HYP.0000054981.03589.E9
[44]
McDonald, S.D., Best, C. and Lam, K. (2009) The Recurrence Risk of Severe de Novo Pre-Eclampsia in Singleton Pregnancies: A Population-Based Cohort. BJOG, 116, 1578-1584. https://doi.org/10.1111/j.1471-0528.2009.02317.x
[45]
Caritis, S., Sibai, B., Hauth, J., et al. (1998) Low-Dose Aspirin to Prevent Preeclampsia in Women at High Risk. The New England Journal of Medicine, 338, 701-705.
https://doi.org/10.1056/NEJM199803123381101
[46]
World Health Organization (1988) Geographic Variation in the Incidence of Hypertension in Pregnancy. World Health Organization International Collaborative Study of Hypertensive Disorders of Pregnancy. American Journal of Obstetrics and Gynecology, 158, 80-83. https://doi.org/10.1016/0002-9378(88)90782-X
[47]
Gong, J., Savitz, D.A., Stein, C.R. and Engel, S.M. (2012) Maternal Ethnicity and Pre-Eclampsia in New York City, 1995-2003. Paediatric and Perinatal Epidemiology, 26, 45-52. https://doi.org/10.1111/j.1365-3016.2011.01222.x
[48]
Caughey, A.B., Stotland, N.E., Washington, A.E. and Escobar, G.J. (2005) Maternal Ethnicity, Paternal Ethnicity, and Parental Ethnic Discordance: Predictors of Preeclampsia. Obstetrics & Gynecology, 106, 156-161.
https://doi.org/10.1097/01.AOG.0000164478.91731.06
[49]
Urquia, M.L., et al. (2012) Serious Preeclampsia among Different Immigrant Groups. Journal of Obstetrics and Gynaecology Canada, 34, 348-352.
https://doi.org/10.1016/S1701-2163(16)35215-X
[50]
Bryant, A.S., Seely, E.W., Cohen, A. and Lieberman, E. (2005) Patterns of Pregnancy-Related Hypertension in Black and White Women. Hypertension in Pregnancy, 24, 281-290. https://doi.org/10.1080/10641950500281134
[51]
Goodwin, A.A. and Mercer, B.M. (2005) Does Maternal Race or Ethnicity Affect the Expression of Severe Preeclampsia? American Journal of Obstetrics and Gynecology, 193, 973-978. https://doi.org/10.1016/j.ajog.2005.05.047
[52]
Ghosh, G., Grewal, J., Männistö, T., Mendola, P., Chen, Z., Xie, Y.L. and Laughon, S.K. (2014) Racial/Ethnic Differences in Pregnancy-Related Hypertensive Disease in Nulliparous Women. Ethnicity & Disease, 24, 283-289.
[53]
World Health Organization (2003) Managing Complications in Pregnancy and Childbirth—A Guide for Midwives and Doctors. World Health Organization, Geneva, S-35-S-56.
[54]
Pritchard, J.A., Cunningham, F.G. and Pritchard, S.A. (1984) The Parkland Memorial Hospital Protocol for Treatment of Eclampsia: Evaluation of 245 Cases. American Journal of Obstetrics and Gynecology, 148, 951-963.
https://doi.org/10.1016/0002-9378(84)90538-6
[55]
Chesley, L.C. (1984) History and Epidemiology of Preeclampsia-Eclampsia. Clinical Obstetrics and Gynecology, 27, 801-820.
https://doi.org/10.1097/00003081-198412000-00004
[56]
Salas, S.P. (1999) What Causes Pre-Eclampsia? Best Practice & Research Clinical Obstetrics & Gynaecology, 13, 41-57. https://doi.org/10.1053/beog.1999.0005
[57]
Abalos, E., Cuesta, C., Grosso, A.L., Chou, D. and Say, L. (2013) Global and Regional Estimates of Pre-Eclampsia and Eclampsia: A Systematic Review. European Journal of Obstetrics & Gynecology and Reproductive Biology, 170, 1-7.
https://doi.org/10.1016/j.ejogrb.2013.05.005
[58]
Roberts, J.M. and Lain, K.Y. (2002) Recent Insights into the Pathogenesis of Pre-Eclampsia. Placenta, 23, 359-372. https://doi.org/10.1053/plac.2002.0819
[59]
Wolf, M., Shah, A., Jimenez Kimble, R., Sauk, J., Ecker, J.L. and Thadhani, R. (2004) Differential Risk of Hypertensive Disorders of Pregnancy among Hispanic Women. Journal of the American Society of Nephrology, 15, 1330-1338.
https://doi.org/10.1097/01.ASN.0000125615.35046.59
[60]
Zwart, J.J., Richters, A., Öry, F., de Vries, J.I.P., Bloemenkamps, K.W.M. and van Roosmalen, J. (2008) Eclampsia in the Netherlands. Obstetrics & Gynecology, 112, 820-827. https://doi.org/10.1097/AOG.0b013e3181875eb3
[61]
Anderson, N.H., Sadler, L.C., Stewart, A.W., Fyfe, E.M., McCowan, L.M. and Aust, N.Z. (2012) Ethnicity, Body Mass Index and Risk of Pre-Eclampsia in a Multiethnic New Zealand Population. Journal of Obstetrics and Gynaecology, 52, 552-558.
https://doi.org/10.1111/j.1479-828X.2012.01475.x
[62]
Carr, A., Kershaw, T., Brown, H., Allen, T. and Small, M. (2013) Hypertensive Disease in Pregnancy: An Examination of Ethnic Differences and the Hispanic Paradox. Journal of Neonatal-Perinatal Medicine, 6, 11-15.
https://doi.org/10.3233/NPM-1356111
[63]
Urquia, M.L., Glazier, R.H., Gagnon, A.J., Mortensen, L.H., Nybo Andersen, A.M., Janevic, T., Guendelman, S., Thornton, D., Bolumar, F., Sanchez, I.R., Small, R., Davey, M.A., Hjern, A. and ROAM Collaboration (2014) Disparities in Pre-Eclampsia and Eclampsia among Immigrant Women Giving Birth in Six Industrialised Countries. BJOG, 121, 1492-1500. https://doi.org/10.1111/1471-0528.12758
[64]
Naimy, Z., Grytten, J., Monkerud, L. and Eskild, A. (2015) The Prevalence of Pre-Eclampsia in Migrant Relative to Native Norwegian Women: A Population-Based Study. BJOG, 122, 859-865. https://doi.org/10.1111/1471-0528.12978
[65]
Agrawal, S. and Walia, G.K. (2014) Prevalence and Risk Factors for Pre-Eclampsia in Indian Women: A National Cross Sectional Study. 2014 Annual Meeting Program, Boston, 1-3 May 2014, Poster Session 7.
[66]
Xiao, J., Shen, F., Xue, Q., Chen, G., Zeng, K., Stone, P., Zhao, M. and Chen, Q. (2014) Is Ethnicity a Risk Factor for Developing Preeclampsia? An Analysis of the Prevalence of Preeclampsia in China. Journal of Human Hypertension, 28, 694-698.
https://doi.org/10.1038/jhh.2013.148
[67]
Knuist, M., Bonsel, G.J., Zondervan, H.A. and Treffers, P.E. (1998) Risk Factors for Preeclampsia in Nulliparous Women in Distinct Ethnic Groups: A Prospective Cohort Study. Obstetrics & Gynecology, 92, 174-178.
https://doi.org/10.1097/00006250-199808000-00004
[68]
Rao, A.K., Daniels, K., El-Sayed, Y.Y., Moshesh, M.K. and Caughey, A.B. (2006) Perinatal Outcomes among Asian American and Pacific Islander Women. American Journal of Obstetrics and Gynecology, 195, 834-838.
https://doi.org/10.1016/j.ajog.2006.06.079
[69]
Savitz, D.A., Danilack, V.A., Engel, S.M., Elston, B. and Lipkind, H.S. (2014) Descriptive Epidemiology of Chronic Hypertension, Gestational Hypertension, and Preeclampsia in New York State, 1995-2004. Maternal and Child Health Journal, 18, 829-838. https://doi.org/10.1007/s10995-013-1307-9
[70]
Prasmusinto, D., Skrablin, S., Fimmers, R. and van der Ven, K. (2004) Ethnic Differences in the Association of Factor V Leiden Mutation and the C677T Methylenetetrahydrofolate Reductase Gene Polymorphism with Preeclampsia. European Journal of Obstetrics & Gynecology and Reproductive Biology, 112, 162-169.
https://doi.org/10.1016/S0301-2115(03)00314-2
[71]
Williams, K.P. and Wilson, S. (1997) Ethnic Variation in the Incidence of HELLP Syndrome in a Hypertensive Pregnant Population. Journal of Perinatal Medicine, 25, 498-501. https://doi.org/10.1515/jpme.1997.25.6.498
[72]
Fang, J., Madhavan, S. and Alderman, M.H. (1999) The Influence of Maternal Hypertension on Low Birth Weight: Differences among Ethnic Populations. Ethnicity & Disease, 9, 369-376.
[73]
Mbah, A.K., Alio, A.P., Marty, P.J., Bruder, K., Whiteman, V.E. and Salihu, H.M. (2010) Pre-Eclampsia in the First Pregnancy and Subsequent Risk of Stillbirth in black and White Gravidas. European Journal of Obstetrics & Gynecology and Reproductive Biology, 149, 165-169. https://doi.org/10.1016/j.ejogrb.2009.12.035
[74]
Chauhan, P., Chauhan, V.K.S. and Shrivastava, P. (2012) Maternal Mortality among Tribal Women at a Tertiary Level of Care in Bastar, Chhattisgarh. Global Journal of Health Science, 4, 132-141. https://doi.org/10.5539/gjhs.v4n2p132
[75]
Lawoyn, T.O. and Ani, F. (1996) Epidemiologic Aspects of Pre-Eclampsia in Saudi Arabia. East African Medical Journal, 73, 404-406.
[76]
Macay, A.P., Berg, C.J. and Atrash, H.K. (2001) Pregnancy-Related Mortality from Preeclampsia and Eclampsia. Obstetrics & Gynecology, 97, 533-538.
https://doi.org/10.1097/00006250-200104000-00011
[77]
Tucker, M.J., Berg, C.J., Callaghan, W.M. and Hsia, J. (2007) The Black-White Disparity in Pregnancy-Related Mortality from 5 Conditions: Differences in Prevalence and Case-Fatality Rates. American Journal of Public Health, 97, 2.
https://doi.org/10.2105/AJPH.2005.072975
[78]
Lewis, G. (2007) The Confidential Enquiry into Maternal and Child Health (CEMACH). Saving Mothers’ Lives: Reviewing Maternal Death to Make Motherhood Safer—2003-2005. The Seventh Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. CEMACH, London.
